CUSTOMER

APPLICATION INFORMATION

1. Type of Driven Machine:

   Type of Loading:

   UniformIntermittentShock Load

   Duty Cycle:

   Start-up Load:

   LightHeavySoft Start

   Start-up Frequency:

   Ambient Operating Conditions:

2. Prime Mover:

3. Gearbox Style:

   Parallel:

   Right Angle:

   Inline:

   Planetary:

4. Gearbox Requirements:

   Input HP:

   Input Speed:

   Max. Torque at Input Speed:

   Reversible:

   Center Distance:

   Ratio(s) Desired:

5. Method of Connecting Prime Mover to Gearbox:

   SAE HousingFlywheelC-FaceIntegralCouplingBelt

   Other:

6. Method of Connecting Gearbox to Driven Equipment:

   Coupling (Type & Size):

   Chain (Type, Size, Etc.):

   Other (Radial Load, Axial Load, Etc.):

7. Rotation into and out of
   Gearbox (Looking at Input):

   Choose style 1 to 8 or Other

   Style1Style2Style3Style4Style5Style6Style7Style8

   other:



8. Space limitations:

9. Additional Information:

10. Approved By: