QUALITY INFORMATION SHEET

Design Change Process Change Quality Abnormality

Model No. Attached Data
A. Temporary process→ Regular process
Yes
Content
B. Manufacturing Plant Change
Part Name (Please describe chan

C. Die/Mold Modification or Renewal

PCB T77H505.00 ASSY 04
Part No.
D. Machine/Equipment Change
LD1969001
“First ar
E. Processing method/condition change
Lot No./Order No.

F. Material change
4504701151-00011
G. Others
Lot size Supplier Name

Foxconn
Delivery date Supplier Authorized
December 19, 2016
MM DD YY
BROTHER INDUSTRIES (PHILIPPINES), INC.

QUALITY INFORMATION SHEET

Design Change Process Change Quality Abnormality
Model No. Attached Data
A. Temporary process→ Regular process
Yes
Content
B. Manufacturing Plant Change
Part Name (Please describe chan

C. Die/Mold Modification or Renewal

PCB T77H505.00 ASSY 04
Part No.
D. Machine/Equipment Change
LD1969001
“First ar
E. Processing method/condition change
Lot No./Order No.

F. Material change
4504701151-00011
G. Others
Lot size Supplier Name

Foxconn
Delivery date Supplier Authorized
December 19, 2016
MM DD YY
BROTHER INDUSTRIES (PHILIPPINES), INC.

QUALITY INFORMATION SHEET

Design Change Process Change Quality Abnormality
Model No. Attached Data
A. Temporary process→ Regular process
Yes
Content
B. Manufacturing Plant Change
Part Name (Please describe chan

C. Die/Mold Modification or Renewal

PCB T77H505.00 ASSY 04
Part No.
D. Machine/Equipment Change
LD1969001
“First ar
E. Processing method/condition change
Lot No./Order No.

F. Material change
4504701151-00011
G. Others
Lot size Supplier Name

Foxconn
Delivery date Supplier Authorized
December 19, 2016
MM DD YY
BROTHER INDUSTRIES (PHILIPPINES), INC.

QUALITY INFORMATION SHEET

Design Change Process Change Quality Abnormality
Model No. Attached Data
A. Temporary process→ Regular process
Yes
Content
B. Manufacturing Plant Change
Part Name (Please describe chan

C. Die/Mold Modification or Renewal

PCB T77H505.00 ASSY 04
Part No.
D. Machine/Equipment Change
LD1969001
“First ar
E. Processing method/condition change
Lot No./Order No.

F. Material change
4504701151-00011
G. Others
Lot size Supplier Name

Foxconn
Delivery date Supplier Authorized
December 19, 2016
MM DD YY
BROTHER INDUSTRIES (PHILIPPINES), INC.
 QIS No.

ached Data Design Change No.

No

ease describe changes specifically)

“First article delivery for Mini15”

Accepted

QIS No.

ached Data Design Change No.

No

ease describe changes specifically)

“First article delivery for Mini15”

Accepted

QIS No.
ached Data Design Change No.
No

ease describe changes specifically)

“First article delivery for Mini15”

Accepted

QIS No.

ached Data Design Change No.

No

ease describe changes specifically)

“First article delivery for Mini15”

Accepted