MASK ORDER & VERIFICATION SHEET
GMS81608-HC
Customer should write inside thick line box.
1. Customer Information
2. Device Information
Company Name
Package
40DIP
42SDIP
Application
44PLCC
Order Date
Tel:
Name &
Signature:
YYYY
MM
DD
Fax:
3. Marking Specification
Mask Data File Name: (
.OTP)
Check Sum: (
)
Hitel
Chollian
0000H
Set “FF” in
Internet
5FFFH
6000H
this area
ROM (8K)
7FFFH
LGS
GMS81608 -HC
Customer’s part number
(Please check mark into )
YYWW KOREA
4. Delivery Schedule
YYYY
Customer Sample
YYYY
Risk Order
Date
MM
DD
MM
DD
Quantity
pcs
pcs
LG Confirmation
5. ROM Code Verification
YYYY
Verification Date:
MM
DD
Please confirm our verification data.
Check Sum:
Tel:
Fax:
Name &
Signature:
This box is written after “5.Verification”.
YYYY
Approval Date:
MM
DD
I agree with your verification data and confirm
you to make mask set.
Tel:
Fax:
Name &
Signature:
LG Semicon