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QUESTIONNAIRE FORM

FOR
“PREMIUM” CATTLE FEED / POULTRY FEED / AQUA FEED PLANTS

NAME OF THE ORGANISATION WITH ADDRESS :

NAME OF CONTACT PERSON :


CONTACT NUMBER : TEL : O.:
R.:
: FAX :
REQUIRED CAPACITY OF THE PLANT : PER HR. __________
: PER DAY __________
PRESENT ACTIVITY (BRIEF) :
NAMES OF VARIOUS INGREDIENTS TO BE USED FOR FEED AND :
THEIR %
THE PERCENTAGE OR PROPORTION OF THE INGREDIENTS TO BE : GRADABLE __%
MIXED & GROUND. : POWDER __%
: LIQUIDS __%
A. STORAGE FACILITIES AVAILABLE/DESIRED FOR RAW MATERIALS :
B. AUTOMATIC PRE-WEIGHING & BATCHING SYSTEM REQUIRED ? : ( ) YES ( ) NO
9. DEGREE OF MECHANISATION REQUIRED :
(TO STATE WHAT OPERATIONS WILL BE DONE MANUALLY AND
WHAT OPERATIONS ARE REQUIRED TO BE MECHANISED.)
10. DIMENSION OF : LENGTH x WIDTH x HEIGHT
1. FACTORY SHED (IF ALREADY EXISTING) 1.
2. RAW MATERIALS GODOWN 2.
3. FINISHED PRODUCTS GODOWN 3.
11. TOTAL HORSE POWER AVAILABLE :
12. GENERAL COMMENTS ABOUT SPECIFIC LIMITS IN THE FORM OF :
PROPOSED FUNDS TO BE INVESTED FOR PLANT & MACHINERY
ETC., & ANY OTHER FACTORS WHICH THE CLIENTS WANT TO
EMPHASIZE.
13. A. PELLET MAKING UNIT REQUIRED OR NOT. : ( ) YES ( ) NO
B. PELLETS SIZE & CAPACITY :
14. AUTOMATIC BAGGING & STITCHING UNIT REQUIRED OR NOT : ( ) YES ( ) NO

15. ELECTRIC PANEL & WIRING WORK TO BE DONE (BY SUPPLIERS) : ( ) YES ( ) NO
16. ERECTION TO BE CARRIED OUT (BY SUPPLIERS)
17. IS STEAM AVAILABLE OR SMALL BOILER NON IBR TO BE PROVIDED :
18. IS THE PLANT TO BE INSTALLED FOR THE ACTUAL USE OF THE :
OUTPUT BY THE CUSTOMER OR IS THE END PRODUCT TO BE
MARKETED BY THE CUSTOMER ON COMMERCIAL BASIS ? OR
EXPORTS
19. ANY OTHER INFORMATIONS ? :

DATE : S I G N A T U R E O F C U S T O MER

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