GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Cakrawala Mega Indah

Complaint No. :

Address

CIF No.: 008/WEB/II/2024

Phone

PIC

Invoice No. :

PO

Quality Order

Product : HVS ROLL

Quality Complaint

Specification : HVS ROLL 70 73 AQNA

Problem :

-FLUI         -CORE KENDOR

Kategory of Complaint

Claim value (IDR/USD/SGD/EUR) :
Rp. 10.036.000.-

In Words

( sepuluh juta tiga puluh enam 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 :

300515421	381	FLUI/PEANG
300515527	391	CORE KENDOR/GESER  , NO.DO	6782070688

Jakarta, 29 Februari 2024

Prepared by,

Checked by,

Approved by,

29-02-2024

( Gita Siti )

29-02-2024

( Maurina Gurning )

01-03-2024

( Oscar )

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )