GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Budi Karya Sentosa Sejati

Complaint No. :

Address

CIF No.: 001/WRH/III/2024

Phone

PIC

Invoice No. :

PO

Quality Order

Product : 1200 KG

Quality Complaint

Specification : UV LUMINTU HG

Problem :

KARENA CAIRAN BERBAU MENYENGAT

Kategory of Complaint

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

In Words

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

Ect KARENA CAIRAN BERBAU MENYENGAT

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, 02 April 2024

Prepared by,

Checked by,

Approved by,

02-04-2024

( Nurul )

02-04-2024

( Maurina Gurning )

02-04-2024

( Aris )

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )