|  Company Name : |  | 
                         
                          | Contact Name : |  | 
                         
                          | Address: |  | 
                         
                          |  |  | 
                         
                          | City: |  | 
                         
                          | Pincode: |  | 
                         
                          | Country: |  | 
                         
                          | Email: |  | 
                                   
                                    | Telephone: | Ext: | 
                                   
                                    | Fax: |  | 
                                   
                                    | Mobile: |  | 
                         
                          | Enquiry Date: |  | 
                         
                          | DC Machine Details (fill in if known) |  | 
                         
                          | Governing Standards: |  | 
                         
                          | Quantity: |  | 
                         
                          | Power Rating: | kW | 
                         
                          | Voltage: | V | 
                         
                          | Base Speed: | rpm | 
                         
                          | Field Excitation: | V | 
                         
                          | Ambient Temperature: | (Deg. C) | 
                         
                          | Is this machine meant for a Regeneration 
                            Application: |  | 
                         
                          |  | If yes, enter Input AC Supply Voltage 
                            
                            V | 
                         
                          | Enclosure: |  | 
                         
                          | Mounting: |  | 
                         
                          | Duty Cycle: |  | 
                         
                          | Duty Cycle Features (describe with respect 
                            to application): |  | 
                         
                          | Speed Range at Constant Torque: |  | 
                         
                          | Speed Range at Constant Power: |  | 
                         
                          | Force Cooling Position (ILFC Machines): |  | 
                         
                          | Terminal Box Location: |  | 
                         
                          | Shaft Extensions: |  | 
                         
                          | Application (briefly describe): |  | 
                         
                          | Overload Requirements: |  | 
                         
                          | Maximum Vibration: | mm/sec | 
                         
                          | Maximum Noise Level: | dB | 
                         
                          | Over Speed: | rpm | 
                         
                          | Paint Shade: |  | 
                         
                          |  | Describe Paint Shade if Other | 
                         
                          | Accessories |  | 
                         
                          | Tachogenerator Mounting: |  | 
                         
                          |  | Type and Make of Tachogenerator: | 
                         
                          | Inlet Air Filter for ILFC Machines: |  | 
                         
                          | Air Flow Switch for ILFC Machines: |  | 
                         
                          | PTC - Thermistors (1 in Main Pole and 
                            1 in Interpole): |  | 
                         
                          | Thermitech Relay Unit: |  | 
                         
                          |  | Specify Voltage/Frequency/Phases of 
                            Thermitech Relay Unit: | 
                         
                          | RTD for Windings - PT100 (1 in Main Pole 
                            and 1 in Interpole): |  | 
                         
                          | RTD for Bearings - PT100 (1 in each bearing): |  | 
                         
                          | Space Heater: |  | 
                         
                          |  | Specify Voltage/Frequency/Phases of 
                            Space Heater: | 
                         
                          | Water Flow Switch (for ILWC): |  | 
                         
                          | Water Leakage Detector (for ILWC): |  | 
                         
                          | Standard Accessories |  | 
                         
                          | RTD Heat Exchanger Standard (For CACA 
                            Cooling - Frames 225 and above only) |  
                         
                          | Pressure Switch Standard (For CACA Cooling 
                            - Frames 225 and above only) | 
                         
                          | Differential Pressure Switch Standard 
                            (For CACA Cooling - Frames 225 and above only) | 
                         
                          | Special Features: |  | 
                         
                          | If Filled by IEC Salesman or IEC Authorized 
                            Dealer: | Name 
                            
                            Location |