Appendix ( ii )

Parts SPECIAL ACCEPTANCE Application Form - SOEMKL

IMPORTANCE NOTICE PQA Reg. No.
This form is not applicable for "Product Environment" related issue

Aureumaex Precision Plastics (M) Sdn

Partner Name : Tel No : 013-2007852
Bhd
Applicant Name : Hafizuddin e-mail : hafizuddin@aureumaex-app.com

Application Date : 5/10/2022

Part Number : Bare 5023386-XX Delivery PO
Quantity Remarks
FGS 5024590-XX / 5024387-XX Schedule No.
(please attached the list if necessary)
1600 FSK
Part Name : Rear Cover L LYX / RIS
GA#3
250 INZ

Special Acceptance Description :

2650 CTTI
Shining Mark at pin lifter position (refer sample)

SA QTY 4500pcs
Cause of Defects : Countermeasure / Preventive Action :
Shining marked caused by lifter pin hit cavity Repair tooling

Effective Date: 10/10/2022

MARKING :
The SPECIAL ACCEPTANCE lot will be marked with SA at the label and indication
for every trolley/pallet

Comment by SOEMKL - Design / Engineering Verification Result

Accepted Rejected

Comment by SOEMKL - PQA Verification Result

Accepted Rejected

Special Acceptance Flow :

Partner --> Sourcing/Procurement --> Engineering/Design --> PQA --> Sourcing/Procurement --> Partner

PARTNER SONY - KL tec

Prepared Approved Sourcing Engr./Design PQA Sourcing Partner

Note:
1. Please submit samples and data when necessary.
2. The "Special Acceptance" lot must have a control marking for identification at the outer and inner packaging.
PQA-REC-ASA-11/10