| S.No. | APPLICATION DATA | APPLN-1 | APPLN-2 | APPLN-3 |
|---|---|---|---|---|
| 1 | Temperature (Deg. C) | |||
| 2 | Pressure (Kg./Sq.Cm.) | |||
| 3 | Medium | |||
| 4 | pH Value | |||
| 5 | Gasket Size | |||
| 6 | Present Brand/ Quality used, with literature/ sample | |||
| 7 | Application Calls for frequent replacements? | |||
| 8 | Flange Finish/ Condition | |||
| 9 | Life expected (Months) | |||
| 10 | Present Life (Months) |