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Doc No.: CCTL/FRM/TRF_TEC Rev No.: 04 Page 4
Issue No.:01 & Date of Issue: 01/09/2025 Date of Revision: 04/11/2025
Test Request Form
TRF No.: CCTL/TEC/TRF- ___________ Date:
Part ā€“ 1 (To be filled by Customer)
i)   Applicant Information:
Name of the Organization: *
Contact person: * Mob No.: +91-
E-Mail ID(to which the Test Report to be shared): *
GST Number:
Communication Address: *
ii)   Product Information and Technical details:
Name of the Product: *
 No. of Samples to be tested* :
Name and Address of
Make / Manufacturer: *
Model No/Part No: *
 Serial No.: *
Dimensions (mm): L =   W = H = Weight (Kg):
EUT Testing type: *
Supply Voltage, Input Current,
Power Consumption		 V Amps    Watts
Operating Frequency: *
iii)   Test Details:
Test Report Type: *    
Test Method: *        
Witness presence     
Decision rule employed while
making a statement of conformity.		 Measurement Uncertainty:
  
Note:
  • Test reports will be shared only via E-mail in PDF format to the Email ID mentioned.
  • The decision rule will apply to the qualitative tests to which the uncertainty value of the test setup is to be referred.
  • * Mandatory Fields need to be filled by the customer.
  • Mention the test level, limit lines and other test-related information in the Test Specification.
  • Provide ☒ for respective tests and other related information
Accessories details:
TEST REQUIREMENTS*
Test(s) Name
1)  Band supported in GSM:
           
2)  Power Class:
               
       
1)  Band supported in WCDMA:
Specify the Operating Band:
2)  Power Class:
       


1)  Band supported for LTE:
Specify the Operating Band:
2)  Power Class:
       
Operating
Frequency


Protocol
Information		           Specify other modes:
Declared Nominal RF Power Level for Testing dBm Declared Nominal Channel Bandwidths:
Type of Modulation Technique
Equipment Type


  
In case of FHSS equipment
Minimum No of Hopping Frequencies: 		Maximum No of Hopping Frequencies: Average Dwell Time:
Operating Mode


Rx Chains:
Tx Chains: 		Beam Forming gain: dBi
Antenna Details Antenna Gain: dBi      Antenna Type:
Modulation
HW Version
SW Version
Test Specification: *
i)  Product Description: *
Brief Description of Equipment Under Test (EUT):
Accessories details:
Sl.
No		 Equipment Name Make Model No. Serial No
1
2
3
4
5
If there is any deviation from testing, mention the Clarification:
D)  Pre Compliance / Development
Name of the Test(s) Date of Test(s) Start Time End Time Customer's Signature
(For office use only)
Part ā€“ 2 (To be filled by the Quality Team)
Review points
EUT Received on
Condition of the EUT on receipt    
Adequate details Received from the Customer    
Customer requirement Understood    
Availability of Manpower / Standards/Equipment    
Customer Acceptance    
Name & Signature with date
Part ā€“ 3 (To be filled by Lab In-charge)
Test Start date:   Test End date:  
Status of EUT after test(s):   
Status of the TRF:      
Customer Witness
Name, Sign with Date
(if physically present)
Lab In-Charge
Name, Sign with Date