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Part Submission Warrant: Yes No

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11 views2 pages

Part Submission Warrant: Yes No

Uploaded by

sainmohit466
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Part Submission Warrant

Part Name CONE Cust. Part Number 5922582

Shown on Drawing Number 5922582 Orig. Part Number 5922582

Engineering Change Level 0 Dated 29.11.2022

Additional Engineering Changes 0 Dated ……………….

Safety and/or Government Regulation ✘ PLR230142 0.96 kg


Purchase Order No. Weight (kg)
Yes No
Checking Aid Number CA/5922582 Checking Aid Eng. Change Level 0 Dated 21.03.2023

ORGANIZATION MANUFACTURING INFORMATION CUSTOMER SUBMITTAL INFORMATION

KISHAN METAL INDUSTRIES PVT.LTD ECOCAT (INDIA) PVT. LTD.


Organization Name & Supplier/Vendor Code Customer Name/Division

PLOT NO.82,SEC.68,IMT BP0001737 Mr. N.K. Verma


Street Address Buyer/Buyer Code

FARIDABAD HARYANA 121006 INDIA Model.: VECV E494 CNG BS-VI


City Region Postal Code Country Application

MATERIALS REPORTING

Has customer-required Substances of Concern information been reported? ✘ N/A


Yes No
Submitted by IMDS or other customer format:

Are polymeric parts identified with appropriate ISO marking codes?


Yes ✘ N/A
No
REASON FOR SUBMISSION (Check at least one)
✘ 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
Correction of Discrepancy Parts produced at Additional Location
Tooling Inactive > than 1 year Other - please specify

REQUESTED SUBMISSION LEVEL (Check one)


Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer.
Level 2 - Warrant with product samples and limited supporting data submitted to customer.
Level 3 - Warrant with product samples and complete supporting data submitted to customer.
Level 4 - Warrant and other requirements as defined by customer.
✘ Level 5 - Warrant with product samples and complete supporting data reviewed at organization's manufacturing location.

SUBMISSION RESULTS
Dimensional Material and Statistical
The results for ✘ ✘ ✘ Appearance ✘
measurements functional tests process package
criteria
These results meet all design record requirements: ✘ NO (If "NO" - Explanation Required)
Yes
Mold / Cavity / Production Process
PRODUCTION PROCESS

DECLARATION
I affirm that the samples represented by this warrant are representative of our parts, which were made by a process that meets all Production Part Approval Process
Manual 4th Edition Requirements. I further affirm that these samples were produced at the production rate of 548 Nos. / 8hours. I also certify that documented evidence
of such compliance is on file and available for your review. I have noted any deviation from this declaration below.

EXPLANATION/COMMENTS:

Is each Customer Tool properly tagged and numbered? ✘ No N/A


Yes
Organization Authorized Signature Date 28.06.2023

Print Name MAAN SINGH Phone No. 9671720303 Fax No.


Title QA head E-mail [email protected]

FOR CUSTOMER USE ONLY (IF APPLICABLE)

Approve Oth
PPAP Warrant Disposition: Rejected
d er
Customer Signature Date
Print Name Mr. Anil Singh Customer Tracking Number (optional)

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