Please fill as much information as you can and send to info@farazarab.com, please attach files if available.

CONTACTName a Contact No. aPosition a Date of

Request aCompany a E-mail aCountry a ADDRESS a

TYPE OF COMPANY

Privet ☐Governmental

☐Municipal ☐

TECHNOLOGY REQUIRED (IF KNOWN)MED ☐ MED-

TVC☐ MSF ☐ RO ☐ ZLD ☐

PRODUCT WATER CHARACTERISTICS OVERALL PRODUCTION REQUIRED (M3/DAY) a Purpose of product water aNo. Of Desalination Units (If Known) a Product Water Pressure (Bar) aProduct Water Temprature Requested (If Any) (°C) a Product water TDS Content

(ppm) a

AVAILABLE UTILITIES AT SITE STEAM YES NO Quantity (T/h) Temp. (°C) Pressure (bara)MP Steam (Above 10 Bara) ☐ ☐ a a aLP Steam ☐ ☐Other Utilities Quantity (MW) Frequency (Hz) Voltage (kv)Electricity ☐ ☐ a a aSteam BoilerIn Case No Steam Is Available Farazarab Can Supply Steam Boiler. In Such Case Please Indicate Type Of FeedstockType of boiler Direct boiler ☐ HRS

G☐

Type of Feedstock Gas ☐ Gasoil

☐ Diesel Oil ☐ Heavy Fuel Oil ☐

SITE DESCRIPTIONCountry of implementation a Origin of the raw water Sea water ☐Site Location a River ☐Distance from Sea (in meters) a Well ☐Closest city a Space available (in

meters) L=a W=a

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ENVIRONMENTAL CONSIDERATIONYES NO Maximum reject raw water

Temperature (°C) aAre there any noise restrictions ☐ ☐ Noise level (dB) aAir Emissions (For Steam Boiler) ☐ ☐ Characteristics a Pressure (bara) a

Please Mention Applicable Regulations / Standards That May Affect The Design Of The Plant:A

SCOPE OF WORK & SUPPLY

Nature Of Project

Engineering, Procurement Construction Start-up & Commissioning ☐ Ex Works☐Engineering Procurement Supply Start-up & Commissioning Assistance☐ FOB☐ On Site☐

Extent of works YES NO Extent Of Plant/Equipment

YES NO Additional info or quantities requiredCivil Works ☐ ☐ Chlorination At Inlet ☐ ☐

Supply to the Site ☐ ☐ Raw Water Pumps ☐ ☐Erection on Site ☐ ☐ Remineralisation Plant ☐ ☐ Production (m3/h) : aRaw Water intake ☐ ☐ Demin Plant ☐ ☐ Flowrate (T/h): aRaw water Reject ☐ ☐ Steam Boiler ☐ ☐Quay available for offloading

☐ ☐ Storage Tanks ☐ ☐ Quantity: a

KEY DATES & OTHER DATAIssue Call for TenderA

Anticipated Contract award Datea

Anticipated Completion Datea

INFORMATION ABOUT CONTRACTING ENTITY (CLIENT) AINFORMATION ABOUT FINANCING AOTHER INFORMATION OF INTEREST A

ADDITIONAL INFORMATIONThe following information, if available, will help to better upraise the requirements of the plant

YES

NO

Availability of plot plan and other drawings

☐ ☐ Please provide all drawing that may help understand the site and design the plant

Material specification for the plant ☐ ☐ Please provide if special material specification is required in the design

Technical specifications ☐ ☐ Please provide if special technical specification shall apply for the equipment

Vendor Lists ☐ ☐ Please provide if equipment shall only be originating from your vendor list

Potable water specification ☐ ☐ Please provide specification for the potable water if anyDistillate water specification ☐ ☐ Please provide specification requested for the distilled water if anyRaw water analysis ☐ ☐ Please fill in the table below

RAW WATER CHARACTERISTICS & ANALYSISYES NO Raw water min. Temperature (°C) a

The raw water is regularly contaminated by hydrocarbons ☐ ☐ Raw water max. Temperature (°C) aThe site is home to active plankton activity (algae etc.) ☐ ☐ Raw water average temperature (°C) aThe raw water regularly contains high level of TSS (sand

storms, etc..)☐ ☐ TDS (mg/l) a

Colonies of jellyfish often profuse in the area ☐ ☐ Available flow (t/h) a

Farazarab desalination unit inquiry form PAGE: 2 OF 3

Other sources of pollution (sulfides, ammonia, etc.) ☐ ☐ If yes, please specify:NOTE : PLEASE ATTACHE COMPLETE ANALYSIS OF RAW WATER

OTHER INFORMATIONPlease use this space for all additional information you wish to provide in the frame of this inquiryA

Farazarab desalination unit inquiry form PAGE: 3 OF 3