FRSP-23.06.

2016 DEVIATION REQUEST FORM

TYPE OF REQUEST: DURATION:
Parts already supplied PERMANENT
Parts to be supplied REQUESTED EXPIRATION: Until      

REQUESTOR:       LOCATION:       DATE SUBMITTED:      

SUBJECT PART NAME/NO.      
SUBJECT SPECIFICATION:      
PRESENT REQUIREMENT/SITUATION (Product/Process/Packaging/Batch Nos/Quantity of Parts):
     

REQUESTED CHANGE:
     
REASON FOR CHANGE AND ANTICIPATED RESULTS:
     

REPLY: CHANGE REQUEST #      

THE SUBJECT REQUEST IS APPROVED AS WRITTEN. PENDING THE ISSUANCE OF A FORMAL SPECIFICATION
REVISION, THE SUBJECT SPECIFICATION SHOULD BE REGARDED AS HAVING BEEN OFFICIALLY
REVISED.

THE SUBJECT REQUEST IS APPROVED WITH THE CLARIFICATION

LISTED BELOW.
THE SUBJECT REQUEST IS NOT APPROVED FOR THE REASONS
LISTED BELOW.
COMMENTS:      

DEVIATION REQUEST APPROVALS/REJECTIONS:

PLANT REP.       DATE:      

PRODUCTION REP.       DATE:      

QUALITY REP.       DATE:      

Prepared by Deepak Vats Page 1

Approved by Arun Hegde