Customer data

Company： Tel：

Department： Fax：

E-MAIL：

Engineer：Ext：
Mobile no.：

Current status

Temperature：Normal℃，Maximum℃，
Rotation speed：RPM

Bearing material

Inner ring： 　 ZrO2 Si3N4 PEEK UPE 　Outer ring： 　 ZrO2 Si3N4 PEEK UPE

Maintainer： 　 PEEK MC PTFE 　Ceramic ball： 　 ZrO2 Si3N4

Steel-ceramic： 　 SUS+ceramic ball Bearing steel + ceramic ball
Common bearing　Others：

Load：Radial： kgf、Axial ： kgf

Environment

PH：　　
High Temperature 　Insulation　Normal 　Grease-free

Magnetic-free 　Non-magnetic　Non-oil 　Clean　
In liquid 　Occasional splashing

Light moment 　Corrosion resistant　Heavy dust 　Dirty　Others

Other description

1. Since there are several type of bearing combination and grease, please complete this form as thoroughly as possible for correct selection of combination.
2. Please photocopy this form and send back via fax or e-mail.