C. MASK ORDER SHEET
MASK ORDER & VERIFICATION SHEET
GMS81C21XX-HJ
Customer should write inside thick line box.
1. Customer Information
Company Name
Application
Order Date
Tel:
E-mail address:
Name &
Signature:
YYYY
MM
DD
2. Device Information
Package
42SDIP
Internet
File Name
Mask Data
ROM Size (bytes)
Check Sum
(
(20K) 3000
H
(12K) 5000
H
Set “00
H
” in blanked area
7FFF
H
.O TP file
44MQFP
Hitel
(
12K
)
40PDIP
Chollian
) .OTP
20K
Fax:
(Please check mark
√
into
)
3. Marking Specification
12 or 20
Customer’s logo
GMS81C21XX-HJ
YYWW
KOREA
GMS81C21XX-HJ
YYWW
KOREA
Customer logo is not required.
If the customer logo must be used in the special mark, please submit a clean original of the logo.
Customer’s part number
4. Delivery Schedule
Date
Customer sample
Risk order
YYYY
MM
DD
Quantity
pcs
pcs
HYNIX Confirmation
YYYY
MM
DD
5. ROM Code Verification
Please confirm out verification data.
YYYY
Verification date:
Check sum:
Tel:
E-mail address:
Name &
Signature:
Fax:
MM
DD
YYYY
Approval date:
MM
DD
I agree with your verification data and confirm you to
make mask set.
Tel:
E-mail address:
Name &
Signature:
Fax:
HYNIX [ HYNIX SEMICONDUCTOR ]
