GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Cakrawala Mega Indah

Complaint No. :

Address

CIF No.: 001/SHT/VIII/2024

Phone

PIC

Invoice No. :

PO

Quality Order

Product : HVS SHEET

Quality Complaint

Specification : HVS 70 67X100 PAPER PLUS PINDO

Problem :

-CACAT COATING

Kategory of Complaint

Claim value (IDR/USD/SGD/EUR) :
Rp. 3.425.787,-

In Words

( Tiga Juta rempat ratus dua puluh lima ribu tujuh ratus delapan puluh 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 :

DO NO: D1L0033730, KERTAS SUDAH TERCETAK DAN TERPOTONG UK : 64.6X95.6

Jakarta, 10 September 2024

Prepared by,

Checked by,

Approved by,

10-09-2024

( Gita Siti )

10-09-2024

( Maurina Gurning )

13-11-2024

( Oscar )

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )