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RFQ – Electrical & EMC

Applicant Information
Company Name
Website
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Name
Title
Email
Phone
Manufacturing Location
If different than Applicant Information
Company
Website
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Name
Title
Email
Phone
Product Information & Ratings
Model/Series
Input Volts
Output Volts
Input Current
Output Current
Frequency
Watts
Phase
Product’s description and intended use/application
Test Objective – Kindly fill in the applicable standards, if known
Intended markets (list countries)
Agency Certification Marks requested
- cLC (Canada)
- LCus (United States)
- cLCus (Canada and United States)
- CE Mark (European Union)
- CB Scheme certificate (43 countries)
- Other
Specify other
Test Reports
- Required (will be sent via email)
- Not required
Test will be
- Attended by the customer
- Unattended by the customer
Oscillator Requirements
Frequency(MHz)
Type of Oscillator
Description of use
Power Supply (if applicable):
Description: Manufacturer: Model #: Serial #: Switching frequency or linear:
Description of Enclosure (including gasket, coatings, bonding, etc.)
Interfacing and/or Simulators Peripheral Equipment – please provide a complete description of all peripherals to be used during testing. Kindly note that all I/O ports must be appropriately loaded.
To help us provide you with an accurate and quick proposal, provide as many of the following as possible
Product schematics • Product brochure • Operating manual • Wiring diagram • Previous test data & reports • Target completion date • Block diagram • Electrical rating • Operating frequency • Test budget • Installation manual • Product photograph(s)
File
File
File
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Email
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