Application Questionnaire

To enable Power Technology to provide the most appropriate solution to your battery requirement,
kindly fill in the maximum details that you can provide and e-mail or fax to us.

Your data will be treated with full confidence and be used only for optimizing our solution.

Company:
Contact person:
Address:
Title:
Phone:
Fax:
e-mail:

Application details:



Brief Description:

Battery is for:
Back Up Main Power Source

Electrical
Requirements:

Operating voltage:
 Max volts

Nominal volts

Minimum (cut off) volts

(Repetition Rate) T=

Constant Current Ic= A/mA

Pulse Current Ip= mA

(Duration ) t= ms


Pulse Load Profile:
Please fax a drawing to us on : 09-836 6755

 

Qualification tests: Please outline specifications below:



Expected Life: Years (Operating) + Years (Storage of battery before use)

Environmental Requirements:

      
Storage temperature:
Max.  Mean   Min. °C

 Temperature Profile: Please specify percentage of time per Temperature:
Special conditions of Humidity, shock, vibration etc.
   Please enclose specifications:


Operating temperature: Max.  Mean   Min. °C

Size and Dimensions of cell:
           
            Please fax a drawing (09-836 6755) if a battery pack is required.
Preferred cell Size ; Max. space available:
Length = Width = Height =
Estimated Annual Requirement:
 1st year  2nd year   3rd year  

 First delivery  pcs; Expected during, 2001
Alternative Battery:

Type   Maker  Model
Remarks: