GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Cakrawala Mega Indah

Complaint No. :

Address

CIF No.: 006/WEB/V/2023

Phone

PIC

Invoice No. :

PO

Quality Order

Product : HVS ROLL

Quality Complaint

Specification : HVS ROLL 70 73 INDIGO EX PINDO

Problem :

-FLUI  -LENGKET              KERTAS BEDA WARNA

Kategory of Complaint

Quality	Handling
Packaging	Quantity
Delivery

Claim value (IDR/USD/SGD/EUR) :
Rp. 50.885.800.-

In Words

( Lima puluh juta delapan ratus delapan puluh lima ribu delapan ratus rupiah )

Ect ..................................................................................................................................

Data :

Original sample / before process	Copy of DN
Sample after process	Photo
Comparison sample	Packaging
Inspection Card	Pull Tape ( for Picking / Dusting problem )
Ream Label
Ect

Notes :

P2BD027774	468	FLUI
P2BD028319	485	LENGKET
P2BD028302	480	FLUI
P2BD028340	474	FLUI
P2BD028363	479	FLUI
P2BD028234	482	FLUI
P2BD028131	482	FLUI
P2BD021671	476	Warna kertas berbeda

DO NO: 1261713933

Jakarta, 24 Mei 2023

Prepared by,

Checked by,

Approved by,

24-05-2023

( Gita Siti )

24-05-2023

( Maurina Gurning )

( ........................ )

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )