1. Name of Company:
2. Contact Person & Designation:
3. Address:
4. Mobile No. / Phone No.:
5. Website:
6. GST Registration Number:
7. Plant Capacity in MT/Day (8–10 Hrs):
☐ Lab Model ☐ 500 Kgs ☐ 1000 Kgs ☐ 3000 Kgs ☐ 5000 Kgs ☐ 10,000 Kgs
(1000 Kgs = 1 MT)
8. Types of Greases to be Manufactured (Break-up in MT/Day):
A. Lithium ___ B. Calcium ___ C. Complex ___
D. Food Grade ___ E. Non-Soap ___ F. Any Other ___
9. Pack Size Based on % of Plant Capacity:
0.5–1 Ltr: ___% 4–5 Ltr: ___% 15–20 Ltr: ___% 200 Ltr: ___%
10. Storage Tanks for Base Oil – Indicate Quantity in Nos:
25 MT ___ 50 MT ___ 100 MT ___ 200 MT ___ 500 MT ___
11. Finished Product Holding Tanks – Indicate Quantity in Nos:
10 MT ___ 25 MT ___ 50 MT ___ 100 MT ___
12. Do you have a Consultant? (Yes / No)
13. Would you like to use our services as Consultant? (Yes / No)
14. Is this a Green-Field Project? (Yes / No)
15. Project Funding by: ☐ Self ☐ Bank
16. Nature of Current Activities:
17. Area Available for the Plant (sq. ft. / acres):
18. Installed Power (KW / HP):
19. Air and Water Availability:
20. How did you hear about us?
Note: Incomplete forms will not be entertained.
Signed: __________________ Date: __________________