Company Address
Persons to be Contacted / Department / Designation
Email Address
Application Area
Appliance
Water pump
Compressor
Boiler
if other then this do specify here
Type of gaskets presently used
Complaints, if any (specify)
Medium (Specify Concentration)
Maximum Operating Pressure & Temperature (Temp C & Pressure Bar)
Pressure ranging from
to
(Bars) Max.
(Bar)
Temperaure ranging from
to
(Bars) Max.
(Bar)
Surface condition of
Sealing Surface.
Any Other Details
Preference
Asbestos
Asbestos Free
