VDO TIS WEB Manual de usuario descargar pdf (Pagina 89)

(REGULATION (EC) NO 561/2006 OR THE AETR(2))

ATTESTATION OF ACTIVITIES (1)

False attestations constitute an infringement

To be kept with the original control device records wherever they are required to be kept

To be filled in by typing and signed before a journey

22. Place: Birmingham

Date: 19/08/10

Signature of the driver

(1)This form is available in an electronic and printable versions at the following address: http://ec.europa.eu

(*) Choose only one box.

1. Name of the undertaking: Andy Thorley Tis-Web 3.3 Test Co

10. Driving licence or identity card or passport number:

for the period:

12. from (hour/day/month/year): 00:00/04/10/08

14.

15.

16.

17.

19.

was on sick leave(*)

was on annual leave(*)

was on leave or rest (*)

performed other work than driving (*)

was available (*)

drove a vehicle exempted from the scope of Regulation (EC) No 561/2006 or the AETR(*)

2. Street address, postal code, city, country: Continental Automotive UK Ltd,36,Gravelly Industrial Park, B248TA, Birmingham, UK

3. Telephone number (including international prefix): 0121 326 1253

declare that the driver:

20. Place: Birmingham

Signature:

13. to (hour/day/month/year): 23:59/05/10/08

11. who has started to work at the undertaking on (day/month/year): 09/06/08

Part to be filled in by the undertaking

I, the undersigned:

8. Name and first name: Brown, John

9. Date of birth (day/month/year): 22/03/62

5. E-mail address: [email protected]

4. Fax number (including international prefix): 0121 326 1299

6. Name and first name: Andrew Thorley

7. Position in the undertaking:

Date: 19/08/10

18.

(2)European Agreement concerning the Work of Crews of Vehicles engaged in International Road Transport.

21. I, the driver, confirm that I have not been driving the vehicle falling under the scope of Regulation (EC) No. 561/2006 or AETR during the

period mentioned above.

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VDO TIS WEB Manual de usuario Pagina 89

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