PT Gelora Aksara Pratama
Write what You Do, Do what You Write !
Home
Appointment
Suma Portal
PM IT SUPPORT
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
Cakrawala Mega Indah
Complaint No. :
Address
CIF No.: 003/WRH/VI/2025
Phone
PIC
Invoice No. :
PO
Quality Order
Product :
Quality Complaint
Specification : HVS ROLL 70 73 AQNA
Problem :
QTY SURAT JALAN DENGAN FISIK ROL HASIL TIMBANG TIDAK SAMA ( RATA2 1 ROL 12 KG ) ( 12 KG X 6.131 ROL ) 73.572 KG
Kategory of Complaint
Quality
Handling
Packaging
Quantity
Delivery
Claim value (IDR/USD/SGD/EUR) :
In Words
(
Disetujui utk penggantian potong tagihan 16.125 kg senilai seratus delapan puluh lima juta empat ratus tiga puluh tujuah ribu lima ratus 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 :
NOMOR ID ROLL QTY KET' RUSAK 300811142 491.39 HASIL TIMBANG 448 300811140 491,39 HASIL TIMBANG 454 300780818 491,39 HASIL TIMBANG 466,6 300780815 491,39 HASIL TIMBANG 472,6 213902754 491,4 HASIL TIMBANG 474 NO.DO 5782264818 5782272767,5782269394,5782269403,5782272765,5782268277,5782269394,5782269403,5782268296,5782272420,5782272762,5782272765,5782268292,5782268296,5782272420,5782272762,5782269394
Jakarta, 03 Juli 2025
Prepared by,
Checked by,
Approved by,
03-07-2025
( Gita Siti )
03-07-2025
( Maurina Gurning )
( ........................ )
( Staff Pembelian )
( Ka. Bag. Pembelian )
( Supplier )
Link Verifikasi Vendor :
Copy
LAMPIRAN USER
HASIL SAMPLING TIMBANG ROLL.xlsx
LAMPIRAN PCH
LAMPIRAN AKT
Kembali
