New Film Capacitor Projects and Samples www.vishay.com Vishay Questionnaire for New Film Capacitor Project Project no.: CUSTOMER Endcustomer address: Endcustomer responsible: Customer responsible (Distri, BDM, FAE, Sales, ...): PROJECT Description of application: APPLICATION RFI / EMI DC-link Automotive AC-filter AC and Pulse Snubber Proposed product / series: Start of production (SOP): Voltage (AC/DC): Yearly quantity (estimated): Capacitance: Total quantity (estimated): Tolerance: Entire term: Current (RMS): Target price: Frequency: First samples expected: Maximum ripple current: Maximum pulse voltage: Ambient temperature: Operating temperature: ADDITIONAL COMMENTS Humidity during application: Space available (dimension): Approvals (IEC, AEC-Q, ...): Packaging: Termination / leads: Revision: 12-Nov-15 Document Number: 28232 1 For technical questions, contact: [email protected] THIS DOCUMENT IS SUBJECT TO CHANGE WITHOUT NOTICE. THE PRODUCTS DESCRIBED HEREIN AND THIS DOCUMENT ARE SUBJECT TO SPECIFIC DISCLAIMERS, SET FORTH AT www.vishay.com/doc?91000 New Film Capacitor Projects and Samples www.vishay.com Vishay Sample Request Form for Film Capacitors From: Request No.: To: Visions SO #: CC: SAPPAS SO #: Date: CUSTOMER ADDRESS Company Name: Recipient: Shipping Address: Email: Phone No.: PROJECT INFORMATION Customer: Project: Application: Purpose of Sample: Estimated Yearly Quantity: Start of Pilot Production: Start of Mass Production: Sales Price: Competition: REQUESTED SAMPLES NO. VISHAY P/N CUSTOMER’S P/N QUANTITY (PCS) REQUEST DATE PROMISED DATE ESTIMATED YEARLY QUANTITY (PCS) PRODUCT DESCRIPTION QUANTITY (PCS) REQUEST DATE PROMISED DATE ESTIMATED YEARLY QUANTITY (PCS) 1 2 3 4 5 6 7 8 DEVIATING REQUIREMENTS NO. VISHAY P/N 1 2 3 4 5 6 7 8 Sample Followup Actions: Samples ordered on / / (dd / mm / yyyy) Sample Dispatch Details: Samples received on / / (dd / mm / yyyy) Revision: 12-Nov-15 Document Number: 28232 2 For technical questions, contact: [email protected] THIS DOCUMENT IS SUBJECT TO CHANGE WITHOUT NOTICE. THE PRODUCTS DESCRIBED HEREIN AND THIS DOCUMENT ARE SUBJECT TO SPECIFIC DISCLAIMERS, SET FORTH AT www.vishay.com/doc?91000