GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Cakrawala Mega Indah

Complaint No. :

Address

CIF No.: 011/WEB/IX/2023

Phone

PIC

Invoice No. :

PO

Quality Order

Product : HVS

Quality Complaint

Specification : HVS ROLL 70 88 INDIGO

Problem :

LEBAR UK KERTAS TIDAK SESUAI, UK 86 CM

Kategory of Complaint

Claim value (IDR/USD/SGD/EUR) :
Rp.14.632.000.-

In Words

( Empat belas juta enam ratus tiga puluh dua ribu 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 :

213255966	590	Lebar kertas 86cm          DO NO :5782005466
213255967	590	Lebar kertas 86cm

Jakarta, 06 September 2023

Prepared by,

Checked by,

Approved by,

06-09-2023

( Gita Siti )

06-09-2023

( Maurina Gurning )

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

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )