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1、零件提交保证书Part Submissi on Warra nt零件名称：Part Name图纸号：Show n on Draw ing Number工程更改等级：Engin eeri ng Change Level 附加工程变更：Additio nal En gi neeri ng Cha ng安全和/或政府法规：是YesSafety an d/or Government Regulati on检具号：Checki ng Aid Number 供方制造场所信息：ORGANIZATION MANUFACTURING INFORMATION否No零件号：Cust. Part Number供方零件
2、编号：Orig. Part Number日期：Dated日期：Dated采购订单号：Purchase Order No.检具工程更改等级：Check ing Aid Eng. Change Level提交顾客信息：CUSTOMER SUBMITTAL INFORMATION5103523-A46重量(kg):Weight (kg)日期:Dated顾客名称/部门Customer Name/Divisi on供应商名称/供应商代码Orga ni zati on Name & Supplier/Ve ndor Code街道地址Street Address采购员/采购员代码Buyer/Buyer Co
3、deCityRegio nPostal CodeCoun try邮编城市地区国家适用范围Application(应用车型 Applied Car model/ 发动机 Engine/ 变速箱 Transimission ，年份 Model Year )MATERIALS REPORTING顾客要求的受关注物质信息是否已报告：是YesHas customer-required Substa nces of Concern in formati on bee n reported?通过IMDS?其它顾客规定格式提交：匚否No| |不适用N/ASubmitted by IMDS or other c
4、ustomer format:塑胶零件是否已标注适当的ISO标识代码：Are polymeric parts identified with appropriate ISO marking codes? 提交原因(至少选择一项)：REASON FOR SUBMISSION (Check at least one)匚是Yes匚否No不适用n/a首次提交In itial submissi on工程设计更改Engin eeri ng Chan ge(s)工装：转移、代替、整修或添加Tooli ng: Tran sfer, Replaceme nt, Refurbishme nt, or additi
5、 onal 偏差纠正Correction of Discrepa ncy工装停止使用期超过一年Tooli ng In active tha n 1 year改为其它选用的结构或材料Change to Opti onal Con structi on or Material 分供方或原材料来源更改Sub-Supplier or Material Source Cha nge零件加工过程变更Change in Part Process ing在其它地方生产零件Parts produced at Additi onal Locati on其他请说明Other - please specify bel
6、ow要求的提交等级(选择一项)：REQUESTED SUBMISSION LEVEL (Check one) 等级1 -只向顾客提交保证书(若指定为外观项目，还应该提交外观件批准报告)Level 1 - Warrant only (and for desig nated appeara nce items, an Appeara nce Approval Report) submitted to customer. 等级2 -向顾客提交保证书及产品样品以及有限的支持数据Level 2 - Warrant with product samples and limited support ing
7、data submitted to customer. 等级3 -向顾客提交保证书及产品样品以及全部的支持数据Level 3 - Warrant with product samples and complete support ing data submitted to customer.等级4 -向顾客提交保证书以及顾客规定的其它要求Level 4 - Warrant and other requireme nts as defi ned by customer.等级5 -保证书、产品样品以及全部的支持数据都保留在供应商制造现场，供评审时使用Level 5 - Warrant with p
8、roduct samples and complete support ing data reviewed at orga ni zati ons manu facturi ng locati on.提交结果：匚材料和功能试验二I外观标准Material and fun cti onal testsAppeara nce criteria匚是Yes 否No(若为“否”请解释)(If NO - Explanation Required)匚统计过程数据Statistical process packageSUBMISSION RESULTS结果：尺寸测量The results forDime ns
9、ional measureme nts这些结果满足所有图纸和规范要求：These results meet all desig n record requireme nts:成型模/多模腔/生产过程：Mold / Cavity / Productio n Process声明：DECLARATION我声明，本次提交所适用的样品是出自我们生产过程的，具有代表性的零件，且已符合生产件批准程序手册第四版的所有要求；我 进一步保证这些样品是以件/个小时的生产节拍制造的。同时，我保证所有符合性证明文件都已归档备妥，以获评审。我还说明了任何与此声明有偏差的内容，见下文。I affirm that the s
10、amples represe nted by this warra nt are represe ntative of our parts, which were made by a process that meets all Producti on Part Approval Process Manual 4th Editi on Requireme nts. I further affirm that these samples were produced at the解释/说明：日期:匚不适用N /AEXPLANATION/COMMENTS:顾客拥有的工装是否都已适当地加标签和编号:I
11、s each Customer Tool properly tagged and n umbered? 经授权的供方代表签字：Orga ni zati on Authorized Sign ature 印刷体姓名：电话:Date传真:Print Name职务：_Title 一Pho ne No.Fax No.E-mailPPAP认可情况：PPAP Warrant Disposition仅供顾客使用FOR CUSTOMER USE ONLY (IF APPLICABLE)二I批准二I拒绝匚其它ApprovedRejectedOther顾客签字：Customer Signature印刷体姓名：Print Name日期:Date顾客跟踪编号(可选)：Customer Track ing Number (optional)