3 Hayozma St. Industrial Zone, Kfar-Saba 4442216 Israel • P.O Box 7124, Kfar-Saba 4464102 Israel
Tel: +972-9-7633000 • Fax: +972-9-7633011• [email protected] • www.tamuz-ele.com
Cable Assembly application form:
Dear valuable customer, In order to provide you with the best cable assembly solution, kindly provide the maximum
information regarding your application and the required cable assembly & wire harness.
Please return this form to Fax (+972-(0)9-7633011) or E-Mail ([email protected]).
Thank you, Technical Support - Tamuz Electronics Ltd
1) Customer Information:
a) Company name:
b) Contact person:
c) Mailing address:
d) Tel Number:
Fax Number:
e) E-Mail:
f) Business sector: [ ] OEM, [ ] Assembler, [ ] Design House, [ ] Distributor, [ ] Government, [ ] Other (
2) General Conditions:
a) Project name & Brief description of the project:
b) Application: [ ] Control, [ ] Communication, [ ] Security, [ ] Military, [ ] Medical, [ ] Other (
c) Quantity required:
- Monthly: (
) pcs,
- Yearly: (
) pcs.
d) Project life time: (
) months. Evaluation finish: (
). Mass-production:(
e) Main market: [ ] Israel, [ ] USA, [ ] Japan, [ ] Germany, [ ] World Wide, [ ] Other (
).
3) Technical Information on the Main Cable:
a) Main Cable Type: [ ] Wire, [ ] Coaxial, [ ] Flat, [ ] Power-Cord, [ ] Fiber optic, [ ] Other (
b) Installation: [ ] Indoor, [ ] Outdoor, [ ] Water, [ ] Medical, [ ] Other (
c) Withstand Requirements: [ ] UV, [ ] IP-XX, [ ] High Temp., [ ] High Flex., [ ] Other (
d) Temperature: Min to Max. (
), Operating (
), Other (
e) Voltage & Current: Max. (
), Operating (
), Other (
)
).
).
)
)
)
)
)
4) Technical Information on the complete Cable Assembly:
a) Construction: [ ] Wire harness, [ ] Cable assembly, [ ] Fiber optic. Conductors # ( ), [ ] Shield ( ), [ ] Other (
b) Cable Flexibility: [ ] Standard , [ ] Flexible , [ ] Hi-Flex. , [ ] Other (
)
c) Jacket Material: [ ] PVC , [ ] Teflon , [ ] Double insulation , [ ] Other (
)
d) Wire insulation Material: [ ] PVC, [ ] Teflon, [ ] Double insulation , [ ] Other (
)
e) Jacket Outer Diameter: [ ] Required (mm) (
) , [ ]Acceptable Tolerances (
), [ ]Other (
f) Jacket Thickness: [ ] Required (mm) (
) , [ ]Acceptable Tolerances (
), [ ]Other (
g) Wire Outer Diameter: [ ] Required (mm) (
) , [ ]Acceptable Tolerances (
), [ ]Other (
h) Insulation Thickness: [ ] Required (mm) (
) , [ ]Acceptable Tolerances (
), [ ]Other (
i) Overall Shield: [ ] Braided , [ ] Foil, [ ] % coverage (
), [ ] Other (
)
j) Internal wires/cables Shield: [ ] Braided , [ ] Foil, [ ] % coverage (
), [ ] Other (
)
k) Jacket Color: [ ] Required (
), [ ] Acceptable (
), [ ] Other (
)
l) Internal wires Colors: [ ] Required (
), [ ] Acceptable (
), [ ] Other (
)
m) Wire construction/Material: AWG/mm² (
). Stranded (
). Solid ( ). Material ( ), Plating ( ). Other (
n) Assembly info: [ ] Length (
), [ ] Plugs type (
), [ ] Total Length (w/plugs) (
), [ ] Other (
o) Assembly data: Kindly attached to this form the required assembly drawing with BOM & electrical scheme.
5) Labeling and Packaging Requirements:
a) Label info: [ ] Sticker type (
), [ ] Print info (
b) Packaging: [ ] Individual Bag ( ). # of pcs/Bag (
), [ ] Layout (
), [ ] other ( )
). # of pcs/Carton ( ). Box label ID (
). Other (
6) Approvals and Certifications:
a) Testing required: [ ] Basic testing according to the company procedures, [ ] Special tests procedures ( )
b) Approvals and Certifications: [ ] UL, [ ] CE, [ ] MIL (
), [ ] Medical ( ), [ ] ROHS, [ ] Other ( )
)
)
)
)
)
)
)
).