Customer Notification Request: FPHWQGEN0006 (03) A

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CUSTOMER NOTIFICATION REQUEST

Department

Originator (Name)
CUSTOMER

PROJECT

SOURCE OF CHANGE:

MODEL NAME

Internal

MODEL NO.

CATEGORY OF CHANGE
Ref doc

Customer

CNR No.

Manufacturing Improvements

Dept

Quality Improvements

(Pls attach relevant documents)

New Line / Product setup


Relocation / Restructuring the line
Others : _____________________

Reason of Change ( Including root cause investigation result is any/attach with supporting data/reports)

Description of Change
Before Change

Item

After Change

Temporary

Permanent

Effective Date

DEPARTMENTAL APPROVAL
Department

Name

Signature

Date

Planning
Purchasing
Engineering
Quality Assurance
Date Submitted to Customer
CUSTOMER APPROVAL
Temporary Change

Accept

Reject

Permanent Change

Accept

Reject

Reason

Name
Signature
Date
Customer Comments :

IMPLEMENTATION STATUS

Open
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Originator
FPHWQGEN0006(03)A

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