COMPANY INFORMATION

Name :
Designation :
Company :
Street:
City:
Zip/Pin:
State/Country:
Phone:
Fax:
Email:
Do you have current or
future requirement of
machinery ?
To which industry is your organisation/company
related ?
1. Pharmaceuticals:
2. Food & Health products:
3. Cosmetics:
4. Pesticides:
5. Beverage:
6. Distilleries:
7. Others (please specify):
   
PRODUCT AND OTHER DETAILS

Required Speed/Out-put
(Container/Labels per Minute):
Container Details
(i.e. Shape, Height, Type and Diameter) :
Powder Type :
Liquid Type:
Rubber Stopper
(i.e. Diameter, Type)
Cap Detail
(i.e. Aluminium or Ropp Cap, Size, Plain or Flipp Off, Diameter):
Label Detail
(i.e. Height(Width) and Length) :
Comments:
   

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