| This form is for OEM (original equipment manufacturer)use. Plitron will usually not design or quote on small quantity or end-user applications without payment of an engineering fee. For small quantity, hobbyist, builder, repair, maintenance, and replacement applications, check out Plitron's extensive range of standard transformers. All specs are assumed to be RMS.
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Company Information |
| Company | |
| Address | |
| Address2 | |
| City | |
| State/Prov | |
| ZIP / Postal Code | |
| Country | |
| Your Name | |
| Title / Position | |
| Website | |
| EMail | |
| Phone | |
| Reference | |
| Application | |
| Attach File/Prints | |
| Attach File/Prints 2 | |
Input (Primary) |
| Primary Input | |
| Other Input | |
| Termination | |
| Other Termination | |
| Lead Length | |
| Notes | |
Output |
| Secondary 1 |
| VAC | |
| IAC | |
| Duty Cycle % | |
| Termination | |
| Other Termination | |
| Lead Length | |
| Notes | |
| Secondary 2 |
| VAC | |
| IAC | |
| Duty Cycle % | |
| Termination | |
| Other Termination | |
| Lead Length | |
| Notes | |
| | |
| Secondary 3 |
| VAC | |
| IAC | |
| Duty Cycle % | |
| Termination | |
| Other Termination | |
| Lead Length | |
| Notes | |
| | |
| Secondary 4 |
| VAC | |
| IAC | |
| Duty Cycle % | |
| Termination | |
| Other Termination | |
| Lead Length | |
| Notes | |
| Secondary 5 |
| VAC | |
| IAC | |
| Duty Cycle % | |
| Termination | |
| Other Termination | |
| Lead Length | |
| Notes | |
| Regulatory Standards |
| Standards Check Multiple Permitted | UL 506UL 1411CSA C22.2 #66-1988CSA C22.2 No.601.1:1988CE, EN-60065IEC 65IEC 950IEC 1010-1:1990IEC60601-REV. 1, 2 OR 3Other(s): Specify |
| Other Regulatory | |
| Regulatory Notes | |
| Numbers and Dates |
| Annual Usage |
|
| Production Size Release | |
| Prototype Date | |
| Production Date | |
| General Notes | |
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