零件提交保证书中英对照

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

　kg

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)

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

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 4th Edition 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: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