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| DATE OF ENQUIRY :
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| GENERAL DETAILS |
FINISH / PAINT DETAILS |
| COMPANY NAME : |
| PLANT NAME : |
| CONTACT PERSON DETAILS : |
| NAME : |
| PHONE / MOBILE NUMBER : |
| E-MAIL ID : |
| VEHICLE MODEL / MACHINE NUMBER : |
| TYPE OF APPLICATION : |
| PROJECTED VOLUME / ANNUM : |
| CUSTOMER PART NUMBER / DRAWING NUMBER : |
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| Paint Required - Epoxy Paint / CED : | |
| PRIMER PAINT COLOR : | Yellow / Other |
| PRIMER COATING LEVEL : | Micron/mm |
| TOP COAT PAINT COLOUR : | Yellow / Other |
| PAINT COATING LEVEL : | Micron/mm |
| IS TOP COAT MASKING Required in the WHEEL MOUNTING REGION | |
| Mounting Side : | YES / NO |
| Weather Side : | YES / NO |
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| LOADING DETAILS |
TIRE DETAILS |
| No. of wheels on the Front Axle : | |
| No. of wheels on the Rear Axle : | |
| Max. STATIC LOAD DETAILS: | |
| SPEED : | ZERO km/h |
| FRONT WHEEL LOAD : | kg/Wheel |
| REAR WHEEL LOAD : | kg/Wheel |
| Max. LADEN LOAD DETAILS: | |
| SPEED : | km/h |
| FRONT WHEEL LOAD : | kg/Wheel |
| REAR WHEEL LOAD : | kg/Wheel |
| Max. UNLADEN LOAD DETAILS: | |
| SPEED : | km/h |
| FRONT WHEEL LOAD : | kg/Wheel |
| REAR WHEEL LOAD : | kg/Wheel |
| Maximum Vehicle speed : | km/h |
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PREFERED RIM SIZE : | |
| TYPE OF WHEEL PREFERED - 1P/2P/3P/5P/Demountable : | |
TIRE SIZE : | |
| PLY RATING : | |
| SUITABLE for MOUINTING : | TUBED / TUBE LESS |
| MAXIMUM INFLATED PRESSURE : | |
| FRONT TIRE : | bar (or) psi |
| REAR TIRE : | bar (or) psi |
| VALVE USED : | |
| VALVE HOLE / VALVE SLOT : | |
| VALVE HOLE/ SLOT DIMENSIONS : | |
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| MOUNTING DETAILS |
| MOUNTING STUD HOLE / BOLT HOLE DETAILS : |
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| STUD HOLE / BOLT HOLE TYPE : | A / B / C |
| d2 : | mm |
| d3 : | mm |
| r1 : | mm |
| α : | ° |
| P.C.D Of STUD HOLES / BOLT HOLES : | mm |
| No. Of. STUD HOLES / BOLT HOLES : | |
| TIGHTENING TORQUE: | N-m |
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Disc Type ( Flat / Formed / Crank ) : | |
| If Disc is Formed /Crank - Form CRS : | mm |
| DISC THICKNESS : | |
| DISC TO RIM WELD - SIZE / PENETRATION : | |
| WELD TYPE : | GROOVE / FILLET |
| NAVE DIAMETER & FLATNESS : | |
| OFFSET DISTANCE : | mm |
| CENTRE HOLE / BORE DIAMETER : | mm |
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| OTHER DETAILS |
| Ambient Conditions : | |
| Test Requirements : | |
REQUIRED DRAWINGS : | |
| AXLE DRAWING : | YES / NO |
| HUB DRAWING : | YES / NO |
| FASTNERS DRAWING : | YES / NO |
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| ANY OTHER SPECIAL FEATURES REQUIRED : | |
PACKING SPECIFICATIONS ( If any ) :
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| Country : | |
| Export / Domestic market : | |
| If Export , Port of Discharge : | |
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