Date

Project name
Company name
Application
Demander
  (name/ dept./ position)
Annual estimated Q'ty
K pcs
Min. lot Q'ty
K pcs
Target price
( USD/ EUR/ JYP)
No. of samples
   required for
pcs
Location
Tel
- -
Fax
- -
E-mail
QM Requirement
Content
Application
Energy Monitoring Current Monitoring Other
DC Tolerance
Yes No
Primary Current range
Min Amps / Max Amps / Peak Amps
Errors
Phase error / Amplitude error % / Other
Turns ratio
Primary : Secondary :
Burden value
Rcu- ohms , Rb- ohms
Accuracy class
0.1 0.2 0.5 1.0 2.0
Overload requirements
% of Max Primary Current
Operating Temperature
   range
Min กษ / Max กษ
Operating Frequency
Hz
Dielectric withstand
   2'nd-Earth
AC kV /1min
Toroidal dimensions
Inner Dia.- mm , Width x Length x Height - ( x x )mm
Magnetic Shielding    requirements
Yes No
Terminal Structures
Pin type Wire type Other
Other requirements
   (if any)