IMDS 获得批准的日期：IMDS data accept date:
首次认可Initial
Submission
EWO 更改EWO Change
SGM
供应商Supplier
1
2
3
4
5
国产 Local
进口Import
1
2
3
4
5
6
7
8
9
车型年:
Model Year:序号No.
注2：仅对于符合设计要求且与正式生产状态一致的零件需填写已提交的IMDS 表单ID 号。对于未填写IMDS 表单ID 号的零件仅做临时认可。
Noter:The parts which are according to the requirements of design and launch need IMDS ID.Parts without IMDS ID only are approved temporarily.通过何种质量体系认证
QS Passed
IMDS 表单ID 号(2)
：IMDS data sheet ID:
材料及分供方清单
MATERIAL AND SUBCONTRACTOR LIST
适用车型:
Application Vehicle:部件供应商名称 (生产
地点）
Component Supplier
Name (Production
Location)
材料标准Material Specification 零件名称:Part Name:提交理由
Reason For Submission
零件号:Part No:EWO 更改备注：Comment Of EWO:
材料名称和材料牌号Material Name and Grade Code
单件重量Mass （Kg ）部件状态
Component Status
SGM SQE 签字:SGM SQE Signature:
注3：无论是否正式认可，本清单中任何信息如有变更应及时重新递交分供方清单。
Noter ：Whether or not officially approved, any infromation of this list changes the subcontrator list are subject to re-submit in time.
件/辆份
Pc/V.Set
材料供应商名称 (生产
地点）
Raw Material Supplier
Name (Production
Location)材料分类 Material
Classification
领用件Direct Buy
外协Subcontract 通过何种质量体系认证
QS Passed
注1：DRE 、材料组确认符合性; SQE 确认真实性，供应商保证从工程到正式生产，其分供方清单与零件交付状态保持一致。
Noter: DRE, Material Team to confirm the coincidence; SQE to confirm the authenticity, and to ensure the conformance to requirements from engineering to launch that suppliers control the subcontractors.The subcontrator list should be according with the parts status of delivery.外观部件Appearance Component (Y/N)
零件可视图
Part Visable Pic.零件/部件名称
Part/Component
Name
临时认可：仅针对此次交样，不作为正式工程认可文件使用/Temporarily approve:only for this delivery,not as the officially approved OTS file
PATAC 材料组签字:
PATAC Material Team Signature:
PATAC 设计发放工程师签字:
DRE Signature:
完成PPAP Production Approved （Y/N)
正式认可(3)
：零件状态与设计要求一致/Officially approve:The status of part are according with the requirements of design
供应商负责工程师签字:
Supplier Authorized Signature:
零件/分部件零件号 Part/Component Number
零件号Part No
部件装配级别Component ASM
Level 自制Homemade
TS-090-005-ATT111.01
08/06/2011
Print Date:2015-6-18