TT Number (optional)
First name:	Last name
Company:	Address:
Email:	Phone number:
Mobile phone:

Temperature Classification

T1 = 450°C T2 = 300°C T3 = 200°C T4 = 135°C T5 = 100°C T6 = 85°C

Operational Temperature

Minimal temperature

Maximum temperature

power needed in kva

Time after drop

0m 15m 30m 45m 60m

Output power

Input power

Complete certificate specificiation

Battery/Power Output Voltage

12V DC24V DC

Battery charging indicator

No battery charging indicator fittedEnclosure indicator fitted

Battery high indicator

No battery high indicator fittedEnclosure battery high indicator fitted

Input OK Indicator

No input ok indicator fittedEnclosure input ok indicator fitted

Output off pushbutton

No output off pushbutton requiredEnclosure output off pushbutton fitted

Enclosure cable entry

Cable glands fittedNo cable glands fitted, M20 glands holes drilled

Logic outputs

No logic outputs requiredLogic outputs fitted