PT Gelora Aksara Pratama
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FRM.PCH.04.01/rev-3
PT. GELORA AKSARA PRATAMA
Jl. H. Baping Raya No. 100, Ciracas, Pasar Rebo, Jakarta timur. Telp (021) 8710060. Fax (021) 8710566
COMPLAINT ASSESSMENT FORM
Supplier Name
Cinjoejaya Perkasamuda
Complaint No. :
Address
CIF No.: 014/WEB/XII/2024
Phone
PIC
Invoice No. :
PO
Quality Order
Product : HVS ROLL
Quality Complaint
Specification : HVS ROLL 70 88 RAP PREMIUM
Problem :
-FLUI
Kategory of Complaint
Quality
Handling
Packaging
Quantity
Delivery
Claim value (IDR/USD/SGD/EUR) :
Rp. 7.458.750.-
In Words
(
Tujuh juta empat ratus lima puluh delapan ribu tujuh ratus lima 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 :
NO.DO 3144363902 SJ24036/17206
Jakarta, 11 Januari 2025
Prepared by,
Checked by,
Approved by,
11-01-2025
( Gita Siti )
11-01-2025
( Maurina Gurning )
( ........................ )
( Staff Pembelian )
( Ka. Bag. Pembelian )
( Supplier )
Link Verifikasi Vendor :
Copy
LAMPIRAN USER
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LAMPIRAN PCH
LAMPIRAN AKT
Surat Klaim 001 - Cinjoe.pdf
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