FIELD INTERFACING QUESTIONNAIR
Company Name
Contact Person
Company Address
Tel. No.
E-mail Address
INTERFACE
a) To Cable Side Through
PCB CONNECTORS
IDC
D-SUB
b) To Field Side Through
PCB CONNECTORS
IDC
D-SUB
CONNECTOR
a) Make
b) No. Of Pins
c) Type Of Connector
MALE
FEMALE
LED INDICATION REQUIRED IN EACH SIGNAL PATH
YES
NO
VOLTAGE & CURRENT RATING IN APPLICATION
MOUNTING
DIN-RAIL
BOOST MAKE
PHOENIX PROFILE
TOTAL NUMBER OF FIELD INTERFACING MODULES
Nos.
For any specific requirement, Please attach seperate sheet
