Texas Instruments Innovation Challenge: India Analog Des Components Request Form

Enter date of Sending Request Enter College Name Enter Mentor's Name Enter Names of all team members Enter Semester of all team members Enter Student Coordinator's Name Contact E-mail of Student Coordinator Contact Phone of Student Coordinator Enter TIN Number (if applicable) Enter Shipping Address (Either Name of the Faculty Mentor or HOD or Principal) Enter Shipping Address (Designation) Enter Shipping Address (Line-1) Enter Shipping Address (Line-2) Enter City Information Enter PIN Code Contact Number 15-Aug-13 India College of Engg Prof. A. Teacher Team Member 1 5th or 7th (UG) S. Coordinator coordinator@rkcet.in +91 MOBILENUMB XYZ123

Organized by Texas Instruments India University P

Prof. B. Teacher ABC XYZ Department, India College of Engineering Street 123, Locality ABC ABCXYZ 123456 +91 MOBILENUMB Integrated Circuit/Development Board/Target Board/Evaluation Module* TI IC 1 TI IC 2 TI IC 3 TI IC 4 TI IC 5 TI EVM 1 TI EVM 2

S.No. 1 2 3 4 5 6 7

* Plase pay attention to the following points

1 2 3 4 5

List of TI semiconductor components that you can include in your projec Your data must be entered in the green colored cells. Please specify the complete and correct part number of the component, v IC Package information is a must , request will not be processed if packag Revision of the components list is not permitted, select your components

6 7 8

Each team can request for TI development boards upto $200, if there are m shared among the teams. Several teams can pool their budget if necessar Feel free to contact us for any assistance write to us as ti-india-adc@list.t You must name your file as component-request.xls, before you upload it o

Note that we cannot provide you components that TI does not manufactu components that we are unable to provide (over the budget, not in free sa distributors Digikey, element14 etc

Please upload this component request form on the CMT website (http://tiny project proposal by August 15, 20

nnovation Challenge: India Analog Design Contest 2014 Components Request Form

by Texas Instruments India University Program

Team Member 2 5th or 7th (UG)

Team Member 3 5th or 7th (UG)

Team Member 4 5th or 7th (UG)

etc.

Components List
Quantity IC Package* Unit Cost of EVM (USD)
For TI IC no need to give cost For TI IC no need to give cost For TI IC no need to give cost For TI IC no need to give cost For TI IC no need to give cost

Total Cost of EVM

Leave this blank for EVM Leave this blank for EVM Total Value =

onents that you can include in your project is available on contest website for your referecne. he green colored cells. nd correct part number of the component, visit www.ti.com for the same. ust , request will not be processed if package information is not provided st is not permitted, select your components very carefully

evelopment boards upto $200, if there are more than 3 teams from a college then components should be eral teams can pool their budget if necessary. assistance write to us as ti-india-adc@list.ti.com or call us on 080 - 25099453 mponent-request.xls, before you upload it on CMT

ou components that TI does not manufacture or components that exceed the budget. If you need e to provide (over the budget, not in free samples, non-TI components, etc.) you can order them from TI 4 etc

n the CMT website (http://tinyurl.com/tiic-india-adc-2014 )along with your ect proposal by August 15, 2013

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