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(Supplementary Information)
This form should be completed in conjunction with the information given on the battery quotation form.
Go to "How to Specify Chargers" if you need help with the questions.
Battery Application
Application Automotive Computer Consumer Games consoles Instruments Marine Medical Military Mission critical Mobile phone Mobile radio PDA Portable terminals Power tools Solar panels Standby power Wireless product OTHER
Batteries Specified (If known)
No preference Lead Acid Lithium Ion Lithium Polymer NiCad NiMH OTHER
Quantity Required
Prototypes
Annual Requirement
Units
Battery Voltage
Volts
Battery Capacity
mAh Ah Wh kWh
Charging Time
Minutes Hours
Charger Power Supply
AC
Volts Hertz Phases
DC
Other inputs
Please specify
Battery temperature detection required
Yes No Don't know
EMC restrictions
Tick any which apply
Emissions
Susceptibility
Don't know
Safety Approvals Required
UL
CE
FCC
TUV
CSA
NF
ISO9000
QS9000
DEF
MIL
Other
Any questions or special requirements ?
Please tell us your email address so that we can relate this information to your battery quotation.
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