Multi USB Charging Station

CONSTRUCTION DATA FORM

IS 13252:2010 / IEC 60950-1:2005
FOLLOWING INFORMATIONS/MATERIALS ARE REQUIRED TO COMPLETE THE PROJECT(S)

JOB No. SRF No. Dated :

Applicants name & Address........... : ShenZhen RuiMaiDe(RMD) Technology Co.Ltd.

501, A Bld, Jinxicheng Industrial Park, Gaofeng Community, Dalang, Longhua
New District, Shenzhen, China.518109

Manufacturers name & Address ..... : ShenZhen RuiMaiDe(RMD) Technology Co.Ltd.

(As declared BY APPLICANT ) 501, A Bld, Jinxicheng Industrial Park, Gaofeng Community, Dalang, Longhua New
District, Shenzhen, China.518109

Factorys name & Address.............. : ShenZhen RuiMaiDe(RMD) Technology Co.Ltd.

501, A Bld, Jinxicheng Industrial Park, Gaofeng Community, Dalang, Longhua New
District, Shenzhen, China.518109

Test item description.................... : Multi USB Charging station

Trade Mark .................................. : OITTM
Model/Type reference ................... : C53 Sl.

Ratings........................................ :
Overall size of the equipment : W=91 MM , H=72 mm , D= mm
Mass of the equipment (kg):
Marked degree of protection to IEC 60950 ..
Series Formation Basis, if applicable No. Of Models proposed to be Tested- ONE
Pl. specify Similarities- N/A
Pl. specify Differences- N/A
Worst Case Not Applicable
Max. Accessories supplied with the unit

Guidelines for Series Approval of N/A

Products for Implementation of
Electronics and Information
Technology Goods (Requirements
for Compulsory Registration)
Order, 2012
A qualified Technical Person is required to give the demonstration of product besides following inputs:
No. of sample 1 Complete Unit
I/P required from Circuit Diagram & PCB Layouts of Mains Adapter
Customer
Compliance data of Safety Critical Components, if feasible, if Not possible please provide a
copy of CB Test Report.
Probable Date of Within 30 days after receiving the all data & input mentioned above.
Completion

Signature of Authorised Personal along with company seal:

Name :
Designation :
 Multi USB Charging Station
CONSTRUCTION DATA FORM
IS 13252:2010 / IEC 60950-1:2005
FOLLOWING INFORMATIONS/MATERIALS ARE REQUIRED TO COMPLETE THE PROJECT(S)

JOB No. SRF No. Dated :

Critical Components Data / Materials as per Clause No. Cl. 14

Object/Part No. Manufacturer/ Type/Model Technical Data Standard Mark(s) of

Trademark Conformity1)
Kuantech (Beihai) Co. KSA06C050 100-240V IEC 60g50:2005( CB certified report no
Switching Adaptor Ltd. 0160HI-00 50/60HZ,0.3A(M 2edition)+A1:2009 201506150038 from
AX) Conformity Testing lab
OUTPUT:5dc,1.
6A
Enclosure CHI MEI ABS-PA757 HB UL94 UL(E56070)
CORPORATION
Dc power cord VW-1 800 UL758 UL(E318553)part of
YINUAXING C,300V,22AWG switching adaptor
Tact switch LIYANG ELECTRONICS LYQC665 12V/50MA UL1434 UL(E327245)
Power jack Wenzhov Liyang DC-006A- 30V 2.5A UL(348574)
Electronics China 1.3
Connector Yuqiu Electronic RCA-381F- UL1863 UL(E365842)
006-06
USB connector Chang Chun Plastic Co. SUA- 4P 4.00MM DIP UL1694 UL(E59481)
Ltd. 1I0UM-B1N MALE RT
0

Signature of Authorised Personal along with company seal:

Name :
Designation