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ADAPT Application Form Sr No. : 1 Date : May 19, 2012
Site Detail
*  Name
*  Address
*  Country
*  State
*  City
*  Pin/Zip Code
*  Telephone
*  Email
*  Quantity
Motor Details
*  HP
*  Current
*  Valotage
*  RPM
*  POLE
*  Frequency
*  Power Factor
OPTIONS
By Pass Option
SMS Facility
DB Option
Space Heater
Pump Data
Pump Depth   Feet
Pump Length   Inch
Pump Diameter   Inch
Plunger Diameter   Inch
Pump intake   Feet
Pump Intake Pressure   PSI
Pump Fillage   %
Pump Slippage   %
Pump Slippage Rate   Per day
Reservoir Pressure   PSI
Fluid level (from surface)   PSI
Recent Well Operation Data
Method of operation
Running Speed(Max)   RPM
Run time/day   Minute
Stop time/day   Minute
Stroke   Per minute
Production Data
Power consumption/day   KWH
Productivity - Oil   Berrel/Day
Productivity - Water   Berrel/Day
Prductivity - Gas   Mscf/Day
Oil Density   deg.API
*  Denotes Mendatory Fields
  
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