Daily Report forms

Email address *

Name of Sales Engineer *

Company Name *

Existing Customer of HIS? *

Area (GIDC or Location where the customer is located e.g. Jhagadia, Sarigam, Daman, Pandesara, Changodar, Halol etc) *

Contact Person 1(Name of the Person Whom You Met) *

Department 1 *

Designation 1 *

Contact Number 1 *

Email Address of the customer 1 *

Contact Person 2 (Name of the Person Whom You Met) *

Department 2 *

Designation 2 *

Contact Number 2 *

Email Address of the customer 2 *

Contact Person 3

Department 3

Designation 3 (Designation of the Contact Person)

Contact Number 3

Email Address of the customer 3

Contact Person 4

Department 4

Designation 4

Contact Number 4

Email Address of the customer 4


Type of Vacuum Used? *

Type of Application

Make of Dry Vacuum Pump

01-45-1010-15More than 15
HHV
Everest
Italvacuum
Tekmann
Economy
Edward
Swam
Busch Cobra
Crozair
Other

Make of Oil Sealed Vacuum Pump

01-55-1010-1515-20More than 20
HHV
Busch R5
Toshniwal
Patkar
HK Vacuum
Other

Make of Liquid Ring Vacuum Pump

01-55-1010-1515-20More than 20
PPI
Joyam
Leelam
Vindi Vak
Garuda
Mazda
Tekman
SIHI
Other

How do you rate the scope of Vacuum Pumps? *

Additional Details (Add Technology, Make, Quantity, details of Application and Competitor Information not captured above)


Centrifugal Process Pumps used? *

Metallic Pump Make *

PP & Lined Pumps *

Self Priming Pumps *

Magnetic Drive Pumps *

Gas Scrubbing Application *

How do you rate the scope of Centrifugal Pumps? *

Additional Details (Add Technology, Make, Quantity, details of Application and Competitor Information not captured above)


Type of AODD Pump Used *

Make of AODD Pump

01-55-1010-1515-25More than 25
Wilden
SandPiper
ARO
Price Pumps
Graco
Versamatic
Moniba
Blagdon
Other

How do you Rate the Scope of AODD Pumps * *

Additional Details (Add Technology, Make, Quantity, details of Application and Competitor Information not captured above)

Type of Dosing Pump *

Make of Dosing Pump

01-55-1010-15More than 15
Swellor
Prominent
Unique Dosing
Positive Metering
VK Pump
Minimax
Other

How do you Rate the Scope of Dosing Pumps *

Additional Details (Add Technology, Make, Quantity, details of Application and Competitor Information not captured above)


Any Upcoming Project? *

If Yes, Date of Project

Any Immediate Inquiry *

Rate your overall quality of Visit *

Tentative Next Visit Date *

Your Overall Comments About the Company (Overall Comments about Prospect, Next Project, Scale of Company, Attitude of customer towards our products, your inputs etc) *