Custom-Made Products Request Form |
1.The Requirement Information |
|
*Customer Name |
|
*LCM Spec.Description |
|
*Custoemr Location |
|
*Qty.of the Requirement |
|
End User Name |
|
*Estimated Yearly Usage |
|
End User Location |
|
Terms of Payment |
|
Contact CSO/CSA |
|
Customer Target Quotation |
|
2.Product Application |
|
100Transportation Vehicle (Including Aviation/Automotive /Maritime |
106 Game/Toys |
101 Entertainment Device (Including Audio/Video /VCR/ Camcorder / Walkman) |
107 Calculators, Watches |
102 Telecommunication (Including CellPhone /Pagers /In-house Phone) |
108 Educational Kits |
103 Office Application (e.g. Typewriter / Copiers |
109 Health Care Products |
104 CIT,PDAs, Electronic Diary , Electronic dictionary |
110 Industrial Appliances |
105 Home Application (e.g. Cooker, Oven, Refrigerator, Air-conditioner) |
111 Instrumental |
3.Check List For LCM Specification |
A.
Spec / Drawing Attached (No.
) is Modification Required?
No,
Yes, Please indicate in ITERM"C" |
B.
Sample Attached (No.
)is Modification Required?
No,
Yes, Please indicate in ITERM"C" |
C.
Other Information (Pls refer to Detail Information as Below) |
LCD Specification |
Screen Size |
|
Module Size |
( W
*H
*T
)mm |
Viewing area |
( W
* H
)mm |
Active area |
( W
*H
)mm |
Dot Pitch |
( W
*H
)mm |
Display Resolution |
|
Display Mode |
Reflective
Transflective
Transmissive
Antiglare |
Pin No |
|
Contrast ratio |
|
Viewing angle |
|
Viewing Direction |
6 O'clock
12 O'clock
Other |
Gray Scale |
Yes
No |
|
Driving Frequency |
Frame Frequency (
) Hz |
Operation Voltage Control Method |
Fixed (
) V;
Adjustable (
)V |
Temperature Compensation |
Yes
No |
Operating Voltage (Vop) |
(
) V |
Supply Voltage for Logic(Vdd) |
(
) V |
Supply Voltage for LCD |
Built-in(Boost Voltage)
Supplying Outside |
LCD Connector |
TAB
H/S
Zebra
COG
FPC
Other |
Specific Driver |
Yes(
)
No |
Controller |
Yes(
)
No |
Interface Pin Defined |
Yes(
)
No |
Backlight |
Yes □EL (Color:
) |
|
LED (Color:
)
Side □Bottom |
|
CCFL |
|
No |
Backlight Inserter |
Yes
No |
MD Brightness |
(
) cd/m |
Power Consumption |
(
) MW (Max.) |
Weight |
(
)g |
Quality Specification |
Reliablility |
STD |
Other Specific Requirement |
HQ High Temperature Storage:
℃ *
Hrs |
|
Low Temperature Storage:
℃ *
Hrs |
|
High termperature and Humidity storage:
℃
%Rh*
Hrs |
|
Thermal Shock (
) |
Operating Temperature (Top) |
(
-
) ℃ |
Storage Temperature (Tst) |
(
-
) ℃ |
Price |
Target price |
(
/pc ) |
Tooling charge |
(
/set ) |
Schedule |
Engineering sample |
(
)pcs on (
)dd/mm/yy |
Pilot Run |
(
)pcs on (
)dd/mm/yy |
Mass Production |
(
) k/month on (
)dd/mm/yy |
Sales Forecast |
(
) k/month * (
)month
(from
to
) |
Package |
Packaging |
STD
Customer Indicating Requirement |
Remarks |
|