APPLICATION DATA SHEET
 
 
 
Contact Information
       
 
Bill to:
 
Ship to:
 
Co. Name*:
Address*:
Address 2:
City*:
State*:
Country*:
Zip*:
Contact*:
PO #:
 
Co. Name*:
Address*:
Address 2:
City*:
State*:
Country*:
Zip*:
Attn*:
Ship via:
       
 
Customer
p/n:
Project Name:
Application
Description:
 
Engineer
Contact*:
Engineer
Phone*:
Engineer
Email*:
Purchasing
Contact:
Purchasing
Phone:
Purchasing
Email:
 
 
 
General Information
 
Annual
Usage:
 
Safety Agency Data:
 
Target
Price:
 
UL CE CSA CUL
 
Quote
Quantities:
 
IP Rating:
 
Notes:
 
Same as previously supplied:
 

 

Power Supply
AC Supply
Phase:
Rated voltage:
High voltage:

Low voltage:
Frequency Range:
Inverter Mfg:
Inverter p/n:
Notes:
DC Supply
Rated voltage:
High voltage:

Low voltage:
Form Factor:
Supply Mfg:
Supply p/n:
Current Limit:
Notes:
Stepper/BLDC Supply
Rated voltage:
Pulse rate Hi:
Pulse rate Lo:
Driver Mfg:
Driver p/n:
Notes:

 

Comments:

 
 
 
Gearbox
Gearbox:
Right Angle

Parallel Shaft

Other 		 
Series:
 
Custom:
 
Ratio:
 
Rotation:
Output Speed:
N/L: F/L: @ in.lbs running torque
 
 
Torque determined by:

Estimate

Test

Competitor Motor

Machine requirements
Min start torque:
in.lbs.@ volts.
Min breakdown torque:
in.lbs.@ volts.
Is unit started under load?
Yes or No
 
Is unit started normally stalled?
Yes or No
Load type:

Shock

Gradually
Applied

Constant

Cyclic

Intermittent loading
Duty Cycle:
Constant
Intermittent
Describe Cycle:
Overhung load description:
O.H.L. in.lbs. inches from end of o/p shaft @ O'clock direction while facing o/p shaft.
 
 
Construction:
TENV
TEFC
ODP
Other
 
O/P shaft diameter length key or flat description:
 
Mounted:
Horizontal or Vertical or Other
 
Shaft Material:
Special Lube:
Special Paint:
Special Environment:
 
 
Life Requirements:
Hours
Cycle
Describe
 
Gearmotor width max:
 
Gearmotor weight max:
 
Ambient temperature:
Vibration::