C5
The bicycle listed in the section “Bicycle identication” was assembled
properly and was delivered to the customer ready-to-use. This complies
with type ________, in the chapter “Intended Use”.
Functional checks for the following components:
c Wheels: Spoke tension, sturdiness, concentricity, correct
tyre pressure
c All screw joints: secure, correct mounting torque
c Gear system
c Brake system
c Light system
c Seat position adjusted to the rider
c Suspension adjusted to the rider
c The following components were assembled and checked separately:
_______________________________________________________
_______________________________________________________
c The assembling/inspecting party completed a test ride
c The customer was instructed on how to use the bicycle
c Function of the right front brake
c Function of the left front brake
Supplied by (retailer stamp):
__________ ____________________________________________
Date Signature assembling party/retailer
The following operating manuals were supplied and explained:
c Bicycle
Plus:
c Gear system
c Brake system
c Suspension elements
c Belt drive
c Other documentation:
_______________________________________________________
Permitted for trailers c Yes c No
Permitted for child seats c Yes c No
Permitted for luggage carriers c Yes c No
Permitted for competitions c Yes c No
Authorized for Bike Parks c Yes c No
The maximum total weight for this bicycle is 100 kg. The weight may vary,
especially for pedelecs, kids’ bikes and youth bikes: _________ kg
(bike weight + rider + baggage + trailer).
Customer/recipient/owner
Name ___________________________________
Address ___________________________________
Postal code, Town/City _______ ___________________________
e-mail ___________________________________
__________________ ____________________________________
Date of purchase Signature recipient/owner
Hand-over documentation
Pedelec
c Battery
c Motor
c Operating parts
/