GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Budi Karya Sentosa Sejati

Complaint No. :

Address

CIF No.: 001/FIN/I/2024

Phone

PIC

Invoice No. :

PO

Quality Order

Product : 4 LITER

Quality Complaint

Specification : SILICON CAIR F148 @LTR

Problem :

SILICON CAIR TERLALU KENTAL, sehingga kurang maksimal pada saat penyemprotan di mesin potong .

Kategory of Complaint

Claim value (IDR/USD/SGD/EUR) :

In Words

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

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 :

Jakarta, 28 Februari 2024

Prepared by,

Checked by,

Approved by,

28-02-2024

( Nurul )

28-02-2024

( Maurina Gurning )

28-02-2024

( Aris Budi )

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )