AA Portable Power Corp / dba: BatterySpace



Test Request Form Battery Model NO.Type/ChemistryName of the applicantTel No.Website of ApplicantE-mailAddress of the applicantName of ManufacturerTel No.Website of ManufacturerE-mailAddress of ManufacturerSample QuantityNominal Voltage(V)Nominal capacity (mAh)Max Charge voltage (V)Max charge current (mA) Max discharge current (mA)Standard Charge and discharge Method Standard Charge: Constant Current: mA, then Constant Voltage at __ V, cut off at __ mAStandard Discharge: Constant Current: ____ mA, cut off at ___VOr other method: Energy (Wh)Weight (g)Size (mm) X X Y X ZComponent cell Model ponent cell manufacturer Cell’s UN38.3 certificate or report No (Need Copy of the document) Components list (BOM) Function & Parameter NameManufacturerModel No.Description and main Parameter PCB/BMS Terminal/ConnectorwireOthers component Requested Test (put “X” to check)UN38.3 for Rechargeable battery pack (with Component cell has passed UN38.3) T1 to T5 +T7 (need 16 batteries )UN38.3 for Rechargeable battery pack (with Component cell has not passed UN38.3)T1 to T5+T7 (need 16 batteries) and T6&T8 (30 Component Cells) UN38.3 for Rechargeable cell T1 to T5 and T6&T8 (need 40 cells) UN38.3 for Primary battery pack (with Component cell has passed UN38.3) T1 to T5 (need 8 testing samples) UN38.3 for Primary battery pack ( with Component cell has not passed UN38.3 )T1 to T5 (need 8 testing samples) and T6&T8 (20 Component Cells) UN38.3 for Primary cell T1 to T5 and T6&T8 (need 40 cells)Other Kind of Test. Please specify Any other Special Request: Applicant’s Signature: Date: Attachment: Battery picture showed in report (Need mark the battery size as following figure) X=?Y=?Z=?Cell’s UN38.3 document Cell’s specification BMS/PCB SpecificationOther Document ................
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