GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Cinjoejaya Perkasamuda

Complaint No. :

Address

CIF No.: 004/WEB/II/2024

Phone

PIC

Invoice No. :

PO

Quality Order

Product : HVS ROLL

Quality Complaint

Specification : HVS ROLL 70 82 RAP PREMIUM

Problem :

-PENYOK AKIBAT BENTURAN

Kategory of Complaint

Claim value (IDR/USD/SGD/EUR) :
Rp.7.182.000.-

In Words

( Tujuh juta seratus delapan 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 :

ID ROLL 3153263112, 3153263112

Jakarta, 28 Februari 2024

Prepared by,

Checked by,

Approved by,

28-02-2024

( Gita Siti )

28-02-2024

( Maurina Gurning )

23-07-2024

( PT.CINJOE JAYA )

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )