All * Marked Items Are Mandatory For a Quotation

 
*1.  Customer Name: *2. Customer Address:
3.    Contact Person: 4.   Designation:
5.    Tellephone. No. 6.   Fax No.
7.    E-Mail Address: 8.   Equipment:
9.    Model: *10. Application:
*11. Requirement: *12. Quantity:
13.  Price:
 
 
1.   CYLINDER TYPE:
2.   PUSH FORCE:  (Kgf) PULL FORCE:  (Kgf)
*3.  BORE DIA:  (mm) ROD DIA:  (mm)
*4.  STROKE:  (mm) CCL:  (mm)
5.    END TO END LENGTH:  (mm)
6.    PLATING THICKNESS (PISTON        ROD):  (mm) (BORE):  (mm)
*7.  WORKING PRESSURE (EXTENSION):  (Kgf/cm2) (RETRACTION):  (Kgf/cm2)
8.    TEST PRESSURE (EXTENSION):  (Kgf/cm2) (RETRACTION):  (Kgf/cm2)
9.    PISTON SPEED (EXTENSION):  (m/sec) (RETRACTION):  (m/sec)
*10. WORKING MEDIUM: WORKING TEMP. RANGE:  (oC)
11.  TEST REQUIREMENTS (TEST        STANDARDS) If Any:
12.  CUSHIONING: 13. INSTALLATION/ORIENTATION:
*14. MOUNTING TYPE & DIMENSIONS:
       CYLINDER END:- *TYPE: ROD END:- *TYPE:
                              *DIMENSIONS:                 *DIMENSIONS:
15. EXTERNAL PROFILE (Any constrain in       O/D size or otherwise):
16. MATERIAL SPECIFICATION: Tube  Rod  Gland  Ram Base  Other
17. SEALING PREFERENCE (Type/Make):  (If any) 18. LOAD CONDITION (Maximum      Shock Intensity & Duration):
19. DUTY: DUTY CYCLE:   hour/day
20. SIDE LOAD, if any
21. LOAD HOLDING: PERIOD:
22. VALVES: 23. ENVIRONMENTAL CONDITION:
24. FREQUENCY OF OPERATION:
*25. PORT:
       CAP END:- *TYPE: ROD END:- *TYPE:
                      *DIMENSIONS:                 *DIMENSIONS:
*26. PORT LOCATION:
27.  AIR BREATHER (If Required):
28.  OTHERS (Pl. Specify):
 
 
1.   Inspection & Testing: To Be Done       By: 2.   Inspection Agency (If Any):
*3.  Painting - Primer or any other       (specify): 4.   Safety Requirements:
5.   Regulatory Requirements: 6.   Additional Requirements:
7.   Free Issue Items, if any, to be       provided by customer (specify): 8.   Remarks: