(1) Vehicle Identification Number (VIN number or chassis number)
(2) Registration plate number of the vehicle and country symbol of the State of registration
(3) Place and date of the test
(4) Odometer reading at the time of the test, if available
(5) Vehicle category, if available
(6) Identified deficiencies and their level of severity
(7) Result of the roadworthiness test
(8) Date of the next roadworthiness test or date of expiry of the current certificate, if this information is not provided by other means
(9) Name of testing organisation or centre and signature or identification of the inspector responsible for the test
(10) Other information