产品测试申请单
玩具测试申请表-电子版
Toys Test Requisition Form 玩具测试申请表※Service Required （测试服务）: (所有※项目为必填项)Regular 普通件Express 加急件 (40% Surcharge)*Shuttle 特急件 (100% Surcharge)*Same Day 当天件 (150% Surcharge)pricelist of which we have seen a copy and upon and subject to the terms and conditions set out hereon and overleaf.(我们要求进行以上测试，并将依照无锡天祥技术服务有限公司所制定的现有统一价目表来收费；附加相关的条款请参看背页) 以上资料请如实填写，报告完成后如需修改报告内容，将收取报告修改费用。
Date 日期：Authorized Signature and※ Company Chop of the Applicant申请公司盖章及代表签名：Notes ： No Comment may be given for some of the test items if related standard or specification is not available. 如无相关标准和说明，本公司将不对所测试样品给予评价。
Intertek Testing Services Wuxi Ltd.No.8 Fubei Road, Xishan Economic Development Zone, Wuxi 214101, Jiangsu, China无锡天祥质量技术服务有限公司江苏无锡锡山经济开发区府北路8号 (邮编:214101)Tel: +86 510 8821 4567 Fax: +86 510 8820 0428 E-mail: consumergoods.wuxi@Form No.: 9313108Phthalate Component Sorting InstructionPhthalate测试分胶说明Date日期: Sample State样品状态:Finished Product成品 Parts 部件Toys or Children care article End Use: Toys or Children care article玩具或儿童护理用品最终用途：玩具或儿童护理用品Non Toys or Children care article Non Toys or Children care article非玩具或儿童护理用品非玩具或儿童护理用品Test Request 测试要求:CPSIA美国联邦 (HR 4040) CARLIFORNIA加州EU欧盟 (2005/84/EC) CA Prop65 加州65法案DnHP ASTM F963 Company/ Buyer Name:Instruction说明:1. Individual Mix单独测试混合测试2. Accessible Parts Accessible & Inaccessible Parts可接触部件不可接触部件3. Soft Plastic/PVC Plastic/High Risk Materials All Plastics All Materials软质塑胶/聚氯乙稀塑胶/高风险材料所有塑胶所有材料4. Coatings (Pls select either one if the sample is not tested for “All Materials”):涂层 (如果上一项您没有选择所有材料，请在以下选项中选择) ：All Coatings 测试所有涂层No Test on Coating 不测试涂层Test substrate with coating 底材带着涂层测试Other Instruction其他说明:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~INTERTEK TESTING SERVICES WUXI LTD.TERMS AND CONDITIONS OF BUSINESS1. Intertek Testing Services Wuxi Ltd. (hereinafter “the Company”) agrees to provide its services in accordance with and subject to the terms and conditions herein contained (Hereinafter “theConditions”). The Conditions may only be modified by a variation expressed in writing and signed on behalf of the Company by a director and no other action on the part of the Company or its employees or agents shall be construed as an acceptance of any other terms and conditions.2. The Company acts for the person or body from whom the request to provide its services has originated (hereinafter “the Principal”). No other party is entitled to give instructions to the Companyunless agreed by the Company.3. All rights (including but not limited to copyright) in any test reports, surveys, certificates of inspection or other material produced by the Company in the course of providing its services shall remainvested in the Company. The Principal shall not reproduce or make copies, publish or disclose the contents of any such material or extracts thereof to any third party without the Company s prior written consent, which may be refused at its discretion. The Principal further undertakes that its servants and agents shall keep confidential and shall not publish or otherwise use any information that may be acquired relating to the Company s activities.4. 4.1 The Company undertakes to exercise due care and skill in the performance of its services and accepts responsibility only where such skill and care is not exercised.4.2. The liability of the Company in respect of any claims for loss, damage or expense of whatsoever nature and howsoever arising in respect of any breach of contract and/or any failure toexercise due skill and care by the Company shall in no circumstances exceed a total aggregate sum equal to ten (10) times the amount of the fee or commission payable in respect of the specific service required under the particular contract with the Company which gives rise to such claims provided however that the Company shall have no liability in respect of any claims for indirect or consequential loss including loss of profit and/or loss of future business and/or loss of production and/or cancellation of contracts entered into by the Principal.4.3. 4.3 The Company shall not in any event be liable for any loss or damage caused by delay in performance or non-performance of any of its services where the same is occasioned by anycause whatsoever that is beyond the Company s control including but not limited to war, civil disturbance, requisitioning, governmental restriction, prohibitions or enactment of any kind import or export regulations, strike or trade dispute (whether involving its own employees or those of any other person), difficulties in obtaining workmen or materials, breakdown of machinery, fire or accident. Should any such event occur the Company may cancel or suspend any contract for the provision of services without incurring any liability whatsoever.4.4. The Company will not be liable to the Principal for any loss or damage whatsoever sustained by the Principal as a result of any failure by the Company to comply with any time estimate givenby the Company relating to the provision of its services. [See clause 9.1] [See clause 9.2]5. 5.1 Subject to the Principal s instructions as accepted by the Company, the test reports, surveys, certificates of inspection or other material produced by the Company shall contain statements ofopinion made with due care within the limitation of the instructions received by the Company. The Company is under no obligation to refer to or report upon any facts or circumstances which are outside the specific instructions received.5.2. For pre-shipment inspection or survey of goods, the Company s inspector shall perform the inspection or survey when goods are 100% Completed, packed and marked (unless otherwiseagreed between the Company and the Principal). Goods for inspection or survey shall be unpacked in the presence of the Company s inspector and inspection or survey shall, subject to Condition 5.3, take place at the place specified by the Principal.5.3. If the Company s inspector finds that the location is not suitable for carrying out a proper inspection or survey of goods or where necessary equipment for inspection or survey is not availablethe inspector may, if practical in the circumstances, draw samples of goods from the location and carry out the inspection or survey at the premises of the Company. The Principal shall be responsible for all costs and expenses incurred in relation thereto.5.4. Reports, surveys or certificates issued following testing or analysis of samples contain the Company s specific opinion on those samples only but do not express any opinion upon the bulkfrom which the samples were drawn. If an opinion on the bulk is requested special arrangements in writing must be made in advance with the Company for the inspection and sampling of the bulk. In no circumstances shall the Company s responsibility extend beyond inspection, testing and reporting upon the samples actually drawn from the bulk and inspected, tested and surveyed by the Company and any inference to be drawn from the results of such inspection or survey or testing shall be entirely at the discretion and at the sole and exclusive responsibility of the Principal.6. The Company shall be entitled at its discretion to delegate the performance of the whole or any part of the services contracted for with the Principal to any agent or subcontractor.7. Every officer, employee, agent or subcontractor of the Company shall have the benefit of the limitations of liability and the indemnities contained in the Conditions. So far as relates to such limitationsand indemnities, any contract entered into by the Company is entered into not only on its own behalf but also as agent and trustee for every such person as aforesaid.8. If the requirements of the Principal necessitate the analysis of samples by the Principal or by any third party the Company will pass on the results of the analysis but without responsibility for itsaccuracy. Where the Company is only able to witness an analysis by the Principal or by any third party the company will provide confirmation, if such be the case, that a correct sample has been analyzed but will not otherwise be responsible for the accuracy of such analysis.9. The Principal will :9.1. ensure that instructions to the Company are given in due time and are accompanied by sufficient information to enable the required services to be performed effectively;9.2. accept that documents reflecting arrangements or agreements made between the Principal and any third party, or third party documents such as copies of contracts of sale, letters of credit,bills of lading, etc. are -if received by the Company considered to be for information only, without extending or restricting the services to be provided or obligations accepted by the Company.9.3. procure all necessary access for the Company s representatives to enable the required services to be performed effectively;9.4. supply, if required, any special equipment and personnel necessary for the performance of the required services;9.5. ensure that all necessary measures are taken for safety and security of working conditions, sites and installations during the performance of the required services;9.6. take all necessary steps to eliminate or remedy any obstruction to or interruptions in the performance of the required services and repack all inspected goods immediately after any inspectionor survey of them;9.7. inform the Company in advance of any known hazards of dangers, actual or potential, associated with any request for the provision of services by the Company including but not limited to thepresence or risk of radiation, toxic or noxious or explosive elements or materials, environmental pollution or poisons;10. The Principal shall guarantee, hold harmless and indemnify the Company and its officers, employees, agents or subcontractors against:10.1. all claims made by any third party for any loss, damage or expense of whatsoever nature and howsoever arising relating to the performance, purported performance or nonperformance of anyof services to the extent that the aggregate of any such claims relating to any one service exceeds the limit mentioned in Condition 4.2.10.2. any loss or damage suffered by the Company as a result of the provision of services by the Company to the Principal otherwise than resulting from the Company s own error, negligence orwilful default.11. 11.1 The Principal will punctually pay the Company immediately upon presentation of the relevant invoice or within such other period as may have been agreed in writing by the Company allcharges rendered by the Company failing which interest will become due at the rate of 1.5 per cent per month from the date of invoice until payment. The Principal further agrees and undertakes to reimburse the Company all disbursements reasonably incurred in connection with the provision of its services.11.2. The Principal shall not be entitled to retain or defer payment of any sums due to the Company on account of any dispute, cross claim or set off which it may allege against the Company.11.3. In the event of any suspension of payment arrangement with creditors, bankruptcy , insolvency, receivership or cessation of business or failure of the Principal to pay part or all of any sumsowing to the Company, the Company shall be entitled to suspend all further performance of its services and withhold the issue of any test report, survey, certificate of inspection or other material requested forthwith and without liability until payment of all sums owing to the Company together with interest thereon is made.12. Without prejudice to any rights the Company may have at law or under the Conditions, the Company has the following rights in the event of non-payment of sums owing to the Company as set outbelow :12.1. The Company has a general and particular lien over all samples delivered to be tested for all claims and sums owing by the Principal to the Company under any contract whatsoever and inany other way whatsoever.12.2. During the currency of any such lien the Company is entitled to be paid reasonable storage charges for samples retained in the Company s custody.12.3. Without prejudice to the Company s lien and other rights under Conditions 12.1 to 12.2 above, if test, inspection or survey of the goods takes place on the premises of the Company, theCompany may give notice to the Principal that the goods (or any part thereof) are ready for collection and the Principal shall collect the same within three (3) working days (Saturdays, Sundays and Public Holidays excepted). Upon the expiry of this period, if the goods are not collected by the Principal, at the sole discretion of the Company the goods may be deemed abandoned and/or destroyed.12.4. Without prejudice to Conditions 12.3 above, the Company shall have the discretion to store the goods (or any of them) at their own premises or elsewhere at the Principal s expense if thePrincipal has deposited the goods at the Company s premises for the performance of these services and has subsequently failed to collect the said goods.12.5. The expenses by way of disbursements that the Company may reclaim from the Principal include all reasonable costs incurred by the Company (whether by way of storage, insurance orotherwise) in respect of the goods and it is expressly declared that it shall be reasonable but not mandatory for the Company to effect comprehensive insurance in respect of the goods.12.6. Without prejudice to the Company s lien and other rights under Conditions 12.1 to 12.5 above, the risk and property in the goods shall remain at all times in the Principal.13. In the event of the Company being prevented by reason of any cause whatsoever outside the Company s control from performing or completing any service for which an order has been given or anagreement made, the Principal will pay to the Company :13.1. the amount of all abortive expenditure actually made or incurred; and13.2. a proportion of the agreed fee or commission equal to the proportion (if any) of the service actually carried out; and the Company shall be relieved of all responsibility whatsoever for the partialor total non-performance of the required service.14. The Company shall be deemed by the Principal to have provided qualified services pursuant to the terms and conditions under this Conditions unless objection or suit is brought within twelve (12)months after the date of the performance by the Company of the service which gives rise to the claim or in the event of any alleged non-performance within twelve (12) months of the date when such service should have been completed.15. In the event that any unforeseen additional time or costs are incurred in the course of carrying out any of its services the Company shall be entitled to render additional charges as shall reasonablyreflect such additional time and costs incurred.16. All proprietary and non-public information relating to the Principal that is held by the Company will not be disclosed by the Company to third parties except where the Company is required to disclosesuch information either (i) to China National Accreditation Service for Conformity Assessment ("CNAS") or other accreditation bodies for the purposes of an accreditation assessment of the Company's activities or (ii) pursuant to any legal or regulatory requirement to which the Company shall be subject."17. All contracts for provision of services by the Company and the Conditions shall be construed in accordance with and governed by the laws of the People's Republic of China (hereinafter “PRC”) forthe purpose of any arbitral or litigation proceedings such contracts shall be deemed to have been made and performed in PRC If any provision contained in the Conditions is and/or becomes invalid, illegal or unenforceable in any respect under the laws of PRC, the validity, legality and enforceability of the remaining provisions hereof shall not in any way be affected or impaired thereby.18. Any dispute or claim arising out of or relating to the provision of, or any agreement to provide, services by the Company shall be submitted to the Shanghai Sub-commission of China InternationalEconomic and Trade Arbitration Commission for arbitration in accordance with its provisional rules and procedure. The Arbitration award shall be final and binding upon both Parties. All the fees relating to the arbitration shall be borne by the losing Party.客户填表 / 送检须知1.本公司按照测试申请表和实验室测试报告背面所列明的条款和条件进行测试，请详细阅读。
样品测试申请单
1. 产品基本功能与安全性测试 2. 制定产品规格(C)
申 请 理 由
备注:
3. 改善对策报告追踪 4. 委外测试(证书, 技术文件申请) 5. 产品品质稽核 6. 国家/国际标准或专利之取得 7. 根据: ANSI Z21.58a-2002/Z21.58a-1998/Z21.58b-2002 8. 其它--CSA UL MTL
部门主管:
预计完成日期:
实验室签收:
实验室测试
1. 整体结构: 倾斜 淋雨 抗风 工艺 2. 外箱印刷, 标志
申 请 项 目
3. 安全性能: 试火 4. BTU 5. 燃烧性能: 火焰 6. 温升测试: 集油盘 7. 耐久测试 8. 关键零部件测试 9. 盐雾测试
试漏
积碳 极温测试
CO/CO2 恒温测试
回火/浮火
10.其它测试:
备注: 1. 请在 内划 V 选择. 2. 如是“正常送测”,由实验室刘永伟签核即可,若是“优先测试”,必须经由品保主管批准.
Jun Feng Electric Appliances Co.Ltd
样品测试申请单
表格编号：JF-BQ-QC-D17
申请单位:
部门主管:
申请人:
申请日期:
正常送测:
新样品: 首次测试:
优先测试
CSA常规测试 再次测试: 产品改良测试 上次测试表单编号: 零配件
产品信息
工厂产品型号: 客户产品型号: 测试数量: 产品名称: 产品叙述: 供应商: 产品规格明细表: 联系人: 页 （请附图片） 联系方式: 产品出口国:
测试申请单模板
4-1 4-2 4-3 4-4 4-5 4-6 4-7 4-8 4-9 4-10 4-11 4-12 4-13 4-14 4-15
填写测试内容描述， 包括待测试产品的特点及主要功能； 填写需提供文件的名称 填写测试的要求， 测试要求 包括测试的重点、难点、测试建议等 集成人员对待测试的产品进行整合，签名， 集成人员整合 包括版本的编译、打包所有需要提供的资料 配置管理人员对集成人员整合的资料出库确 配置管理人员出库 认，签名 测试人员取到部署包完成测试环境的搭建，进 测试人员确认 行预测试的确认，签名 项目经理审核 项目经理审核，签名
测试申请单填表说明 1 2 3 4 适用人员： 使用时机： 功能说明： 栏位说明： 栏位名称 测试申请单编号 申请部门 项目/产品代码 申请人 项目/产品名称 申请日期 待测试版本号 测试类型 产品运行平台及 开发工具 测试内容描述及 所需提交文件 测试申请相关人员 测试申请和处理测试申请时 测试申请的过程 栏位说明 填写测试申请单的编号,项目编号_测试类型 （ST、IT）_2位流水号 测试类型为：IT（集成测试）、ST（系统测 试） 填写提交测试申请单的部门名称 填写待测试产品所在的项目/产品的代码 填写申请人姓名 填写待测试产品所在的项目/产品的名称 填写申请日期 填写待测试产品的测试版本号 填写测试类型：软件，硬件 填写待测试产品的运行平台、开发工具的名称 填写人 测试申请单的申请人 测试申请单的申请人 测试申请单的申请人 测试申请单的申请人 测试申请单的申请人 测试申请单的申请人 测试申请单的申请人 测试申请单的申请人 编码人员 编码人员 编码人员 集成人员 配置管理人员 测试人员 项目经理
填写时机 提交测试申请单时 提交测试申请单时 提交测试申请单时 提交测试申请单时 提交测试申请单时 提交测试申请单时 提交测试申请单时 提交测试申请单时 提交测试申请单时 提交测试申请单时 提交测试申请单时 提供测试申请的部署 包时 对集成人员的部 署包进行出库确认时 对取到的测试部署包 进行预测试确认时 对测试申请单的审核时
产品测试申请单
分公司：
办事处：
申请日期：
客户名称：
合同编号：
项目名称：
合同金额：
测试原因：□合同内约定□客户在合同外提出（收测试费元，收费协议 □已签 □未签）
客户来厂测试：□否□是来厂时间：主要人员姓名/职务：/
申请测试产品
序号
产品名称
型号
数量
流量
扬程
功率
备注
1
2
3
4567源自8910合计
分公司：
签单人：办事处：营业部经理：总经理：
营运中心：
同意序号为的产品进行测试。
评审部经理：日期：营运总监：日期：
质保中心：
评审部同意的产品已测试完毕，根据公司测试费的计算规定，本次的测试费为元（大写：）。
测试站负责人：质保中心总监：日期及盖章：
备注：
1、在合同内约定或在合同外提出的产品测试均由分公司填单。
2、产品在公司测试的，质保中心计算测试费后将本申请单传送给分公司、统计部和审核部，各部门以质保中心确定的金额计入分公司费用。
3、产品送外单位测试的，由经办人在核销测试费时，在报销凭证上注明“代付××分公司××合同测试费”。质保中心不需确定测试费金额。
产品检验申请
产品检验申请尊敬的XXX公司：我是一名来自XXX检验机构的检验员，非常荣幸能为贵公司提供产品检验服务。
在此我向贵公司提交产品检验申请，以确保产品的质量和安全。
我了解到贵公司近期推出了一款名为XXX的产品，并计划将其投放市场。
作为一名专业的检验员，我深知产品质量对企业的重要性，因此我希望能为贵公司的产品进行全面、客观的检验，以确保产品符合相关标准和要求。
我将对贵公司的产品进行外观检验。
这包括产品的外观质量、颜色、尺寸、标识等方面的检查。
我们将仔细观察产品的每一个细节，确保其外观符合贵公司的设计要求和市场需求。
我将对贵公司的产品进行性能检验。
这包括产品的使用寿命、稳定性、安全性等方面的测试。
我们将使用专业的设备和方法，对产品的性能进行全面评估，以确保产品在正常使用情况下能够达到预期的效果和质量标准。
我还将对贵公司的产品进行材料检验。
我们将对产品所使用的材料进行化学成分分析、物理性能测试等，以确保产品所使用的材料符合相关的法规和标准，不会对用户的健康和环境造成任何负面影响。
我将对贵公司的产品进行包装检验。
我们将检查产品的包装是否完好，是否能够保护产品免受运输和储存过程中的损坏，以及包装上的标识是否清晰明确。
在完成检验后，我们将向贵公司提供一份详细的检验报告，包括检验的结果、评估意见以及改进建议。
我们希望这份报告能够帮助贵公司更好地了解产品的质量状况，为产品的改进和提升提供参考。
贵公司的信任是我们的荣耀，我们将以严谨、专业的态度对待每一项检验工作。
如果贵公司对我们的服务有任何疑问或需求，欢迎随时与我们联系。
我们期待与贵公司合作，共同为产品质量保驾护航。
谢谢！真诚的检验员。
软件产品登记测试申请表
申请表编号：SZSTC软件产品登记测试申请表软件产品名称：_____________________________________申请单位盖章：______________________________________申请日期：______________________________________深圳软件行业协会编制软件产品登记测试基本情况表填表说明检测产品名称中文：1.产品名称必须包含公司简称或公司注册商标号,以此体现申请企业的品牌形象；2.产品名称必须以“软件”后缀结尾；除操作系统外,软件名称后缀不能出现“系统软件”的字样.3.产品名称应体现该产品的功能特性,但不得夸大其词；4.产品的中文名称必须含汉字；产品名称不能过长少于15个汉字；例：甲公司自行开发了ABC教育软件.按命名规则,该软件名称应为：甲ABC教育软件版本号：要符合软件版本号命名的要求,即由“V”+“带小数点的数字”组成,如：版.版本类型：分单机版和网络版两类；其中单机版软件是表示只在一台计算机上单独运行,没有和其它计算机或计算机系统发生数据交互的软件.网络版软件是指在计算机或计算机网络系统中运行,和其它计算机或计算机网络系统发生数据交互的软件.申报类型：分进口软件产品登记测试和国产软件产品登记测试两类；国产软件是指在我国境内开发生产的软件产品,进口软件是指在我国境外开发,以各种形式在我国生产、经营的软件产品.产品类别：具体分类如下：系统软件: 管理计算机系统资源,促进计算机系统及有关程序的运行和维护.包括操作系统﹑系统实用程序﹑系统扩充程序﹑网络系统软件﹑嵌入式操作系统其它系统软件支持软件:用于帮助和支持软件开发的软件.包括软件开发工具﹑软件评测工具﹑语言处理程序﹑程序设计语言﹑数据库管理设计语言﹑网络通信支持软件﹑其它支持软件应用软件: 为使一个计算机系统得到某种功能而专门开发的软件.包括科学和工程计算﹑文字处理软件﹑数据处理软件﹑事务管理软件﹑图形图像软件﹑控制软件游戏软件﹑信息管理软件﹑安全与保密软件﹑智能软件﹑嵌入式应用软件﹑数据库管理应用软件﹑网络应用软件﹑辅助类软件﹑仿真软件﹑其它成果有无密级：分为有﹑无两项.根据国家有关科技保密规定,确定该项目是否有密级.产品密级：分为秘密、机密、绝密三个等级.根据国家有关科技保密的规定确定的密级.该项目如无密级此栏可不填或者填无.产品运行的硬件、网络环境：对软件产品运行适用的计算机硬件类型内存要求,CPU要求,硬盘空间等其他特别要求、参与运行的其他硬件外围设备和产品运行的物理网络环境做出描述.软件产品功能符合性测试项申请表：委托方提出软件可以实现的功能项目列表,针对委托方提交的软件产品的功能项目表,我测试中心对软件的功能进行符合性测试确认.软件功能项目：软件产品可以完成的主要功能项目.功能说明：主要描述产品功能模块的功能和作用.软件产品登记测试基本情况表软件产品功能符合性测试项申请表填写示例软件产品登记及测试所需资料1、软件产品登记申报表一式两份,请点击协会网站首页左下方“双软认定申报表系统下载”下载申报系统.2、表格资料盘一张,在双软申报表系统中用“导出数据”将填好的申报表的电子文档导在软盘上3、法人代表身份证复印件一式两份,加盖公章4、申请单位合法拥有软件知识产权的证明文件1、拥有软件产品知识产权的申请单位,交验软件着作权登记证书/专利证书原件,并同时提交加盖申请单位公章的复印件3份.2、拥有软件产品知识产权约定归属自身企业的书面合同或任务委托书/协议的申请单位,交验约定归属自身企业的书面合同或任务委托书/协议原件,并同时提交加盖申请单位公章的复印件3份.3、属于其它情况的申请单位；提交软件产品主要功能模块的概要设计说明；提交1－2个主要功能模块的部分源程序代码按前、中、后各连续3页,共9页,不足9页全部提交,第9页为模块结束页；企业法人或其授权代表关于拥有被测软件自主知识产权的正式声明；注：请按以下格式写3份知识产权声明.知识产权声明ABC管理软件软件是本公司自行开发研制,拥有完全的自主知识产权.特此声明法人代表签名:公司名称公章：ABC软件公司日期：5、软件产品登记测试申请表、申请表的电子文档各一份,电子文档存在”软件盘中,申请表在协会网站“政策法规”栏处下载或者在深圳市软件评测中心网站“服务指南”栏处下载6、产品样品一份包括执行程序、用户手册刻入光盘用户手册印刷或打印一份7、营业执照副本复印件一式两份,需验原件8、国、地税税务登记证证书复印件一式三份,需验原件9、产品登记审查表一份在协会网站“政策法规”栏处可下载附注：深圳市软件行业协会网址：深圳市软件评测中心网址：。
软件产品测试委托申请表
GB25000.51-2016
测试需求描述：
期望测试完成时间：2020年月日
测试结果是否在媒体发表：□ 是否
委系 人：
Email：
八六三软件评测中心信息：
电话：
通信地址：
邮政编码：
联 系 人：
Email：
受理人
日期
网络拓扑图
测试环境
java和数据库服务器（1台）：
操作系统：linux；内存：16G；cpu: 8核心
硬盘：高效云盘500G， 普通云盘500G
数据库：oracle 11G
中间件：rabbitmq 3.8.7， activemq 5.19， redis 6+
产品特点及主要功能模块描述
测试需求
□产品描述 □用户文档■功能性测试 □可靠性测试 □易用性测试 □效率测试 □可维护性测试 □可移植性测试
软件产品测试委托申请表
委托单位
开发单位
填表日期
产品名称
版本号
单位性质
□政府部门 □科研机构 □大专院校 □国有企业
□股份公司■有限公司 □事业单位 □其他性质
软件类型
□应用软件■系统软件 □数据库软件 □嵌入式软件 □其他
产品应
用领域
■个人桌面应用■服务器应用 □ 嵌入式系统应用
■政务 □教育 □通讯 □金融 □电力 □交通 □国土 □个人 □其他
测试申请单
（如果项目组提供测试环境，请说明本次测试环境的技术支持人员，当测试环境有问题是，便于解决；如果测试组自己的测试环境，不需填写此项）
交付物
（请说明测试结束后测试组需要提交给项目组的文档）
计划发布时间
测试描述
测试矩阵
（B/S结构：需要说明本次测试需要覆盖的Browser；如果没有特别说明，默认全浏览器支持，即：Chrome，IE10，IE9，IE8，IE10兼容模式，IE9兼容模式，IE8兼容模式，360）
JIRA描述
BUG分配人
（请描述本次测试产生的BUG都报给哪位项目组成员）
（C/S结构：需要说明本次名/密码等测试相关内容）
（C/S结构：安装包、用户名/密码等测试相关内容））
测试类型
功能测试或者性能测试
测试内容
（如果是新功能测试，请说明本次测试的功能模块名称）
（如果是BUG验证：请说明验证哪些BUG，例如：全部修复的BUG，或者哪个版本上修复的BUG，或者如果是个别重要的BUG，可以专门写出BUG号）
****部测试申请单
项目描述
模块或项目名称
（提请测试的模块或项目的名称，可同时包含多个模块，但不能包含多个项目）
所属系统
（提请测试模块所对应的项目名称）
项目经理
项目性质
（请说明被测项目是事业部内部项目还是外包项目）
需求人员
（请说明本次提交测试的项目所对应的需求人员，以便测试组在测试中便于沟通需求问题）
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日 期/时 间
(Date/Time)
送样部门
(Department)
材料型号
（Material Cห้องสมุดไป่ตู้de Number）
灯珠规格
（型号和数量） （Other remarks）
测试申请单
Test Application Form
测试期限
（Time limit）
送测人
(Measuring send people)
数量
(Quantity)
LED5630
Test report NO:
样品来源
(Sample Type)
产品品名
(Product Name)
可否损坏 □是 □否
(damage)
测试目的
(Test Purposes）
□新产品开发
□设计变更
□制程检验
测试项目
（Test item）
□透光率测试
备注
（Comment）
测试项目
（Test item）
□跌落测试
备注
（Comment）
测试项目
备注
（Test item） （Comment）
□球压测试
□导热系数测试 □灼热丝测试 □温升测试 □阻燃测试
□灯头扭力测试 □漏电起痕 □耐高压测试 □泄露电流
□高低温测试
□冷热冲击测 试
光电参数
（Parameter）
□功率 □色温
□输入电流 □输出电流
□输入电压 □光效 □输出电压 □光强
□功率因素
项目特殊需求
(Specifical Comments)
制表：
审 核：
工程部 客供样品
1
品质部 试产样品
2
采购部 制程样品
3
生营产销部部
45
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