ANNEX IVSupplementary provisions
ANNEX IV Text of image (First page of the authorisation) (Colour Pantone 182 (pink), or as close as possible to this colour, format DIN A4 uncoated paper 100 g/m2 or more) To be worded in the official language(s) or one of the official languages of the carrier’s Member State of establishment ISSUING STATE Competent authority International distinguishing sign (1) AUTHORISATION No … for a regular service (2) for a special regular service by coach and bus between Member States in accordance with Chapter III of Regulation (EC) No 1073/2009 to: (Surname, first name or trade name of carrier or of managing carrier in the case of an association of undertakings (pool)) Address: Tel., fax and/or e-mail: Name, address, telephone and fax numbers and/or e-mail of associates or members of the association of undertakings (pool) and subcontractors: (1) (2) (3) (4) (5) List attached, if appropriate. Expiry date of authorisation: (Place and date of issue) (Signature and stamp of issuing authority or agency) (1) Austria (A), Belgium (B), Bulgaria (BG), Croatia (HR), Cyprus (CY), Czech Republic (CZ), Denmark (DK), Estonia (EST), Finland (FIN), France (F), Germany (D), Greece (GR), Ireland (IRL), Italy (I), Latvia (LV), Lithuania (LT), Luxembourg (L), Hungary (H), Malta (M), Netherlands (NL), Poland (PL), Portugal (P), Romania (RO), Slovakia (SK), Slovenia (SLO), Spain (E), Sweden (S), United Kingdom (UK). (2) Delete as appropriate. Text of image (Second page of authorisation No ) 1. Route: (a) Place of departure of service: (b) Place of destination of service: (c) Principal itinerary, with passenger pick-up and set-down points underlined: 2. Periods of operation: 3. Frequency: 4. Timetable: 5. Special regular service: — Category of passengers: 6. Other conditions or special points (e.g. authorised cabotage operations (1)): (Stamp and/or signature of authority issuing the authorisation) (1) As agreed by the host Member State and communicated to the authorising authority, within the time period defined in Article 8.2 of Regulation (EC) No 1073/2009. Text of image (Third page of the authorisation) To be worded in the official language(s) or one of the official languages of the carrier’s Member State of establishment IMPORTANT NOTICE 1. This authorisation is valid for the entire journey. It may only be used by a party or parties whose name is indicated thereon. 2. The authorisation or a true copy certified by the issuing authority is kept in the vehicle for the duration of the journey and is presented to enforcement officials on request. 3. A true certified copy of the Community licence is kept on board the vehicle.