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Specifications Questionnaire

Contact Information:
First Name: Last Name:
Company:
Job Title: Department:
Street:
Country - Zip: - City:
Phone: Fax:
Email:
Product Range:


Project Information:
Project Name:
Total Demand:
Annual Demand:
Prototype Deadline:
Production Start:
Target Price:
Contestants /
actual supplier:

Comments:
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Technical Data:
Application:
Input Voltage:  Vac  Hz  Vdc
Input Voltage
Tolerance:		 +  % Vinnom -  % Vinnom


Outputs: 1 2 3 4 5 6
Output Voltage: Vdc
Output Current: Amps.
Min. Load: Amps.
Regulation: % Vo
Ripple+Spikes: mVss
Peak Power: Watt
Overvoltage Prot.: V
Galv. Isolated Outputs:
Non-isolated Outputs:

Total Coninous Power:  Watts Efficiency:  %
Mains
Hold-Up Time:		  msec Mains Voltage before drop:  V
 
Insulation Voltages: Input / Output  kVeff
Input / Chassis  kVeff
Output / Chassis  kVeff
 
EN - UL - CSA Regulations to fulfill:
Comments:


Ambient Conditions
Operating Temperature: From  To  deg C
Shock and Vibration:
Relative Humidity:
Cooling System:
MTBF / lifetime:
ROHS-Compliant:


Mechanical Data:
Maximum Dimensions:
Open Frame: e.g.. PCB size  mm  mm  mm
with case: 19"-slot card  mm  HE  mm
19"-closed box  TE  HE  mm
other variants:  mm  mm  mm
Front Panel:


Connectivity:
screw terminals connectors other Placement
Input Terminals:
Output Terminals:

Project Schedule