Name of the Company*

Company Address:*

Quality of the supplied product (Appearance)*
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Performance of the supplied product*
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Timely Delivery*
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Guidance/ Recommendation to the customer
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Response in case of complaint / enquiry*
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Communication with customer*
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Response in emergency*
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Performance of the previous period
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Availability of the spares
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For future business how would you consider our performance*
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Media for which our valves are used*

Temperature of the Media*

Pressure of the Media*

Air pressure applied for our actuators*

Name*

Designation*