国际认证申请表--电池电芯.doc

国际认证申请表--电池/电芯 International Certification Application Form--Battery Pack / Cell M Version 1.1 1. Applicant Information Applicant/申请机构(中文): ????? Applicant/申请机构(英文): ????? Address/地址(中文): ????? Address/地址(英文): ????? Postal Code/邮编: ????? Responsible Person/负责人: ????? Tel. No./电话: ????? Fax No./传真: ????? Contact Person/联系人: ????? Tel. No./电话: ????? Fax No./传真: ????? Email Address/电子邮件: ????? 2. Product Information Application Requirement/申请需求: IEEE1725 6UN38.3 GB/T 18287-2000 Other/其它: Test Item/测试项目: 6All/所有项目 Individual Item/个别项目: Other/其它: Sample Type/样品类型: 6Battery Pack/电池 Cell/电芯 Other/其它: Chemistry Type/化学类型: 活性 Model No./型号: Trade Name/商标: ????? Brand Name/品牌: Sample Description/样品描述: 银色 Nominal Capacity/标称容量: Nominal Voltage/标称电压: Charging Cut-off Voltage/充电限制电压: Discharging Cut-off Voltage/放电截止电压: Maximum Constant Charging Current /最大连续充电电流: Maximum Continuous Discharging Current/最大连续放电电流: Weight（Approximate Value）/重量: Manufacturer/制造商:（中英文） Manufacturer Address/地址: （中英文） Postal Code/邮编: Factory/工厂: （中英文） Factory Address/工厂地址: （中英文） Postal Code/邮编: Cell Type/电芯类型: Steel-case/钢壳 Aluminum-case/铝壳 Cylindrical/圆柱 √Lithium Polymer/聚合物 Other/其它: Cells Number/内含电芯数量: √Single/单电芯 Series-wound/多电芯串联 Shunt-wound/多电芯并联 Specification/规格书: √YES/附带 NO/不附带 Other Accessories/其他附件: ????? 3. Service Requirement Report Edition/报告形式: Chinese/中文报告 √English/英文报告 Service Required/要求服务: Regular/ 普通; Express/加急 [30% surcharge]; Immediate/特急 [100% surcharge] 第 2 页 共 2 页