Request for Quotation
 
This form is for requesting product information. Please fill in the name and address fields and check the information that you would like to receive. Then click the Submit button at the bottom of this page.

Please fill in your contact information

 
  Company Name
  Person Contacting
  Designation
  Mobile No
  Direct Tel. Line
  E-mail ID
  Website
 
 

Other Contact Persons

A.
Name 
  Designation
  Contact Nos
  E-mail ID
 
B. Name
  Designation
  Contact Nos
  E-mail ID
     
  Address of Factory & Contact Nos.
   
  City 
  Country:
     
  Details of Consultant         
  Company Name               
  Director’s Name
  Mobile No.
  Direct Tel. Line.
  E-mail ID
  Website
 
    Reference
    
Exhibition       Website Existing customer
Other (Please specify)
  Existing  New  
If New, present status Almost Ready Under Construction Construction not started
    Requirement for : (Please tick/ cross mark in box against one or more options below)
     AMPOULE COMPACT LINE EXTERNAL WASHING MACHINE
  VIAL LIQUID COMPACT LINE R & D MACHINES
  VIAL POWDER COMPACT LINE Flip top
  VIAL COMPACT LINE WITH OPEN RABs VIAL (LIQUID) INSPECTION MACHINE          
VIAL LIQUID COMPACT LINE WITH CLOSED RABs               VIAL (POWDER) INSPECTION MACHINE
  VIAL LIQUID COMPACT LINE WITH ISOLATOR AMPOULE INSPECTION MACHINE
PREFILLED SYRINGE MACHINE VIAL LABELING MACHINE
INSULIN CARTRIDGE COMPACT LINE
DENTAL CARTRIDGE COMPACT LINE LYO LOADING AND UNLOADING SYSTEM
Any additional Requirements (Please specify)
    Output Required
 
1. Washing Machine
  I (Containers / Minute)
   
25        50 120 200 240 300 400 500 600
  II Containers / Hour)
   
1500 3000 7200 12000 14400 18000 24000

Sizes of Containers – (Please tick/ cross mark in box against the ampoule / vial size and write fill volume/ weight against the size)

  Ampoules - Amp. Size
2.
1ml
  Fill Volume in ml
  Viscosity of the Liquid
  Bulk density of the Powder
 
3.
Vial (Tubular)
  Vial Size
  2ml
  Fill Vol. in ml / Wt. in mg
   
  Vial (Moulded) - Vial Size
  5ml  
   
  Fill Vol. in ml / Wt. in mg
 
  Rubber Bung  
4.
Regular
  Slotted   13mm   20mm   32mm
  Aluminum Cap
  Tear off   Flip top
  13mm   20mm   32mm
  Any additional Requirements (Please specify)
 
5. Washing Machine
  Ampoule Washing    
  R&D     Vertical Rotary Ultrasonic attachment (Optional)
  Vial Washing
  R&D     Vertical Rotary Ultrasonic attachment (Optional)
  Combi Washing (Ampoule/ Vial)
  Link up between decartoning to washing machine
  Any additional Requirements (Please specify)
   
6.
Sterilizing & Depyrogenating Tunnel
  Any additional Requirements (Please specify)
 
  Ampoule Filling & Sealing Machine
  Any additional Requirements (Please specify)
 
7.
Vial Liquid Filling & Bunging Machine          
  Rotary Linear
  Any additional Requirements (Please specify)
 
8.
Vial Powder Filling & Bunging machine
  Any additional Requirements (Please specify)
 
9.
Combi Vial & Ampoule Filling, Bunging & Sealing machine
  Any additional Requirements (Please specify)
 
10.
Vial Cap Sealing Machine
  Any additional Requirements (Please specify)
 
11.
External Washing Machine
  Any additional Requirements (Please specify)
   
  Inspection Machine   
  Ampoule (6 H)     Vial Liquid (4 H)     Vial Powder      
  Any additional Requirements (Please specify)
   
  Pre-filled Syringes Machine
  Output Capacity    25 pm                    50 pm                    75 pm                  
  Pre-filled Syringe size       1b ml
  Any additional Requirements (Please specify)
   
  Dental / Insulin Cartridges Line
      Washing                   Tunnel                Filling & Sealing
  Any additional Requirements (Please specify)
   
  Labeling Machines
 

  Ampoules                Vial                       PFS

  Any additional Requirements (Please specify)
           Special Machines
  Combi Ampoule & Vial Liquid Machine 
  Combi Vial Powder & Vial Liquid Machine
  Combi Vial Liquid & PFS Machine
  Combi Dental Cartridge & PFS Machine
  Vial Line With Open Rabs
  Vial Line With Closed Rabs
  Vial Line With Isolator
  Lyo Loading & Unloading / Automatic Online
  Sterile Powder Processing Unit
 

Triple Combi (Ampoule, Vial, Pfs Compact Line)

 

Bottle Line

  Remarks  (If any)