Company:*

Contact Name:*

Project Name:*

Title:*

Project No.:*

Phone:*

Email:*

Base Information

Application Field:
Please Select POS Data Storage Medical Military Telecommunications Data Acquisition PND Test Equipment Power Backup Other

Estimated Annual Units:

Cell Vendor Preference

(select all that apply)
Chinese            Korean            Japanese            Other

Chemistry Preference

(select one)
Li-Ion            Ni-Cd            Ni-MH            Lead Acid            Li-Polymer

Electrical Information

Pack Capacity:
 mAh Typ.

Average Discharge Current:
 mA

Pack Output Voltage:
 V

Maximum Discharge Current:
 mA

Charge Voltage:
 V

Normal Charge Current:
 mA

Charge Voltage Tolerance:
 mV

Fast Charge Current:
 mA

Preference Gas Gauge IC:

Customer will provide the following for reference:
Battery Pack Spec         PCM Spec        PCM Electrical Schematic        Gerber Files

Operational Temperature

Charge Min.:
°C

Charge Max.:
°C

Discharge Min.:
°C

Discharge Max.:
°C

Others:

Mechanical Information

Pack size

Pack Configuration

Case Type (select one)

Plastic         Heat Shrink        Other

Interface (select one)

Connector         Wire harness (Connector + Wires)        Contact

3D Files         2D Drawings        Battery Pack Samples

Agency Approval