Transformer Design Request Form

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GENERAL INFORMATION
Name:	Phone:
Company:	Fax:
Email:
Select Industry Medical Military Avionics Test & Measurement Other
Select Type of Transformer Push Pull Forward Converter Flyback (continuous) Flyback (discontinuous) Isolation Audio 50/60 Hz 400 Hz Other Type of Transformer
Application:
Specification Available Yes   No
Safety Agency Requirements:
UL    CSA     VDE    IEC   Other:
ELECTRICAL REQUIREMENTS
Operating Frequency: KHz MHz     Input Voltage: Duty Cycle: Primary Inductance: mH uH     Leakage Inductance: mH mH     Output 1: Voltage: Current:   AC DC Output 2: Voltage: Current: AC DC Output 3: Voltage: Current: AC DC Dielectric Voltage: Pri to Sec (Volts): Sec to Sec (Volts):
MECHANICAL REQUIREMENTS
Mounting: Thru-hole SMD Flying Leads Length (max): inches mm Width (max): inches mm Height (max): inches mm
ENVIRONMENTAL REQUIREMENTS
Dry Varnished Vacuum Varnished Epoxy Impregnated
Other:
ADDITIONAL NOTES & REQUIREMENTS
Annual Quantity: Notes: Sample Required THANK YOU!