Test Request Form – EMC

TRF No.: CCTL/EMC/____/TRF- _____ Date: _____ / _____ / _________

iv) Product Description:
Brief Description of Equipment Under Test (EUT):

Functional parameters of EUT for Immunity tests to decide PASS/FAIL: *

Accessories details:

If there is any deviation from testing, mention the clarification:

Select Test Type(s): *

A) Commercial & Automotive B) MIL 461 C*/D/E/F/G/DO C) Power Supply Test (MIL 704) D) Pre Compliance / Development E) Other Test Requirements

A) Commercial and Automotive Testing Standard:
	Emission				Immunity
	Conducted Emission VM CPM	Radiated Emission	Harmonics Test	Flicker Test	Electro Static Discharge	Radiated Immunity	Electrical Fast Transients	Conducted Susceptibility	Surge Test	Power Frequency Magnetic Field	Voltage Dips and Short Interruption
	Conducted Emission VM CPM	☐	☐	☐	☐	☐	☐	☐	☐	☐	☐
Basic Standard:
Industrial / Medical / Scientific Equipment
House Hold Equipment
Multimedia Equipment
Railway Equipment
Automotive Equipment
Other:
Test Specification: *

E) Other Test Requirements:
Shielding Effectiveness Test	Test Specifications:
MIL 464C System Test	Test Specifications:
MIL 461C RS06	Test Specifications:
If any other test requirements :

B) *MIL 461 C / D / E / F / G / DO^&**
Tick which is applicable.		Surface Ships Metallic Non-Metallic Above Deck Below Deck	Submarine INT EXT	Aircraft Army	Aircraft Navy	Aircraft Air Force	Space Systems	Ground Army	Ground Navy	Ground Air Force
EMISSION TEST(S)	CE101 / CE01*
	CE102 / CE03*/ Conducted Emission^&
	CE106 / CE06*
	RE101 / RE01*
	RE102 / RE02* / Radiated Emission^&
	RE103 / RE03*
IMMUNITY TEST(S)	CS101 / CS01* / Audio Freq Imm^&
	CS103 / CS03* No. of Port: Modes – TX / RX
	CS104 / CS04* No. of Port: Modes – TX / RX
	CS105 / CS05* No. of Port: Modes – TX / RX
	CS106 / CS06 *
	CS109 / CS09*
	CS114 / CS02* / BCI^& CS114 – 4 KHz to 1 MHz
	CS115
	CS116
	CS118 / ESD^&
	RS101 / RS01*
	RS103 / RS03* / Radiated Immunity^& Test frequency: Field strength:
Test Specification: *

C). Power Supply Test as per MIL 704 A / B / C / D / E / F (Tick which is applicable)
LDC	HDC	SAC	SXF	TAC	MIL 1275E / Others
LDC 101	HDC 101	SAC 101	SXF 102	TAC 101
LDC 102	HDC 101	SAC 102	SXF 104	TAC 102
LDC 103	HDC 103	SAC 103	SXF 106	TAC 103
LDC 104	HDC 104	SAC 104	SXF 105	TAC 104
LDC 105	HDC 105	SAC 105	SXF 108	TAC 105
LDC 201	HDC 201	SAC 106	SXF 109	TAC 106
LDC 301	HDC 301	SAC 107	SXF 110	TAC 107
LDC 302	HDC 302	SAC 108	SXF 201	TAC 108
LDC 401	HDC 401	SAC 109	SXF 301	TAC 109
LDC 501	HDC 501	SAC 110	SXF 302	TAC 110
LDC 601	HDC 601	SAC 201	SXF 401	TAC 201
LDC 602	HDC 602	SAC 301	SXF 601	TAC 301
		SAC 302	SXF 603	TAC 302
		SAC 303		TAC 303
		SAC 401		TAC 401
		SAC 601		TAC 601
		SAC 602		TAC 602
		SAC 603		TAC 603

D) Pre Compliance / Development
Name of the Test(s)	Date of Test(s)	Start Time	End Time	Customer's Signature

	Doc No.: CCTL/FRM/TRF_EMC	Rev Noc: 08	Page 4
	Issue No.:01 & Date of Issue: 19/05/2025	Date of Revision: 27/05/2026

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 Sample(s) 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: *	Tabletop			Floor standing			Full Vehicle
Supply Voltage, Input Current & Power Consumption *	V			Amps			Watts
Operating Frequency: *
No. of Cables to be tested:
iii) Test Details:
Reference Document : (Kindly provide the softcopy/hardcopy)		QAP / QT / TP / ATP / FTP etc.
Test Report Type: *		Compliance test (NABL) Pre-compliance test (Non-NABL)
Test Method: *		As per standard As per customer specification ILC OTS
Test Requirement:		Lab Testing (Permanent Facility) On Site Testing (Customer Location)
Witness presence:		Yes No
Decision rule employed while making a statement of conformity.		Measurement Uncertainty: Yes No				Pass / Fail As per standard
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. The decision rule is based on the test results (With or Without MU applied as required by the customer) and including the performance observation noted during the testing of EUT in line with customer's specification (functional parameters) mentioned in this TRF.(The qualifying criteria will be as per standard unless otherwise mentioned by customer). 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 If there is no Reference Document* provided, N/A will be mentioned in the Test Report.*

(For office use only) Part – 2 (To be filled by the Quality Team)
Review points
EUT Received on	_____/_____/_____
Condition of the EUT on receipt	☐ Good ☐ Other: _______________
Adequate details Received from the Customer	☐ Yes ☐ No
Customer requirement Understood	☐ Yes ☐ No
Availability of Manpower / Standards / Equipment	☐ Yes ☐ No
Customer Acceptance	☐ Yes ☐ No
Name & Signature with date	___________________________________
Part – 3 (To be filled by Lab In-charge)

Test Start date:	_____/_____/_____	Test End date:	_____/_____/_____
Status of EUT after test(s):	☐ Good condition ☐ Other: _______________
Status of the TRF:	☐ Yet to start ☐ Pending ☐ Completed