| Company Name : |
|
| Contact Name : |
|
| Address: |
|
|
|
| City: |
|
| Pincode: |
|
| Country: |
|
| Email: |
|
| Telephone: |
Ext:
|
| Fax: |
|
| Enquiry Date: |
|
| If you have had prior interactions
with IEC, person you want to respond: |
|
| |
| Quantity: |
|
| Required Delivery Date: |
|
| Power Rating: |
kVA |
| Phases: |
|
| Load Power Factor: |
|
|
If Other, pf =
|
| Operation: |
|
| Rated Voltage and Frequency: |
|
|
If other, input details of voltage, phase
and frequency
V,
Ph,
Hz |
| Unbalanced load between phases: |
% |
| Parallel Operation: |
|
| Restriction on Transient Voltage Dip: |
|
|
If yes, Voltage Dip Allowed
% |
| Site Conditions |
Altitude
|
|
Ambient
|
|
Humidity
% |
|
Environmental Conditions
|
| Load |
AC Motor Load
|
|
Welding Load
Furnace Load
Rectifier / Thyristor Load
Computer Load / CNC Machine Load
Voltage, Frequency and Waveform Sensitive
Loads
Other Loads
|
| Describe the Load: |
|
| Prime Mover |
|
| Drive End |
|
|
If Single Bearing, Flange SAE:
and Flywheel Diameter:
inches |
| Coupling Type |
|
|
If other, describe:
|
| Direction of Rotation of the Prime
Mover |
|
| Accessories |
|
| Thermistors : |
|
| Thermitech Relay Unit: |
|
|
Specify Voltage/Frequency/Phases of Thermitech
Relay Unit:
|
| RTD for Bearings - PT100 (1 in each
bearing): |
|
| Space Heater: |
|
|
Specify Voltage/Frequency/Phases of Space
Heater:
|
| Special Features: |
|
| If Filled by IEC Salesman or IEC Authorized
Dealer: |
Name
Location
|
