Name*

:

Designation

:

Company Name

:

Company Address

:

Telephone No (s) *

:

Fax No.

:

Email Id *

:

Details of application for which welding required

[a] Name of part

:

[b] Name of equipment of which part is a component

:

[c] Dimensions of part and sketch, if available

:

[d] Base metal

:

[e] Any heat treatment to part?

:

Yes  No 

[f] Hardness

:

[g] Any special working conditions

:

[h] Wear conditions

:

[i] Working temperature

:

[j] Atmospheric corrosion, if any

:

[k] Extent of wear (please specify the total surface area
     and the thickness of deposit required)

:

[l] Can the job be sent to our Works or would you
    require the job be done at your site?

:

[m] What kind of surface finish required after welding?

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[n] What hardness is required?

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[o] What is the life of the component before welding?

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[p] Required life after welding

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[q] Original cost of component

:

[r] What time duration can you spare for carrying out
     the required job?

:

[s] Do you require our technician to do the job or only
      supervision?

:

Yes  No