<p> G1. Page 1 of 3</p><p>Form G1, date of issue 2006-04-27 Application for approval of modernisation and remodelling </p><p>– see Section 1.7 of the Guide to approvals.</p><p>Date:...... Applicant • Name of operator :...... Contact:...... (name, title/function) - Phone:...... - E-mail:...... Postal address:...... Postcode and town: ...... Visiting address:...... Company reg. no.:...... Part of which group (if any): ...... Phone:...... Fax:...... Website:...... E-mail:...... </p><p>The application relates to:</p><p>Railway infrastructure</p><p>Vehicles</p><p>Provisional date for inauguration:...... G1. Page 2 of 3</p><p>Previous approvals:</p><p>Previous approval:...... (by the Swedish Rail Agency/the Railway Inspectorate) (date/reference number)</p><p>Derogation from complying with the requirements of TSIs:...... (by the Swedish Rail Agency) (date/reference number)</p><p>Other information:</p><p>Infrastructure manager/ railway undertaking/client:...... (to be stated if these are not the same as the applicant and if these have been determined)</p><p>Outline description</p><p>Railway infrastructure:</p><p>Type of system: Track Sidings Metro Tramway</p><p>Control command and Energy supply signalling</p><p>Place or stretch of line:...... Version designation (if any):...... Contractor/resp. for constr. :...... Inspector:...... (inspection before inauguration) Brief description:...... (may also be supplied in the form of a separate attachment)</p><p>Area of use (freight/passenger transport/mixed traffic) :...... Any applicable TSIs:...... G1. Page 3 of 3</p><p>Vehicle:</p><p>Type of vehicle: Loco Power car Freight Passenger wagon car Work vehicle Metro car Tramway car</p><p>Other: ...... </p><p>Vehicle designation/machine type:...... Vehicle number/serial number:...... Brief description:...... (may also be supplied in the form of a separate attachment) Version designation:...... Type designation (suggested) :...... Manufacturer:...... Year of manufacture:...... Intended for type of traffic:...... </p><p>Any applicable TSIs:...... </p><p>Schedule for submitting documentation (attachments to form G1) List the attachments sent with this application and state an estimated date when the documents will be submitted.</p><p>Attach- Provisional ID Put a cross here ment date no. A Description of the rebuilding/modification B Risk analysis Other attachments: C D E F G</p><p>The Swedish Rail Agency may ask for additional documents if it needs them.</p>