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Custom Transformer Design Request
CUSTOMER INFORMATION
Name Phone 
Company Fax 
Email
Address

GENERAL INFORMATION
Application

ELECTRICAL REQUIREMENTS
Transformer Type
Operating Frequency Hz KHz MHz
Input Voltage Volts RMS Volts Peak

Waveform
Sine

Square

Square w/dead-time

Sine Modulated Square

Pulse w/reset

Other - (enter type) 

Primary Inductance
Primary Leakage Inductance

Primary Winding
Single winding
Single winding w/tap
Push-Pull w/Centertap
Isolated Primaries
Bifilar w/Centertap
Other - (enter type) 

Secondaries:
1.  Voltage (V)  Current (A) 
    Isolated: Yes No

2.   Voltage (V)  Current (A) 
    Isolated: Yes No

3.  Voltage (V)  Current (A) 
    Isolated: Yes No

Dielectric Withstanding:
Primary to Secondary (V): AC DC
Secondary to Secondary (V): AC DC
Primary to Core (V): AC DC
Secondary to Core (V): AC DC

MECHANICAL REQUIREMENTS
Mounting:   Thru-hole SMD Flying Leads Other 

Maximum Ambient Temp   °C °F

Maximum Temp Rise   °C °F

Length (max)   in mm

Width (max)   in mm

Height (max)   in mm

Weight (max)   lb kg

Varnish / Potting Requirments
Dip & Air-Dry Dip & Heat-Cured Vacuum Impregnated None

Potted        Yes No
Potting Requirements:
 
AGENCY COMPLIANCE REQUIREMENTS
  UL CSA VDE IEC FDA FAA None

Agency Specific:

ADDITIONAL INFORMATION
Approx. Annual Quantity   Sample Required

Approx. Cost Target  
1-9 pcs 10-99 pcs 100-499 pcs 500-999 pcs 1000-2499 pcs 2500+ pcs

Misc. Notes & Comments



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