环境可靠性测试申请表-IK10测试.doc

英文报告 中文报告 纸质报告(收每份100 RMB) 环境可靠性测试申请表Environment Reliability ★号处为必填项目，请仔细核对，如因填写错误而导致更改报告，须收取费用100RMB； 两种版本同时申请，加收100 RMB。 ★Applicant/申请公司名称(中文): ★Applicant/申请公司名称(英文): ★Address/申请公司地址(中文): ★Address/申请公司地址(英文): ★Manufacture/制造商名称(中文): Manufacture/制造商名称(英文): ★Address/制造商地址(中文): Address/制造商地址(英文): ★Contact Person联系人: E-MAIL邮箱: ★Tel电话: Fax传真: ★Sample Description样品名称(英/中文): ★No. of sample 样品数量: Production date生产日期: Brand Name/品牌: Model No./型号: ★气候环境检测Climate Environment Test 高温检测 High temperature test 低温检测 Low temperature test 冷热冲击检测Thermal shock test 快速温变检测 Speedy temperature test 恒温恒湿检测Constant temperature and humidity test 交变湿热检测 Damp heat test IP等级（防尘防水）IP code 盐雾检测 Salt fog test ★机械环境检测 Mechanical Environment test 振动试验Vibration test 机械冲击试验 Mechanical shock 跌落试验 Drop tests 摩擦试验 Abrasion test 模拟运输 Simulate transportation 碰撞试验 Bump test 插拔力Mating and unmaking force test 插拔耐久Durability testIK等级IK test 其他测试 other tests: ★测试标准Test standard: ★测试条件:Test condition: ★结果判定Acceptance criteria: 委托判定标准 客户自行判定 ★Report Delivery Service报告递送服务E-mail电邮 Express delivery快递 Self Pick-up自取 Others其它: ★Sample Handling 样品处理Self Pick-up自取 Sample Return 样品退回（快递到付） EBO disposal EBO自行处理 Delivered To寄往地址(中文)：同申请公司地址 其它: 贵公司是否同意将此申请表所涉及的报告/证书上传于EBO网站进行真伪查询：/ ？ 是 否? （如未选择，视为同意。） 请委托单位仔细阅读本委托书后页服务条款，本页与后页条款的内容均系本委托书的组成部分。委托单位的签字表明已看过并理解委托书后页条款，双方同意履行。The Trustor shall read the clauses as showed on the next pages of this letter of commitment. All contents on this page and the clauses on the next pages will form parts of this letter of commitment. Once signed by the Trustor, it will be deemed that the clauses on the next pages have been understood and the two parties agree to carry out them. 委托单位声明：对样品及相关信息数据的真实性负责，并同意本委托书后页“亿博服务通用条款”。Statement of the Trustor: To be liable for the truth of the sample and the related information and documents, and agree on the next pages of this letter of