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申请编号
Application No: |
申请日期
Application Date:
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申请单位
Applicant:
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地址
Address:
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联系人
Contact: |
电话
Tel: |
传真
Fax: |
邮编
Post code.
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供货商/生产厂
Supplier/Manufacturer:
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生产厂地址
Manufacturer Address:
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联系人
Contact: |
电话
Tel: |
传真
Fax: |
邮编
Post code.
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样品名称
Sample Desrciption
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型号
Model No |
额定参数
Electrical Rating |
样品数量/编号
Samples Quantity/No |
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测试要求
Test Required:
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服务要求:
Service Required: |
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常规
Regular |
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加急
Express |
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特急
Double Express |
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偏离
deviation |
技术责任工程师签字:
Technology support
responsibility engineer: |
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测试后样品外理:
Tested Samples: |
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放弃
Give up |
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取回，试验结束3个月内不取回将视为自动放弃
Take back by Applicant. Within 3 months. After tested |
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测试记录或报告:
Test Note Or Report: |
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申请单位自取
Collected by Applicant |
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邮寄给申请单位
Post to Applicant |
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申请人签名:
Signature by Applicant: |
申请单位盖章:
On behalf of the Company: |
日期:
Date: |
