Bosch (Donghai) Automotive Test & Technology Center Co ...



CustomerCompany FORMTEXT ?????Name FORMTEXT ?????Address FORMTEXT ?????Department FORMTEXT ?????Postcode/City FORMTEXT ?????Cost Center1) FORMTEXT ?????Country FORMTEXT ?????Telephone-No.( FORMTEXT ?????)Company Type FORMCHECKBOX OEM FORMCHECKBOX Auto. parts supplierMobile-No.( FORMTEXT ?????) FORMCHECKBOX Media FORMCHECKBOX RB DivisionFax-No.( FORMTEXT ?????) FORMCHECKBOX Others： FORMTEXT ?????E-mail FORMTEXT ?????Booking of test track Booking of facilities 5)6)ItemsDate / Time from-to ItemsDate / Time from-toQuantity Vehicle Dynamic Area FORMCHECKBOX [Shared] / FORMCHECKBOX [Exclusive2)] FORMTEXT ?????- FORMTEXT ?????Large office (10-20ppl.) FORMTEXT ?????- FORMTEXT ?????Vehicle Dynamic Area [Wet] FORMTEXT ?????- FORMTEXT ?????Small office (6-10ppl.) FORMTEXT ?????- FORMTEXT ?????Brake Measurement Track FORMCHECKBOX [Shared] / FORMCHECKBOX [Exclusive2)] FORMTEXT ?????- FORMTEXT ?????Workshop for passenger car FORMTEXT ?????- FORMTEXT ?????TCS Slopes FORMCHECKBOX [Shared] / FORMCHECKBOX [Exclusive2)] FORMTEXT ?????- FORMTEXT ?????Workshop for commercial vehicle FORMTEXT ?????- FORMTEXT ?????Rough Roads FORMCHECKBOX [Shared] / FORMCHECKBOX [Exclusive2)] FORMTEXT ?????- FORMTEXT ?????Prototype Garage FORMTEXT ?????- FORMTEXT ?????Handling Course FORMCHECKBOX [Shared] / FORMCHECKBOX [Exclusive2)] FORMTEXT ?????- FORMTEXT ?????Indoor Parking FORMTEXT ?????- FORMTEXT ?????If need exclusive use of track, pls. fill out the reason: FORMTEXT ?????*If need workshop service, pls. request onsite.Pls. fill out other requirements. e.g.: beamer, storage, lunch, catering.Test dataTest participantVehicle No.Passenger Car3),4) FORMTEXT ?????Comm. Vehicle3),4) FORMTEXT ?????NameCompanyBosch Driving PermitMotorcycle FORMTEXT ?????E-bike FORMTEXT ?????1 FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Y / FORMCHECKBOX N FORMCHECKBOX Prototype FORMCHECKBOX Hybrid Electric Vehicle / Electric Vehicle2 FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Y / FORMCHECKBOX N FORMCHECKBOX Video shooting/photograph (must be approved by PG administrator)3 FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Y / FORMCHECKBOX N FORMCHECKBOX Installed outrigger and anti-rollover frame (for high gravity vehicle )4 FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Y / FORMCHECKBOX NTesting 1: FORMTEXT ????? Max. speed: FORMTEXT ????? Danger Trail: FORMCHECKBOX Y/ FORMCHECKBOX N5 FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Y / FORMCHECKBOX NTesting 2: FORMTEXT ????? Max. speed: FORMTEXT ????? Danger Trail: FORMCHECKBOX Y/ FORMCHECKBOX N6 FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Y / FORMCHECKBOX NTesting 3: FORMTEXT ????? Max. speed: FORMTEXT ????? Danger Trail: FORMCHECKBOX Y/ FORMCHECKBOX N7 FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Y / FORMCHECKBOX NTesting 4: FORMTEXT ????? Max. speed: FORMTEXT ????? Danger Trail: FORMCHECKBOX Y/ FORMCHECKBOX N8 FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Y / FORMCHECKBOX NOther testing：No. of drivers： No. of evaluation ： No. of non-driver： *If need to drive, pls. take public driving license and pass driving evaluation.Others: 1) Cost centre should be filled out by Bosch CC-CN users but not necessary for other users.2) Exclusive usage must be applied 15 working days in advance and 50% down payment is required. Exclusive booking requires minimum half day (4 hours). No more than half day is charged as half day. Less than one day but more than half day is charged as a whole day (8 hours) 3) For electric vehicle, customer must provide its own charging station and emergency procedure in case of accident.4) Types of passenger cars include car, SUV, MPV etc. Types of commercial vehicles include pickup truck, mini truck, light truck, self-dumping truck, cargo truck, driving truck etc5) Booking of facilities is not needed to fill out by CC-CN users. Office is equipped with phone, network, whiteboard etc.6) This test application form is valid only with external customer project principal’s signature or email.7）I consent to register for test application form via my name, phone number, email address etc. by receptionist.With my signature below I confirm that my application is in accordance with the above-mentioned details. The Bosch Donghai Proving Ground Utilisation Regulations and Confidentiality Agreement were handed over to me along with the price list. I accept these without reservations and fully agree onsite management.DateSignature7) Phone：(+86 518) 8765-1100[Fax：-1103] dgh.pg@cn. Valid from Jan.31st, 2019 ................
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