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Renewable Energy Test Station (RETS) Reception Form of Street Lamp; PIT / RST R/26/03/03 Manufacturer’s Name (Lamp) Manufacturer’s Address Manufacturer’s Name (WLED) Mailing: Email: Website: Mailing: Email: Website: Local Supplier Local Supplier's Address Manufactured Brand / Model (Lamp) Brand / Model (WLED) Lux/watt from the height of 9 meter Total Lux from the height of 9 meter Serial numbers of Lamp Automatic Dusk to Dawn function Lamp Type Total nominal power of the lamp Reflector Built-in switch Operating voltage Fixture (Tube type) Protection against Luminous Yield of Lamp Luminous Efficacy of individual WLED Viewing Angle CRI Index / Color Temperature Forward Voltage / Test Current of WLED WLED Driver Circuit Efficiency (with or without Charge Controller) Operating temperature Application Life cycles Heat Sink Compatible to IP 65 or higher International Standards fulfilled (IEC, ISO, Others) Name: Mailing: Email: Tel: Locally manufactured Locally assembled with CKD and SKD parts imported Imported, if imported then With exclusive dealership and imported from Without exclusive dealership and imported from Locally purchased from Yes (mention the type LED cluster Single LED W Tolerance: ± % Yes No Yes No Minimum: V Maximum: V 2 pin 4 pin Others Reverse polarity Other: Lumens Tolerance: ± % Lumens Tolerance: ± % : Degree : Ra : Kelvin :V : mA Others LPW LPW % Minimum: °C Indoor only Hours (mention type) Yes Maximum: Indoor and outdoor °C Company Stamp Designation: Signature ) Date: