General Information:

Fields marked with * are mandatory 		 
   Customer Name *
   Address *
   Telephone *
   Fax
   Email *
   Contact Person *
   Project
   Enquiry Number

Technical Information:
   Industry
   Application Area
   Media Handled
   Chemical Analysis Enclosed Not Applicable  
   Media Handled Corrosive Abrasive Both
   Dust Content (gms / Nm 3)
   Velocity (m/s)
   Temperature (ºC) Working: Design:   Surge, if any: 
Dew Point: Max Ambient: 
   Pressure (mm WG) Positive Negative
   Thermal Movement (mm) Ax. Extn:   Ax. Comp: 
  Lateral:   Angular: 
   Vibration / Pulsation Frequency(c/s):   Amplitude(mm): 
   Installation Indoor Outdoor  
   Flow Direction Horizontal Vertically Up Inclined Up
Vertically Down Inclined Down
   Dimensions (mm) Duct Outside Dimension:    Duct Thickness : 
Flange to flange gap     :    Duct flange dim: 
   Material of Construction Duct Flange   :   Inner Sleeve : 
Duct Plate     : 
   Quantity
   Place: Date:  

    Drawings / sketch and any other Information / details may please be attached along with this     enquiry.