Magnetics Design Request Form TR ANSFORMERS VISHAY INTERTECHNOLOGY, INC. Name: Phone: Company: Email: Industry: Type of transformer: Application: Specification available: YesNo If yes, please attach specs to email Safety agency requirements: Check all that apply: UL CSAVDEIECOther: Electrical Requirements Operating frequency: Input voltage: KHzMHz Duty cycle: Primary inductance: Leakage inductance: Output 1: Output 2: Output 3: Dielectric voltage: mHµH voltage current voltage current voltage current mHµH pri to sec (volts) ACDC sec to sec (volts) ACDC ACDC Mechanical Requirements Through-hole Mounting: SMD Flying leads Other: Length (max.): Inches mmOther: Width (max.): Inches mmOther: Height (max.): Inches mmOther: Environmental Requirements Dry Varnished Vacuum Varnished Epoxy Impregnated Other: Operating temperature ºC: Additional Requirements Annual quantity: Start of production: Target price: Sample required Prioritization (1 – Highest) SizeEfficiencyCost Target date for sample: Notes Reset Print 605.668.4133 Submit SALES INFORMATION [email protected] Custom Magnetics, Vishay Intertechnology 1505 East Highway 50, P.O. Box 180, Yankton, SD 57078 www.vishay.com // VMN-MS7166-1512 // 1