1. General
1.1. Make (trade name of manufacturer): 
1.2. Type: 
1.3. Vehicle category: 
1.4. Commercial name(s) if available: 
1.5. Manufacturer's name and address: 
1.6. If applicable, name and address of manufacturer's representative: 
1.7. Drawing and/or photograph of the vehicle:
1.8. Approval number of the REESS:
2. Electric motor (traction motor)
2.1. Type (winding, excitation): 
2.2. Maximum net power and / or maximum 30 minutes power (kW): 
3. REESS 
3.1. Trade name and mark of the REESS: 
3.2. Indication of all types of cells: 
3.2.1. The cell chemistry:
3.2.2. Physical dimensions:
3.2.3. Capacity of the cell (Ah):
3.3. Description or drawing(s) or picture(s) of the REESS explaining:
3.3.1. Structure:
3.3.2. Configuration (number of cells, mode of connection, etc.):
3.3.3. Dimensions:
3.3.4. Casing (construction, materials and physical dimensions):
3.4. Electrical specification:
3.4.1. Nominal voltage (V):
3.4.2. Working voltage (V):
3.4.3. Capacity (Ah):
3.4.4. Maximum current (A):
3.5. Gas combination rate (in per cent): 
3.6. Description or drawing(s) or picture(s) of the installation of the REESS in the vehicle: 
3.6.1. Physical support:
3.7. Type of thermal management
3.8. Electronic control:
4. Fuel Cell (if any)
4.1. Trade name and mark of the fuel cell: 
4.2. Types of fuel cell: 
4.3. Nominal voltage (V): 
4.4. Number of cells: 
4.5. Type of cooling system (if any): 
4.6. Max Power(kW): 
5. Fuse and/or circuit breaker
5.1. Type: 
5.2. Diagram showing the functional range: 
6. Power wiring harness
6.1. Type: 
7. Protection against Electric Shock
7.1. Description of the protection concept: 
8. Additional data
8.1. Brief description of the power circuit components installation or drawings/pictures showing the location of the power circuit components installation: 
8.2 Schematic diagram of all electrical functions included in power circuit: 
8.3. Working voltage (V): 
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