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.: 015/WEB/VII/2025
Phone
PIC
Invoice No. :
PO
Quality Order
Product : HVS ROLL
Quality Complaint
Specification : HVS ROLL 70 73 AQNA
Problem :
-FLUI
Kategory of Complaint
Quality
Handling
Packaging
Quantity
Delivery
Claim value (IDR/USD/SGD/EUR) :
Rp. 16.953.300
In Words
(
Enam belas juta sembilan ratus limapuluh tiga ribu rigaratus 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 213778918 491.40 FLUI 213778686 491.40 FLUI 213902319 491.40 FLUI NO.DO 5782272427 CAKRAWALA MEGA INDAH, PT PRN/25/2803 213778918 ( PO/24/2216 ) 5782244092 213778686 ( PO/24/2216 ) 5782242173
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
WhatsApp Image 2025-07-01 at 14.12.06 (1).jpeg
WhatsApp Image 2025-07-01 at 14.12.06 (2).jpeg
WhatsApp Image 2025-07-01 at 14.12.06.jpeg
WhatsApp Image 2025-07-01 at 14.12.07 (1).jpeg
WhatsApp Image 2025-07-01 at 14.12.07.jpeg
LAMPIRAN PCH
LAMPIRAN AKT
020. Klaim CMI.pdf
Kembali
