BORDEN CO. (PTE.) LTD.

No. 9 Jalan Kilang, Singapore 159409 Form SMR.11T.L

Appendix 3

Starting Materials Record (Status After Testing)

1. Name of starting material 2. Unit Identifying No. 3. Suppliers component No. 4. Date of goods received 5. Date of sampling 6. Date of QC checking 7.1 Checking details English Text Label, Thailand, 3 ml, (LT3) LT3-12-02 KM_LFYS_THAI_3 21 June 2012 22 June 2012 25 June 2012

Label

Check with validated specifications PPM/12LT3

7.2 Remarks 1

Detailed check list attached to this document. Complies with Specification. Approved.

8. Laboratory QC No. 9. Date of approval by QC 10. Total quantity approved

LT3/16/12
25 June 2012 360,000 Pieces (6 Packets x 5 Rolls x 10,000 Pieces) + (1 Packet x 6 Rolls x 10,000 Pieces)

PO quantity: Pieces PO completed.

360,000

DO quantity for this delivery: Pieces Remaining balance after this delivery:

360,000 NIL

Remarks 2: QC Approved labels provided to Packaging Section Head. Inform the Packaging Section Head as follows: To provide Approved labels to the Storekeeper and instruct him to cancel the goods from Quarantine status. To affix Approved labels on each packet and transfer the goods to Approved Storage Area for packaging materials.

To receive and record the total quantity of approved packaging materials.

Ref. SOP. NO. 107.8

Edition: 6

Date Effective: 01 June 2011

BORDEN CO. (PTE.) LTD.

No. 9 Jalan Kilang, Singapore 159409 Form SMR.11T.L

Appendix 3

Starting Materials Record (Status After Testing)

Label

Checked by (Signature): Name : William Chandra Designation Department Department Date : Monday, June 25, 2012

Approved by (Signature): Name : : : : Date : Tan Hui Pen Laboratory Technician Quality Control Chemist Quality Control Department Quality Control Department : Monday, June 25, 2012

Designation

Retention sample taken from packet(s) = 20 pieces from 2 rolls

Description of item received Copy of this document

Quantit y (Pieces) 1

Received by (Signature)

Received by

Date

Packaging Section Head

25 June 2012 25 June 2012 25 June 2012

Approved status labels

PS Head Storekeeper

Approved starting materials

document.

360,00 0

PS Head Storekeeper

* Number of Approved labels printed: 8. Identical copy of Approved label is attached to this

Ref. SOP. NO. 107.8

Edition: 6

Date Effective: 01 June 2011