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    17 views6 pages

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    sharan
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    of 6
    GS PSLARis Part Submission Warrant ne. PartName ASM. LOCK, FORK, 1 AMM, INT Cust Part Number 4010937 ‘Shown on Drawing Number 4016937 (LK 423662) fa Part Number tx42aecz Engineering Chango lvel MINDA (1) POLARIS) Doted _22:10-2010 ‘Acsional Engineering Changes wa Dated ‘Safety andlor Government Regustion Lves GZ]No Purchase Order No. Weint(ka) _ 0.154 Checking Aid No NA Checking aid engineering Change Love Date ORGANISATION MANUFACTURING INFORMATION (CUSTOMER SUBMITAL INFORMATION MINDA CORPORATION LTD. MIS POLARIS INDUSTRIES USA “Grgarizaon Name & SuppberNVandor Code Tamiorer Nameonaion 572, CHAKAN INDUSTRIAL AREA, PHASE il MIDC, NANEXAR WADI MAREN UNDOUIST ‘Soe Adress Baveraayer Coe UNE MAHARASTRA 410501 nia ASM LOCK. FORK. 14MM, INT Gy ‘State Postal code Taunt Aepkeston MATERIALS REPORTING Ha customer-equed substances of concern information been reported? ves Ono Eve ‘Submated by IMDS or other customer format ‘Ace polymeric pars kenifed with appropiate ISO marking codes? De Ono REASON FOR SUBMISSION (Check at least one) Inti submieson ‘Change te Optional Conevucton or Mee Engineering Changes) ‘Sub-Suppler or Material Source Change Tooling: Tranter, Replacement, Refurbishment, o ational Change in Par Processing Cecio of Dicrepancy Paris produced at Addons Locaton Toaing inactve > than 1 yeat ‘Other plase spect [REQUESTED SUBMISSION LEVEL (Check one) {Level - Warrant ony (and for designated appearance tems, an Appearance Approval Repo) submited to customer. E]_ Level 2- Warrant wth product samples and ited supporting ata submited to customer, Level 3- Wasrant wt product samples and complete supporting data submitted to customer, eval 4- Warrant and other requirements a6 defined by custome, Level 5 - Warrant win product samples and complete supporting data reviewed at suppers manutatunng location SUBMISSION RESULTS Theresutsfor [Z] dmonsona measurements ([]__matasatanatuncsonaltets — [[]sppearancectene [sabe proces pctage These ests met raving and pesto requirement Yes [No (t-Nor- Explanation Renee) Nols Cay Proscton Process [ASSY PROCESS DECLARATION | afr thatthe samples presenta by this warrant are representative of our pats, have been made by a process that meets all Production Pat [Approval Process Manual 4 Edon Raqurements, futher arm that these samples were produced atthe production rate of 450 peal 8 Hours [also certy that documented evidence of such complance fn fe and avalable fr review. have noted any deviations ftom this declaration below. EXPLANATIONICOMMENTS. ‘s-each Customer Too propety tagged sndnumbored? — []ves LoL] wa Cromer Auboraadsineare yt ate At pean Yeas air Phone Ne _ GE as G0 caacaueGo) Fes re es ty coat pet ctatrindecrpernc FOR CUSTOMER TEE ORT OF PRES pavement ‘Txt “Cleked Clee igi oo. Prot Name CCutomee Tracking number (options) oS PSLanisS Part Submission Warrant i PatNane SWITCH -\GAITON Cunt Pat Nomber aowes ‘Shown on Drving Numba 4014495 (SW.01652/AZ 1a Pat Number ‘SW.at652/02 Engnouing Change oat MINOA @) POLARIS) Deted _ 20102010 AdatonalEngneting Changes wa Dated ‘Safety and/or Government Regulation Dres No Purchase Order No. ‘Weight (kg) Checking NaN NA Cheeking sd enineing Change Lev NA bated ‘ORGANISATION MANUFACTURING INFORMATION CUSTOMER SUBMITAL INFORNATION MINOA CORPORATION LTO ws POLARIS INDUSTRIES USA iparaton Nate ESupphOORIY CODE aoe Naa 52, CHAKAN INDUSTRIAL AREA, PHASE I MIDG, NANEXAR WADI ageN uNDQUST ‘Street Address BuyeriBuyer Code une mavanasTRA 410801 nova STH IGNITION Gey Es Pox code County een MATERIALS REPORTING Has customer-requited substances of concer formation been reported? Ove Ono Subrted by MOS or or cto format se polmetic pars ested wit appropiate ISO making code? Dyes On Ge REASON FOR SUBMISSION (Check at leas one) etd ebrizion change to Optonal Constucton or Mert Engnesing Chane) ‘Sub-Suppler or Mato Source Change Toaing Tater, Repacemen, Refit, radon henge m Pat Proomesing Conecon ef crepancy Pate duced at Adon! Locaton Toc ncive> then yor Cte ease spect [REQUESTED SUBMISSION LEVEL (Check one) Level - Warrant ont (and or designated appearance tems, an Appearance Approval Report) submited to customer Level 2- Warrant wth product samples and lmted supporting data submited te customer. Level 3 - Warrant wth product samples and complete supporting data submited to customer. Level 4- Warrant and other requirements a defined by customer Level 5- Warrant wth product samples and complete supporting data reviewed at suppers menutactunng locaton tela tunconat tests]. sppearance tena [[] sttets process package ‘These eauits meet al drawing and speiicaton requirements vs (00 (P-NO™ -Expanaton Required) Mold /Caviy / Production Process [ASSY PROCESS, DECLARATION | ati thatthe samples represented bythe waren are representative of our parts, have ben made by a process that mets al Production Pat ‘Approval Process Manual 4” Editon Requrements. | futer afr that these samples were produced atthe production rate of 450 pal 8 Hours | eho cently that documented evdence of such complance i on le and avaiable for review have noted any deviations from ths declaraton blow exe ansTioNoMMENTS heh unen tl meh moa — Efe Cie Liew cxpmeaton Attend Snare Sey th pw _10-42-201] Pinte ‘open Ona one No E216 46140 (CN GS209655,_—_FaxNo rm a0 sty eat open hutargrindscrporon son "FOR CUSTOMER USE ONLY (F APPLICABLE) Pan Warrant Dspeston —-«CLayproved Rejected == LJ ter (Customer Signature al Print Name Customer Tracking number (psona), + [own 1950 wo | Ho | ta7sno70 2 [angie 1. soy | ap | ratm2e 3 [ow 100 wos | pe | tazansas 4 |serew ghtning tore. 15-20Kefom : tw | i6n7 Kem ‘SE VIEW 4 bengin 100.00

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