SUPPLIER CHANGE NOTIFICATION FORM

Supplier Name Customer

Part Name Date

Part No EO No & Rev No

Reason for change Customer's requirement / Internal requirement /Customer complaint/Others

Type of change Process / Product

Details of Modification / Changes

Effect of changes

1.Mould / Tool modification 6.Sub-assy modification 11.Measurement Change

2.Material change 7.Packing change 12. New Jigs/ Fixtures req.

3.New gauges/Instrument req. 8.Document updation 13. Change in existing Jigs/ Fixture

4.Process Add/Delete/Modifiaction 9.New Tooling / Mould req. 14.Machine Add/Remove

5.Process Parameter Change 10.Poka yoke & Spl Charac Add/Remove 15. Others (Specify)

Team Feasibility Commitment Required Not Required

Risk Analysis Study Required Not Required

Existing stock :- Available / Not available (If Available Qty & Details) :-

What will be done for existing stock: Use as it is / Use in other models / Rework & use for same model / Rework & use for other model / Scrap

Documents Requirement Details

Drawing PFD FMEA Control Plan Work Instruction PPAP/ISIR/4M WI

Others (Specify)

Prepared Checked Approved Plant Head

Date

Team Feasibility Commitment Required Not Required

Risk Analysis Study Required Not Required

Change Approved Change Not Approved

Reason for Not Approval:

ECN Number :

Sign of CFT members

SQA Purchase Prodn Dev QA Others

Rev.No Rev.Date Rev.Details