PRODUCTION PART SUBMISSION WARRANT
Part Name : TERMINAL SUPPORT -785
Part Number : - 24-R1-785-1-0 Customer Part No. :
Safety and / or
Engineering Drawing Changes Level : …….. Dated : 08.12.2020
Govt. Regulation Yes þ No
Additional Engineering Changes : ----N/A-------- Dated _______________
Purchase Order No. ____________________________________ Weight :
Checking Aid No. ---------- Engineering Change Level : 00 Dated _______________
SUPPLIER MANUFACTURING INFORMATION SUBMISSION INFORMATION
Supplier Name : Swaran enterprises þ Dimensional þ Materials / Functional þAppearance
Supplier Code :
Street Address : Swaran enterprises New jail road, vill.
Customer Name / Division : INTERFACE MICROSYSTEMS
Dhumaspur Gurgaon. (HR.)
City / State / Postal Code : H.R. Buyer / Buyer Code ____________________________________
Application : For Automobiles
REASON FOR SUBMISSION
þ Initial Submission Change to Optional Construction or Material
Engineering Change (s) Sub - Supplier or Material Source Change
Tooling Transfer, Replacement, Refurbishment, or additional Change in Part Processing
Corrective of Discrepancy Part Produced at Additional Location
Other - Please Specify __CUSTOMER REQUIREMENT______________________________________________________________________
REQUESTED SUBMISSION LEVEL ( Check one )
Level 1 - Warrant. Appearance Approval Report ( for designated appearance items only ).
þ Level 2 - Warrant. Parts, Drawings, Inspection Results, Laboratory and Functional Results, Appearance Approval Report.
þ Level 3 - At Customer Location - Warrant. Parts, Drawings, Inspection Results, Laboratory and Functional Results,
Appearance Approval Report, Process Control Plan, Gage Study, FMEA, MASTER SAMPLE.
Level 4 - Per level 3, but without parts
Level 5 - At Supplier Location - Warrant. Parts, Drawings, Inspection Results, Laboratory and Functional Results,
Appearance Approval Report, Process Capability Results, Capability Study, Process Control Plan, Gage Study, FMEA.
SUBMISSION RESULTS
The result for þ Dimensional measurements þ Material & functional tests þAppearance Statistical process package
These results meet all drawing and specification requirements : þ Yes No (If "No" - Explanation required)
DECLARATION
I affirm that the samples represented by this warrant are representative of our parts and have been made to the applicable customer drawings
and specifications and in the case of production samples are made from specified materials on regular production tooling with no operations
other than the regular production process. I have noted any deviations from this declaration below.
EXPLANATION / COMMENTS __________________________________________________________________________________
Print Name : KULDEEP Title : Q.A. (H.O.D.) Phone No. : 9818078232
Supplier Authorized Signature _____________________________________________________
_____________________________________________ FOR CUSTOMER USE ONLY_______________________________________
Approved Rejected Other _________________________________________
Part Disposition
Customer Name ________________________________ Customer Signature _______________ Date __________________________
DOC.NO.:- F-NPD-14 REV.NO. 02 DATE.01.04.2018
