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Name of Customer
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Address
Phone No
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Email ID
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Site Address
Site Phone No
Contact Person
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Name of Architect
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Type of Lift Required
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Select
Passenger
Goods
Hospital
Dumb waiter
No. of Lifts Required
Capacity Required
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Passengers
Weight
No. of Passengers to be Served
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Total Weight
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No. of Floors to be Served
e. g. -
B + G + 5 etc.
Floor to Floor Height Available
No. of Stops / Openings Required
(Mention Opposite Opening if any)
Lift Well Dimensions Proposed
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Width
mm.
Depth
mm.
Lift well pit depth proposed
mm.
Lift well overhead height proposed
mm.
Car and Landing Finishes Required
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S.S.
M. S. Powder Coated
Site status as on date
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Proposed completion date of the project
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