零件名称 Part Name
零件号 Cust.Part Number 图纸编号 Shown on Drawing No.
组织零件编号 Org.Part Number 工程变更等级 Engineering Change Level
日期 Dated 附加工程变更 Additional Engineering Changes
日期Dated
安全和/或政府法规 Safety and/or Government Regulation
采购订单编号 Purchase Order No.重量 Weight 日期 Dated 组织制造厂信息ORGANITION MANUFACTURING INFORMATION
提交顾客的信息CUSTOMER SUBMITTAL INFORMATION 组织名称和供方/供货商代码 Organization Name &Supplier/Vendor Code
顾客名称/部门 Customer Name/Division 街道地址 Street Address 采购人员名称/采购人员代码 Buyer/Buyer Code
城市 City 地区 Region 邮编 Postal Code 国家 Country 适用范围 Application
材料报告 MATERIALS REPORTING
顾客要求的关注物质信息是否已报告?Has customer-required Substances of information been reported □ 是 Yes □ 否 No
□ n/a 通过IMDS 报告或用顾客规定的其它表格报告:Submitted by IMDS or other customer fomat
塑胶件是否已标注相应的ISO 标注编码。Are polymeric parts identified with appropriate ISO marking codes □ 是 Yes □ 否 No □ n/a 提交原因(至少选一项)REASON FOR SUBMISSION (Check at least one)
□首次提交 Initial Submission □改为其它选用的结构或材料 Change to Opional Construction or Material □工程变更 Engineering Change(s)□供方或材料来源变更 Supplier or Material Source Change
□零件加工过程变更 Change in Part Processing □偏差校正 Correction of Discrepancy □在其它地方生产零件 Parts Produced at Additional Location
□工装停止使用期超过一年 Tooling inactive > than 1 year □其它-请说明 Other-please specify
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,还应该提交外观批准报告)
Level 1- Warrant only (and for designated appearance items, an Appearance Approval Rport)submitted to customer.
□等级 2- Level 2- Warrant with product samples and limited supporting data submitted to customer
□等级 3- Level 3- Warrant with product samples and complete supporting data submitted to customer
□等级 4-保证书以及顾客规定的其它要求
Level 4- Warrant and other requirements as defined by customer.
□等级 5-提交结果 SUBMISSION RESULTS
结果 The results for 这些结果满足所有设计记录要求:These results meet all design record requirements
□是 YES □否 NO (如果选择 “否”-应解释)(if 'NO'-Explanation Required)
成形模/多模腔/生产过程 Mold/Cavity/Production Process
声明 DECLARATION
解释/说明: EXPLANATION/COMMENTS
每种顾客工具是否已适当地加标签和编号?Is each Cutomer Tool properly tagged and numbered
□是 YES □否 NO □n/a 经授权的组织代表签字 Organization Authorized Signature
日期 Date 印刷体姓名 Print Name
电话号码 Phone No.传真号码 FAX No.职务 Title
E-mail 仅供顾客使用(若适用)FOR CUSTOMER USE ONLY(IF APPLICABLE)PPAP 保证书处理:Disposition
□批准 Aproved □拒收 Rejected □其它 Other 顾客签字 Customer Signature
日期 Date 印刷体姓名 Print Name
顾客跟踪编号(可选项) Customer Tracking Number(optional) CFG-1001保证书,产品样品以及全部的支持数据都保留在组织制造现场,供审查时使用
QR7.3-01-001/1
Level 5- Warrant with product samples and complete supporting data reviewed at organization's manufacturing lacation.
□ 外观准则 appearance criteria □ 统计过程数据 statistical process package
I affirm that the samples represented by this warrant are representative of our parts which were made by a process that all Production Part Approval Process Manual 4Edition Requirements. I further affirm that these samples were produced at the production rate of pcs / hours. I also certify that documented evidence of such compliance is on file
and available for review.I have noted any deviations from this declaration below:2006年3月 March 2006DAIMLERCHRYSLER 零件提交保证书 Part Submission Warrant
我声明,本次提交所使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 / 个小时的生产速率制造的。同时我保证所有符合性证明文件都已归档备妥,以供评审。我还说明了任何与此声明有偏差的内容。见下文。
向顾客提交保证书及产品样品以及有限的支持数据
向顾客提交保证书及产品样品以及全部的支持数据
□ 尺寸测量 dimensional measurements □ 料和性能试验 material and function tests
□是Yes □否No
检查辅具编号
Checking Aid No.□工装:转移、更换、整修或添加
Tooling:Transfer,Replacement,Refurbishment, or additional
检查辅具工程变更等级Checking Aid Engineering Change Level
umented