Customer Name *

Address *

Contact Person *

Designation *

Contact No *

E-mail *

Type of Gearbox *

Make *

Serial No*

Ratio*

Date of Commissioning *

Application details

Working hours per day

No of Start Stop in a Day

Input Power *

Input RPM *

Output RPM *

Prime Mover Details

Other Accessories

Input Coupling details

Output Coupling details

Lubrication Type

Service expected