Title Page
Untitled Page
Project & Part Information
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SCR Number
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PN & Project Name / RDN
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Part Code (with Rev. if Revise Part)
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Part Description
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Model
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Date Receive Sample
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Supplier Name
Sample Photo & Dimension Indication
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Sample Photo
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Dimension Indication
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PLEASE REFER TO APPENDIX FOR ENLARGE IMAGE
NOTE: THIS REPORT ONLY CHECKED AND APPROVED THE GEOMETRY (DIMENSIONS) OF A COMPONENT OTHERWISE SUPPLIERS HAS TO MAKE SURE THESE COMPONENTS WILL BE FABRICATED AS PER INDICATED ON THE PART DRAWING AND RELATED DOCUMENTS ISSUED TO THEM.
Sample Approval
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Approved / Reject
- Approved
- Approved with Comments
- Reject
- Design Changes
Conclusion
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Conclusion or Special remark
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PLEASE REFER TO APPENDIX FOR ENLARGE IMAGE
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Summary Table
SCR Prepare / Checking / Approval
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Prepared By
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Checked By
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Approved By
Photo & Finding
- Dimension
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Specification (mm)
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Actual (mm)
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Approval / Reject`
- Approved
- Approved with Comments
- Reject
- Design Changes
