component / separate technical
unit (1) with

regard to Directive 80/1268/EEC, as last amended by
Directive

93/116/EC.

 

Type-approval number:

 

Reason for extension:

 

Section I

 

0.1. Make (trade name of manufacturer):

 

0.2. Type and general commercial description(s):

 

0.3. Means of identification of type, if marked on the

vehicle/component/separate technical unit (1) (2):

 

0.3.1. Location of that marking:

 

0.4. Category of vehicle (3):

 

0.5. Name and address of manufacturer:

 

0.6. In the case of components and separate technical
units,

location and method of affixing of the EC type-approval
mark:

 

0.7. Address(es) of assembly plant(s):

 

Section II

 

1. Additional information (where applicable): see
addendum

 

2. Technical service responsible for carrying out the
tests:

 

3. Date of test report:

 

4. No of test report:

 

5. Remarks (if any): see addendum

 

6. Place:

 

7. Date:

 

8. Signature:

 

9. The index to the information package lodged with the
approval

   authority,
which may be obtained on request, is attached.

   

Addendum

 

to EC type-approval certificate No:..................

 

concerning the type approval of a vehicle with regard to
Directive

80/1268/EEC (CO2 emissions and fuel consumption) as last
amended by

Directive 93/116/EC.

 

1. Additional information

 

1.1. Mass of the vehicle in running order:

 

1.2. Maximum mass:

 

1.3. Type of bodywork: saloon, estate, coupВ (1)

 

1.4. Drive wheels: front, rear, 4 x 4 (1)

 

1.5. Engine:

 

1.5.1. Engine displacement:

 

1.5.2. Fuel supply system: carburettor/injection (1)

 

1.5.3. Fuel recommended by the manufacturer:

 

1.5.4. Maximum power: 
kW at  min-1

 

1.5.5. Pressure charging device: yes/no (1)

 

1.5.6. Ignition system: diesel/conventional or electronic
ignition

(1)

 

1.6. Transmission:

 

1.6.1. Type of gearbox: manual/automatic (1)

 

1.6.2. Number of gear ratios:

 

1.6.3. Total gear ratios (including the rolling
circumferences of

the tyres under load): road speeds per 1 000 min-1 km/h

 

First gear:

 

Second gear:

 

Third gear: 
Fourth gear:

 

Fifth gear:

 

Overdrive:

 

1.6.4. Final drive ratio:

 

1.6.5. Tyres:

 

Type: Dimensions:

 

Rolling circumference under load:

 

1.7. Test results

 

1.7.1. CO2 mass emission: g/km

 

1.7.2. Fuel consumptions

 

1.7.2.1. Fuel consumption (urban conditions): l/100 km

 

1.7.2.2. Fuel consumption (extra-urban conditions): l/100
km

 

1.7.2.3. Fuel consumption (combined): l/100 km

 

2. Remarks:

   

(1) Delete where not applicable.

 

(2) If the means of identification of type contains
characters not

    relevant to
describe the vehicle, component or separate technical unit

    types covered
by this type-approval certificate, such characters shall

    be represented
in the documentation by the  symbol' ?'
(e.g.

    ABC??123??).

 

(3) As defined in Annex II A to Directive 70/156/EEC.