模版-测试申请表

合集下载

样品申请表模板

描述
三、测试项目
序号项目测试选项√Fra bibliotek测试要求
1、输入、输出测试：电源 2、电流、电压测试：适配器 3、短路测试： 4、效率转换、纹波测试： 1、容量测试： U盘 2、存储速度测试： 3、内存质量：
所有测试要求及标准参照产品规格书。
四、特殊要求
1 2
产品图片
五、样品制作时间及测试时间说明：
1.当日12时前提供样品需求单，外壳及物料齐全，在1-3个工作日内提供样品（如有问题，提前通知）。 2.测试内容为上面测试选项为淮（特需求请标示，特需求请标示）。
表格编号：QR-310-A/1
样品申请表
申请日期：客户名称：申请人：申请单号：需求日期：审核：一、产品信息
序号
1 2 3 4
项目
产品型号容量数量外壳颜色
描述
二、主要物料搭配方式
序号
1 2 3 4 5 6
信息
LOGO要求：包装要求： PCBA： PB系列产品配件要求： PC系列产品配件要求：车充系列产品配件要求：

职业技能测评申请表

职业技能测评申请表
姓名文化程度
参加工作时间
作位工单
身份证号码
联系电话
何地获得职业资格（技能等级）证书
职业工种及等级
简
历
申请人确认
兹确认上述信息真实有效，并同意参加区人力社保局组织的取得省外职业资格证书（技能等级证书）、区外省内技师、高级技师职业资格证书（技能等级证书）人员职业技能测评。
签名：日期：
资料审核意见
经审核和技能人才评价证书全国联网查询，申请人资料完备，证书真实有效，同意其参加取得省外职业资格证书（技能等级证书）、区外省内技师、高级技师职业资格证书（技能等级证书）人员职业技能测评。
经手人：日期：
评见测意
通过专家测评，经确认，申请人职业技能测评结果为O
签章：日期：
注：申请表一式两份。

申请者自主开展品种DUS测试方案报备表【模板】

附件2
申请者自主开展品种DUS测试方案报备表（编号：）
1
填报说明：
1.编号：由管理机构填写；
2.植物种类和品种类型：
水稻：保持系/常规种/光敏不育系/恢复系/三系不育系/杂交种/不育系/两系不育系；
小麦：半冬性/不育系/常规种；
玉米：杂交种/单交种/开放授粉品种/群体/三交种/双交种/自交系；
大豆：常规种/杂交种；
棉花：非转基因杂交种/不育系/非转基因常规种/转基因杂交种/转基因常规种。

3.申请审定区域：国家级审定填写区域；省级审定填写具体省份
4.适种区域：填写具体省份、区域。

5.近似品种：与申请品种特征特性最为相似的品种。

6.技术标准：填写所依据的品种特异性、一致性和稳定性测试指南（标准）标准号，如：NY/T 2232-2012（植物新品种特异性、一致性和稳定性测试指南玉米）
7.测试地点：填写试验地块所在的详细地址，如：XX省XX市XX县XX乡镇XX村XX组;
8.测试时期：填写开展特异性、一致性和稳定性测试的整个时期。

通常为两个生长周期，如：2014年4月至2015年10月;
9.涉及多个植物种类和品种的，按照水稻、小麦、玉米、大豆、棉花顺序填写。

“待测品种信息”行数可自行添加。

备案表A4纸单面打印，超过一页的，需要加盖骑缝章（单位）或在每一页签名（个人）。

2。

锂电池UN38.3+海运+空运申请表模板

与设备打包运输 packed with equipment（需要提供设备品牌、名称、型号和图片 /Brand, name, type, phote of equipment
are required to complete）装在设备中 packed in equipment（需要提供设备品牌、名称、型号和图片 /Brand, name, type, phote of equipment are
检测依据 Testing Basis
■UN38.3 ■货物运输鉴定/Cargo Transportation Test 1.2m 跌落/1.2m Drop 其他/others
1.2m 跌落 1.2m Drop
整箱包装情（况中
英文）
PACKING
■电池单独运输（separately transported）
货物运输鉴定 Certification for Transport of Goods 货物主要危险性 Main hazards
深圳航空网站 Shenzhen airline web
电池是否具有以下安全装置(Including safety device as follow or not )：
安全阀、防回流、防短路 Safety valve, prevent reverse current flow, prevent short circuit
（付款单位名称为发票抬头，请准确填写。The invoice is the Company Name of Payment,please complete accurately.）
委托单位地址 Address（中英文）
邮编 Zip Code
委托联系人 Contact Person

钢结构报验申请表

监A4施工现场质量管理报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4工程定位测量报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4标高抄测报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4整体工程观测报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4基础复验工程报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4地脚螺栓报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4柱、梁制作工程报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4钢柱吊装工程报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4钢架梁吊装工程报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4檩条安装工程报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4分部工程质量验收报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

监A4控制资料核查报验申请表工程名称：山东富卡斯服装有限公司钢结构车间工程编号：001本表一式三份，建设单位、监理单位、承包单位各一份。

SGS申请表

化学测试申请表Ref:英文电子版报告中文电子版报告纸质报告（收每份￥ 100）A 每份申请书对应一份测试报告，申请表及其填写指南可从以下网站下载：/rohsA 如选择英文报告，请务必用中、英文完整填写带有★号的栏目。

两种电子版本同时申请，加收￥100。

A 单笔测试费最低收费为￥200，不满￥200以￥200计★Company Name: 报告抬头公司：★Address:.地址： ★申请公司：★地址：联络人: 电话: 手机: 传真:电子邮箱: ★Sample Name: 样品名称：Model No:型号:Material No: 料号:Lot No: 批号:样品参考信息/主要成份:Sample Information/Main Substance : Buyer 买家：Supplier 供应商：■ 测试项目与要求：请务必提供不少于指定重量(或表面积)的样品以避免因样品不足补样而造成的时间损失。

■ 测试方法首选为买家标准，若未提供买家，采用以下SGS 默认的参考测试方法。

参考测试方法含义为：参考标准测试方法的原理进行测试，相关的参数（如称样量、稀释倍数，等）与标准测试方法相似但不一定完全相同。

如若接受并同意采用参考测试方法，请签字。

如有任何异议请注明： ★若为液体、油墨类样品: 烘干测试(105ºC) 直接测试(必选其一) 12. 2006/66/EC 电池测试酸消解 10个2006/66/EC 电池标识评估 2个 US Law 104-142 美国电池测试酸消解 10个 13. Ni 镍总含量 EPA3052/EPA3050 5克释放量(无镀层:EN1811;有镀层:EN12472+EN1811) 10cm 2 14. PFOS 全氟辛烷磺酰基化合物 EPA3550 10克 15. PFOA 全氟辛酸及盐类和酯类 EPA3550 10 克 16. 卤素氟氯溴碘 EN14582 10克17. TBBP-A 四溴双酚-A EPA3540 5克 18. PAHs 多环芳香烃 ZEK 01 10克 19. SCCP 短链氯化石蜡 EPA3550 10克 20. DMF 富马酸二甲酯内部方法 20克21. Formaldehyde 甲醛请提供方法: 22. CPSIA 涂层铅CPSC-CH-E1003 5克基材铅CPSC-CH-E1001/CPSC-CH-E1002 5克 Phthalates 邻苯二甲酸酯 CPSC-CH-C1001（默认）/ GB/T22048 10克 23. Asbestos 石棉中国船级社要求 20克船级社模板非船级社模板其它 20克欧盟RoHS 六项测试 IEC623211. Cd 镉 5克2. Pb 铅 5克3. Hg 汞 5克4. Cr(VI)六价铬金属样品200cm 2 (表面积);非金属样品10克5. PBBs 多溴联苯 5克6. PBDEs 多溴联苯醚 5 克 ★报告是否要下RoHS 限值? 是否★报告是否要下RoHS 判定结论? (样品必须参考IEC62321方法测试，且测全所有项目) 是否7. 镀层中镉铅汞测试六价铬 IEC62321 400cm 2 ★镀层材质及厚度 μm ；基材材质8. RoHS2.0限制物质优先评估项目HBCDD IEC62321 DEHP/DBP/BBP EN14372 15克9. HBCDD 六溴环十二烷 IEC62321 EPA3550 5克10. Phthalates 邻苯二甲酸酯 EN143726P 17P 其它 10克 11. 包装材料内部方法94/62/EC TPCH （替代CONEG ） 20克 A 其他测试项目/拍照要求/特殊要求：样品详细信息(非常重要)：请如实填写以加快流程并避免因更换前处理方法、补样等造成的时间损失，信息将不显示于报告上。

压力表申请书

压力表申请书
尊敬的领导：
我是公司XX部门的员工，现在向您申请一台压力表，以方便我们在工作中进行压力测试和监测。

由于我们部门工作需要经常进行产品的压力测试，目前的压力表已经老化且性能不稳定，已经无法满足我们的工作需求。

因此，我们急需一台新的压力表来替换旧的设备。

新的压力表将帮助我们提高工作效率，准确地监测产品的压力情况，确保产品质量和安全性。

同时，也能够帮助我们及时发现产品中的问题，以便及时进行修正和改进。

我承诺会妥善使用和维护新的压力表，确保其长期稳定运行。

同时，我会负责制定使用规范和培训相关员工，以确保设备的安全使用和正常运行。

希望领导能够批准我们的申请，给予我们一台新的压力表，以帮助我们更好地完成工作任务。

谢谢您的关注和支持！
此致。

敬礼。

XX部门员工。

日期：。

样品测试申请单

项目名称测试部门送样时间序号
零件名
朗顺样品测试申请单
申请人
测试人
需求时间
零件号
批号
申请部门测试批准
颜色
供应商
样件生产日期：
样品数量：
图纸版本：
提交次数：
需求测试项目
颜色/亮度测试
颜色
□
亮度
□
其它：
尺寸测量
全尺寸测量
□
Cpk 尺寸
□
Ppk 尺寸
□
GR&R 尺寸
□
其它：
可靠性测试
硬度测试（铅笔）
□
附着力测试（切割/粘贴）
□
摩擦测试
□
抗化学腐蚀性测试*
□
□பைடு நூலகம்
其它：
MFI 测试
原料测试
□
成品件测试
□
*此项测试用品包括：IPA、Water、Petrol、Bose、Cream、MEK、Terpene、Suntan Oil 等
测量(测试)具体要求：
收样人
备注
收样时间

测试表格(模板)

二）.光口光发送端功率、灵敏度、过载参数测试（一）
三）.光口光发送端功率、灵敏度、过载参数测试（二）
四）.光接口抖动产生
五）. 光口接受端输入抖动容限（附图）
测试数量：STM-16 和STM-64 速率接口全测,STM-1 每个155M 支路板抽测一个端口测试仪表：
测试时间：
施工单位代表：设备供应商代表：
监理单位代表：
六）.2M电口输出抖动
七）.2M 电口接收端输入抖动容限
八).2M电口的映射抖动结合抖动
指标要求：测试值不大于指标规定值
测试数量:抽测
测试仪表：
测试时间:
施工单位代表：设备供应商代表：监理单位代表：
九）. 系统误码性能测试
要求包括多端设备和光缆线路在内）
测试仪表：测试时间:
施工单位代表：设备供应商代表：监理单位代表：
十）.功能测试
要求：定时源可根据用户需要灵活选择，并可自动切换，在切换过程中不对在线业务产生影响。

测试方法和连接图：
测试仪表：
测试时间:
施工单位代表：设备供应商代表：
监理单位代表：
）保护倒换测试
十一）.网络管理测试
测试仪表：
测试时间:
施工单位代表：设备供应商代表：监理单位代表：。

家具测试模板

SGS Contact Person联系人: Tel电话：E-mail 地址：HabitatFrance SAS Test Request Form轻工产品测试申请表请用中文和英文填写此表内容；★为必填项目；一份申请表对应一份报告；请务必工整、完整地填写此表，以避免因信息确认而造成的时间损失；每份物理报告中文翻译费和英文翻译费均为￥500，每份化学报告中文翻译费和英文翻译费均为￥100；每份报告完成后若因客户误填、漏填相关信息而需要修改报告，GENERAL CONDITIONS OF SERVICES1. General(a) Unless otherwise agreed in writing or except where they are at variance with (i) the regulations governing services performed on behalf of governments, government bodies or any other public entity or (ii) the mandatory provisions of local law, all offers or services and all resulting contractual relationship(s) between any of the affiliated companies of SGS SA or any of their agents (each a “Company”) and Client (the “Contractual Relationship(s)”) shall be governed by these general conditions o f service (hereinafter the “General Conditions”).(b) The Company may perform services for persons or entities (private, public or governmental) issuing instructions (hereinafter, the “Client”).(c) Unless the Company receives prior written instructions to the contrary from Client, no other party is entitled to give instructions, particularly on the scope of the services or the delivery of reports or certificates resulting therefrom (the “Reports of Findings”). Client hereby irrevocably authorises the Company to deliver Reports of Findings to a third party where so instructed by Client or, at its discretion, where it implicitly follows from circumstances, trade custom, usage or practice.2. Provision of Services(a) The Company will provide services using reasonable care and skill and in accordance with Client's specific instructions as confirmed by the Company or, in the absence of such instructions:1. the terms of any standard order form or standard specification sheet of theCompany; and/or2. any relevant trade custom, usage or practice; and/or3. such methods as the Company shall consider appropriate on technical,operational and/or financial grounds.(b) Information stated in Reports of Findings is derived from the results of inspection or testing procedures carried out in accordance with the instructions of Client, and/or our assessment of such results on the basis of any technical standards, trade custom or practice, or other circumstances which should in our professional opinion be taken into account.(c) R eports of Findings issued further to the testing of samples contain the Company’s opinion on those samples only and do not express any opinion upon the lot from which the samples were drawn.(d) Should Client request that the Company witness any third party intervention, Client agrees that the Company’s sole responsibility is to be present at the time of the third party’s intervention and to forward the results, or confirm the occurrence, of the intervention. Client agrees that the Company is not responsible for the condition or calibration of apparatus, instruments and measuring devices used, the analysis methods applied, the qualifications, actions or omissions of third party personnel or the analysis results.(e) Reports of Findings issued by the Company will reflect the facts as recorded by it at the time of its intervention only and within the limits of the instructions received or, in the absence of such instructions, within the limits of the alternative parameters applied as provided for in clause 2(a). The Company is under no obligation to refer to, or report upon, any facts or circumstances which are outside the specific instructions received or alternative parameters applied.(f) The Company may delegate the performance of all or part of the services to an agent or subcontractor and Client authorises Company to disclose all information necessary for such performance to the agent or subcontractor.(g) Should Company receive documents reflecting engagements contracted between Client and third parties or third party documents, such as copies of sale contracts, letters of credit, bills of lading, etc., they are considered to be for information only, and do not extend or restrict the scope of the services or the obligations accepted by the Company.(h) Client acknowledges that the Company, by providing the services, neither takes the place of Client or any third party, nor releases them from any of their obligations, nor otherwise assumes, abridges, abrogates or undertakes to discharge any duty of Client to any third party or that of any third party to Client.(i) All samples shall be retained for a maximum of 3 months or such other shorter time period as the nature of the sample permits and then returned to Client or otherwise disposed of at the Company’s discretion after which time Company shall cease to have any responsibility for such samples. Storage of samples for more than 3 months shall incur a storage charge payable by Client. Client will be billed a handling and freight fee if samples are returned. Special disposal charges will be billed to Client if incurred.3. Obligations of ClientThe Client will:(a)ensure that sufficient information, instructions and documents are given in due time (and, in any event not later than 48 hours prior to the desired intervention) to enable the required services to be performed;(b) procure all necessary access for the Company's representatives to the premises where the services are to be performed and take all necessary steps to eliminate or remedy any obstacles to, or interruptions in, the performance of the services;(c)supply, if required, any special equipment and personnel necessary for the performance of the services;(d) ensure that all necessary measures are taken for safety and security of working conditions, sites and installations during the performance of services and will not rely, in this respect, on the Company's advice whether required or not;(e) inform Company in advance of any known hazards or dangers, actual or potential, associated with any order or samples or testing including, for example, presence or risk of radiation, toxic or noxious or explosive elements or materials, environmental pollution or poisons;(f) fully exercise all its rights and discharge all its liabilities under any relevant sales or other contract with a third party and at law.4. Fees and Payment(a) Fees not established between the Company and Client at the time the order is placed or a contract is negotiated shall be at the Company’s standard rates (which are subject to change) and all applicable taxes shall be payable by Client. established by the Company in the invoice (the “Due Date”) all fees due to the Company failing which interest will become due at a rate of 1.5% per month (or such other rate asmay be established in the invoice) from the Due Date up to and including the date paymentis actually received.(c) Client shall not be entitled to retain or defer payment of any sums due to the Companyon account of any dispute, counter claim or set off which it may allege against the Company.(d) Company may elect to bring action for the collection of unpaid fees in any court having competent jurisdiction.(e) Client shall pay all of the Company's collection costs, including attorney's fees and related costs.(f) In the event any unforeseen problems or expenses arise in the course of carrying out the services the Company shall endeavour to inform Client and shall be entitled to charge additional fees to cover extra time and cost necessarily incurred to complete the services. (g) If the Company is unable to perform all or part of the services for any cause whatsoever outside the Company’s control including failure by Client to comply with any of its obligations provided for in clause 3 above the Company shall nevertheless be entitled to payment of:1. the amount of all non-refundable expenses incurred by the Company; and2. a proportion of the agreed fee equal to the proportion of the services actuallycarried out.5. Suspension or Termination of ServicesThe Company shall be entitled to immediately and without liability either suspend or terminate provision of the services in the event of:(a) failure by the Client to comply with any of its obligations hereunder and such failure isnot remedied within 10 days that notice of such failure has been notified to Client; or(b)any suspension of payment, arrangement with creditors, bankruptcy, insolvency, receivership or cessation of business by Client.6. Liability and Indemnification(a)Limitation of Liability:1. The Company is neither an insurer nor a guarantor and disclaims all liability insuch capacity. Clients seeking a guarantee against loss or damage shouldobtain appropriate insurance.2. Reports of Findings are issued on the basis of information, documents and/orsamples provided by, or on behalf of, Client and solely for the benefit of Clientwho is responsible for acting as it sees fit on the basis of such Reports ofFindings. Neither the Company nor any of its officers, employees, agents orsubcontractors shall be liable to Client nor any third party for any actions takenor not taken on the basis of such Reports of Findings nor for any incorrectresults arising from unclear, erroneous, incomplete, misleading or falseinformation provided to the Company.3. The Company shall not be liable for any delayed, partial or total non-performance of the services arising directly or indirectly from any eventoutside the Company’s control including fa ilure by Client to comply with any ofits obligations hereunder.4. The liability of the Company in respect of any claim for loss, damage orexpense of any nature and howsoever arising shall in no circumstancesexceed a total aggregate sum equal to 10 times the amount of the fee paid inrespect of the specific service which gives rise to such claim or US$20,000 (orits equivalent in local currency), whichever is the lesser.5. The Company shall have no liability for any indirect or consequential lossincluding without limitation loss of profits, loss of business, loss of opportunity,loss of goodwill and cost of product recall. It shall further have no liability forany loss, damage or expenses arising from the claims of any third party(including, without limitation, product liability claims) that may be incurred bythe Client.6. In the event of any claim, Client must give written notice to the Companywithin 30 days of discovery of the facts alleged to justify such claim and, inany case, the Company shall be discharged from all liability for all claims forloss, damage or expense unless suit is brought within one year from:(ⅰ) the date of performance by the Company of the service which gives riseto the claim; or(ⅱ) the date when the service should have been completed in the event ofany alleged non-performance.(b)Indemnification: Client shall guarantee, hold harmless and indemnify the Company andits officers, employees, agents or subcontractors against all claims (actual or threatened) by any third party for loss, damage or expense of whatsoever nature including all legal expenses and related costs and howsoever arising relating to the performance, purported performance or non-performance, of any services.7. Miscellaneous(a) If any one or more provisions of these General Conditions are found to be illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby.(b) During the course of providing the services and for a period of one year thereafter Client shall not directly or indirectly entice, encourage or make any offer to Company’s employees to leave their employment with the Company.(c)Use of the Company’s corporate name or registered marks for advertising purposes isnot permitted without the Company’s prior written authorisation.8. Governing Law, Jurisdiction and Dispute ResolutionUnless specifically agreed otherwise, all disputes arising out or in connection with Contractual Relationship(s) hereunder shall be governed by the substantive laws of Switzerland exclusive of any rules with respect to conflicts of laws and be finally settled under the Rules of Arbitration of the International Chamber of Commerce by one or more arbitrators appointed in accordance with the said rules. The arbitration shall take place in Paris (France) and be conducted in the English language.。

深交所交易独立测试系统测试交易单元申请表【模板】

深交所交易独立测试系统测试交易单元申请表深圳证券交易所：说明：1、此申请表只用于测试交易单元开通，或者交易单元测试权限开通等，测试网关等其他申请请使用《深交所交易结算独立测试环境指南》里的相关申请表申请。

2、初次申请的单位请在填好申请表和陈诺书后，发email给深交所测试系统邮箱。

收到深交所反馈的申请表后，请双面打印盖章，并将原件邮寄到深交所。

已申请过的单位，在新增测试交易单元或者测试权限时，只需email申请表，不需再邮寄书面文档。

申请表请以word格式email，请勿发送扫描文件。

3、表格左下角“申请单位总公司意见”栏位和承诺书需要填写单位名称和申请日期。

4、联系电话需填写公司测试IT联络人办公电话(格式为区号加电话号码)，邮箱需填写公司邮箱（请勿使用公网邮箱）。

5、请勿填写“深交所反馈信息”和“深交所反馈意见”栏位。

6、测试交易单元权限请只申请该交易单元在测试系统和生产系统未有权限，生产系统或者测试系统已开通权限请勿重复申请。

7、信用单元、港股通、股票质押式回购、报价回购、资管产品份额转让等测试权限请与会员管理部各相关业务负责人申请。

8、●表示多选一选中，■表示多选择选中。

9、申请表申报信箱：【邮箱地址】。

联系人：杨先生 0755－********。

(单位更换测试联络人请尽快邮件通知我们)10、通信地址：******** 广东省深圳市福田区深南大道2012号深圳证券交易所广场S708深圳证券交易所系统运行部收（请在备注中说明是交易独立测试系统申请）深交所交易独立测试系统使用承诺书深圳证券交易所：本公司测试系统已与深圳证券交易所（以下简称“深交所”）交易独立测试系统联网，并已获得用于测试的测试交易单元，现就有关事项承诺如下：一、本公司知晓这些测试交易单元为本公司专用，确保通过测试交易单元发送到深交所交易独立测试系统的数据均是本公司授权或许可的。

二、本公司知晓：若本公司内部管理不善，可能会存在下述3种风险：1、将本公司正在使用的生产数据，误当作测试数据发送给深交所交易独立测试系统；2、将本公司的测试数据，误当作生产数据发送给深交所交易生产系统；3、将深交所交易独立测试系统发来的测试数据，误当作生产数据使用。