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DOC NO.

: F/PD/18
Initial Supply Termination Sheet REV NO. :- 00
EFF. DATE:- 01/09/22

PART NAME: PART NO. : COSTOMER:

Description of Change:

S.NO. ITEM CONTENTS

Initial Product Control


1 From : To :
Duration

Results Result

M1 M2 M3

Conclusion(Put Mark against appropriate column)

Initial Production Control Terminated [ ] Date:

Initial Production Control Extended [ ] Date:


If extended please mention extention period:

Signature of Plant Head: Signature of NPD Head:

Signature CFT:

Prepared By: Approved By:

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