环境可靠性测试申请表EnvironmentReliabilityTestingApplicationSampleNo.样品编号:ProjectNo.项目编号:Applicant:申请商中文名称:Address:申请商中文地址:ContactPerson联系人:Telephone电话:Fax传真:E-mail电邮:报告中需增加Manufacturer制造商Supplier供应商Sameastheapplicantnameabove同申请商一样Ifdifferentfromtheapplicantnameabove,indicateasbelow如果不同，请注明：Payer付款单位InvoiceTitle发票抬头（中文）:Sameasapplicant同申请单位Ifdifferent,Indicateasbelow如果不同,请注明:SampleName样品名称:No.ofSample样品数量:SampleModel样品型号:TestsRequiredPleaseTickAppropriateBoxes测试项目(请在内打上钩)气候环境试验ClimateEnvironmentTestClimateEnvironmentTest高温试验Hightemperaturetest低温试验Lowtemperaturetest冷热冲击试验Thermalshocktest快速温变试验Speedytemperaturetest恒温恒湿试验Constanttemperatureandhumiditytest交变湿热试验Dampheattest低气压试验lowairpressuretest温湿度循环试验Temperature/humiditycyclictest高压蒸煮(PCT)HAST气体腐蚀GascorrosionUV太阳辐射Solarradiation盐雾试验SaltfogtestIP等级(防尘防水)IPCode晶须观察Tinwhiskercheck臭氧老化Ozoneaging机械环境试验试验MechanicalEnvironmenttestMechanicalEnvironmenttest振动试验Vibrationtest机械冲击试验MechanicalShock跌落试验Droptest摩擦试验AbrasiontestHALT&HASS碰撞试验Bumptest百格试验Cross-cuttapetest温度/湿度/振动综合试验CombinedTemperature/humidity/vibrationtestOtherTests其它测试:TestStandard测试标准：TestCondition测试条件：ReportService报告服务:Fax传真ExpressMail快递到付EMS快递，预收费RMB15元SelfPick-Up自取EnglishReport英文报告ChineseReport中文报告Chinese&EnglishReport中文、英文报告各一份（需加收RMB100元）请选择服务类型Ticktherequiredservice：标准服务测试完成后3天内出报告加急服务（加收RMB200/份报告的服务费）测试完成后1天出报告ReturnSample:请您选择测试后样品处理方式，以便项目结束后及时处理Pleasetickinbelowtestsampledisposalmethod.Scrap报废Return寄回(Chargeclient客户付费)Pickedupbyclient客户领取（保留3周）Ifnoindication,thesamplewillbescrappedaftertesting如果您不提供样品处理意见，我们将统一报废处理。WerequestfortheabovetestsandagreethatalltestingwillbecarriedoutsubjecttoCENTRETESTINGINTERNATIONALscaleofchargesassetforthintheirlatestpricelistofwhichwehaveseenacopyanduponandsubjecttothetermsandconditionssetouthereonandoverleaf.Date日期:AuthorizedSignatureandChop代表签名及盖公司章1.ApplicantshouldretaintheDuplicateforownreferenceandpresentthesameforcollectionoftestreportinouroffice.2..Nocommentmaybegivenforsomeofthetestitemsifrelatedstandardorspecificationisnotavailable.
