*ARE MANDATORY
   
*Name :
*Company's Name :
*Address :
*Country :
*Phone :
Fax :
*Mobile No. :
*Email :
Requirement :
 
 
Technical Details ( Customer to Fill ) :
   
Application :
Type of Prime Mover :
Type of Driven Equipment :
Power Rating of Prime Mover in KW / HP :
Rotational Speed of Prime Mover :
Type of Duty : ( e.g., Reversal/Unidirectional/Frequency of Starts and Stops/Peak Load etc. )
Gear Box Ratio, if any :
Shaft details(dia * length) :
Distance between Shaft end / Shaft gap ( DBSE ) :