| Supplier Name | Product Name | ||
|---|---|---|---|
| Supplier Code | Product Code | ||
| Contact Person | Submission Date |
| Sample Reference No | Sample Description | ||
|---|---|---|---|
| Quantity | Received Date |
| Criteria | Pass/Fail | Remarks |
|---|---|---|
| Design/Appearance | ||
| Material Quality | ||
| Functionality | ||
| Dimensions | ||
| Packing/Labeling | ||
| Others |
| Decision | |
|---|---|
| Remarks |
| Prepared by | Date | ||
|---|---|---|---|
| Reviewed by | Date | ||
| Approved by | Date |