(For duplicate copies of this form, and for additional ordering information, please contact your local
Samsung sales representative. Samsung sales offices are listed on the back cover of this book.)
KS57 SERIES OTP FACTORY WRITING ORDER FORM (1/2)Product Description:
Device Number: KS57P________-________(write down the ROM code number)
Product Order Form: Package Pellet Wafer
If the product order form is package: Package Type: _____________________
Package Marking (Check One):
Standard Custom A Custom B
(Max 10 chars) (Max 10 chars each line)
@ : Assembly site code, Y : Last number of assembly year, WW : Week of assembly
@ YWW
Device Name
SEC Device Name
@ YWW @ YWW
Delivery Dates and Quantity:
ROM Code Release Date Required Delivery Date of Device Quantity
Please answer the following questions:
++ What is the purpose of this order?
New product development Upgrade of an existing product
Replacement of an existing microcontroller Other
If you are replacing an existing microcontroller, please indicate the former microcontroller name
( )
++ What are the main reasons you decided to use a Samsung microcontroller in your product?
Please check all that apply.
Price Product quality Features and functions
Development system Technical support Delivery on time
Used same micom before Quality of documentation Samsung reputation
Customer Information:
Company Name: ___________________ Telephone number _________________________
Signatures: ________________________ __________________________________
(Person placing the order) (Technical Manager)