Name of Company

Name of Contact Person

Tel. No. / Cell No.

Email

Type

Flange To Flange Width

If Any Flange Table To Be Followed

Operating Tmp. / Sealing Efficiency
[ ...°c / ...% ( 90-99.9% ) ]

Operating Pressure [ ...mmWG / ...BAR / ...Pac ]

Media Or Material

Bulk Density Of Material

Material Of Construction

Damper Operator

Ph. Voltage, Hz.   AC    DC

Operating Duty

Fail Safe

Manual Operation

Companion Flanges ( No. Of )

Gasket Required

Hardware Required

Iprovision Required For Insuation

Is Any Specific Make Of Bearing

Is Any Specific Make Of Actuator

Any Specific Paint And Shade

Quantity Required