Application for a derogation to be submitted by manufacturers meeting the criteria of Article 11(1) of Regulation (EU) No 510/2011 Public section - Version 1 -11/02/2013

1. Contact details of manufacturer

Name of manufacturer: Corporation Postal address: 33-8, Shiba 5-chome, Minato-ku, Tokyo 108-8410

Contact person name: Masao Omichi email: [email protected] telephone: +81-{0)3-6852-2085

Privacy statement concerning treatment of personal information

2. Contact details of manufacturers EU representative*

If the manufacturer is established outside the EU, contact details refer to the manufacturers EU repre

Name of EU representative: Mitsubishi Motors B.V. Postal address: Op de Baan 8, 6121 SG Born The

Contact person name: Tomohisa Nishina email: [email protected] telephone: +31-46-481-9500

Privacy statement concerning treatment of personal information

all communication cc to Name of EU representative: Mitsubishi Motor R&D Europe GmbH Postal address: Diamantstrasse 1, 65468 Trebur,

Contact person name: Ralf Piotraschke email: [email protected] telephone: +49-6147-206-103

* Mitsubishi company language is English, please kindly provide all communication in English language Application for a derogation to be submitted by manufacturers meeting the criteria of Article 11(1) of Regulation (EU) No 510/2011 Public section - Version 1 -11/02/2013

3. Eligibility criteria

3.1 Are you part of a group of connected manufacturers? ĮYes Į

3.2 If yes, do you operate your own production facilities and design centre? Į No Note: Mitsubishi group has 1 MMC design and R&D center, but the brand manufacturers have own production fascilities 3.3 Number of registrations in the EU for three years prior to the application:

Are these official figures or estimates based on verifiable data?

3.4 Details of group of connected manufacturers

Name of manufacturer: Mitsubishi Motors Corporation (MMC) Postal address: 33-8, Shiba 5-chome Minato-ku Tokyo 108-8410 Japan

Contact person: name: Masao Omichi e-mail: [email protected] telephone: +81-3-6852-2085

Name of manufacturer Mitsubishi Motors (Thailand) Co., Ltd Postal address 88 Phaholyothin Road, Klongluang Pathumthani 12120 Thailand

name Nobuyuki Murahashi e-mail [email protected] telephone +66-8-1732-8855

3.5 Number of registrations in the EU of the group of connected manufacturers for three years prior to the application

Year: CY2010 CY2011 CY2012 Registrations: 17627 17733 11550

Are these official figures or estimates based on verifiable data? [Estimates'

Mitsubishi Sales System Application for a derogation to be submitted by manufacturers meeting the criteria of Article 11(1) of Regulation (EU) No 510/2011 Public section - Version 1 -11/02/2013

4. Requested duration of the derogation (maximum of 5 calendar years)

5. Proposed specific emissions target

Please select from the drop down list: b). Specific targets for each year

4-b. Specific emissions targets with yearly reductions: Year: 2014 2015 2016 2017 2018 Emission Target 210 210 195 195 190