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Customer Name:
Address:
Contact Person :
Tel:
Mobile No:
E-mail :
Date :
Customer ref :
hpt/ref :
Recd. date :
DETAIL OF PROJECT / Site :
Type of elevator :	Passenger Goods Hospital
Actual Car Travel :
	mm In feet/inches: Size of Platform : x x
Number of Cylinders :	One Two
Transmission Type :	Direct :1:1 Mounting Centre Cylinder Side Cylinder Indirect 2:1
Car weight :	(A) Empty car +Frame +Rope & Pulley etc.: Kg   (B) Load to carry goods : kg./or/ Passanger
Car Speed :	(i) Up and down : Meter / second
Available Power voltage :	Motor Single Phase Three Phase   Control AC- 220. DC- 24
Extra facility Required :	Ball Valve Rope Slac Valve Hand Pump Emergency lowering coil
Quote required for :	Power Pack Cylinder
Note from customer
Remarks by HPT:
Inward Date / No. :
Quotation Date :
Action Date :
Complete Date :
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