Form Type Distribute Version 2 Ref IPC 1752A Sectionals

Company TE Request Doc Supplier Information

Contact TE Product
Name
Company Connectivity
TE ID
Reponse Name
Contact Compliance Contact Title
Unique
Phone ID Connectivity Date 2019-12-18 Email productcompliance@te.com
Number +001-800-522-6752
Supplier Legal Statement
Acceptance true
Legal Statement
Supplier certifies that it gathered the provided information and such information is true and correct to the best of its knowled
of the date that Supplier completes this form. Supplier acknowledges that Company will rely on this certification in determinin
of its products. Company acknowledges that Supplier may have relied on information provided by others in completing this fo
Supplier may not have independently verified such information. However, in situations where Supplier has not independently
information provided by others, Supplier agrees that, at a minimum, its suppliers have provided certifications regarding their c
the part(s), and those certifications are at least as comprehensive as the certification in this paragraph. If the Company and th
into a written agreement with respect to the identified part(s), the terms and conditions of that agreement, including any war
and/or remedies provided as part of that agreement, will be the sole and exclusive source of the Supplier's liability and the Co
for issues that arise regarding information the Supplier provides in this form.

r Item Product
Number
Manufacture 1-1470107-2
CRIMP Amount 0.15 Version - Identity
r Item Name HOUSING 12P Weight UOM g Mfr Site Authority
Date 2019-12-18 UOM Each
item/Materia Substance Product Disclosure
Substance Concentratio
l/Substance Level Name
CRIMP Category CAS n Quantity
Sub Item 1 HOUSING 12P 1
Material 2 plastics 100.0000000
Substance 3 NYLON 6.6 32131-17-2 000
 Material Info Subsectionals D

ce@te.com

nd correct to the best of its knowledge and belief, as

ely on this certification in determining the compliance
vided by others in completing this form, and that
here Supplier has not independently verified
ovided certifications regarding their contributions to
is paragraph. If the Company and the Supplier enter
f that agreement, including any warranty rights
of the Supplier's liability and the Company's remedies

Mass per
Unit UOM Exemption
0.15 g
0.15 g
0.15 g