Tel: +972-9-7633000 • Fax: +972-9-7633011• • /
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 ().
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 drawingwith BOM& electrical scheme.
5) Labeling and Packaging Requirements:
a) Label info: [ ] Sticker type ( ), [ ] Print info ( ), [ ] Layout ( ), [ ] other ( )b) Packaging: [ ] Individual Bag ( ).# of pcs/Bag( ).# 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 ()