Supplier confirmation: Customer decision: Comments: Approved Rejected, re-sampling required Comments: Name: Name: Department: Department: Telephone: Telephone: Fax: Fax: E-mail: E-mail: ___________________________________________________________________________________________ ___________________________________________________________________________________________ Date Signature Date Signature Form-No.:
Supplier confirmation: Comments: Customer decision: Approved Rejected, re-sampling required Comments: Name: Department: Telephone: Fax: E-mail: ___________________________________________________________________________________________ Date Signature Name: Department: Telephone: Fax: E-mail: ___________________________________________________________________________________________ Date Signature Form-No.: