1. High Voltage Questionnaire 1.) Ohmic Value: .......... W 2.) Tolerance Requested: .......... % 3.) Max. Dimensions: .......... mm 4.) Operating Voltage (avg, rms): .......... V 5.) Continuous Load (including average- and pulse power): .......... W 6.) Pulses: - impulse voltage (peak): .......... V - pulse frequency: .......... Hz - duration of pulse: .......... sec - average pulse power: .......... W - shape of pulse: square type O e – function type O other type O (graphs or plots required) 7.) Cooling Medium: air .......... °C O water .......... °C O oil .......... °C O 8.) Heatsink Temperature: .......... °C 9.) Requested TCR: ..........ppm/°C overwhich temperature range this TCR is requested .......... °C up to ..........°C 10.) Requested VCR: .......... ppm/V 11.) Special Type of Coating Requested: .................................................................... 12.) Current Vendor and Part Number: ....................................................................

2. Power Resistors Questionnaire 1.) Ohmic Value: .......... W 2.) Tolerance Requested: .......... % 3.) Maximum Dimensions: .......... mm 4.) Operating Voltage (avg, rems) .......... V 5.) Continuous Load (Rated power, including average- and pulse power): .......... W 6.) Pulses: - impulse voltage: .......... V - pulse frequency: .......... Hz - duration of pulse: .......... Sec - average pulse power: .......... W - shape of pulse: square type O pulse frequency O duration of pulse O average pulse power O shape of pulse square type O e- function type O other type O (graphs or plot required) 7.) Temperatures Heatsink Temperature: .......... °C Ambient Temperature: .......... °C 8.) Partial Discharge: Partial Discharge to be extinct (lower 10pC) .......... kV after .......... Sec 9.) Dielectric Strength Test: Test voltage against ground: .......... kV for .......... Sec 10.) Current Vendor and Part Number: ................................................................