GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Huber Inks Indonesia

Complaint No. :

Address

CIF No.: 004/SHT/VIII/2025

Phone

PIC

Invoice No. :

PO

Quality Order

Product : TINTA PROSES

Quality Complaint

Specification : INKS CROWN MAGENTA @2KG

Problem :

Tinta huber crown hvs magenta, cyan, yellow, black nyiprat di ujung silinder blanket dan silinder impresion. tinta terlalu encer sehingga nyiprat.

Kategory of Complaint

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

In Words

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

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 :

AKAN DITARIK SEMUA STOCK TINTA YANG ADA DI GUDANG DAN DIGANTI DENGAN BATCH BARU

Jakarta, 27 Agustus 2025

Prepared by,

Checked by,

Approved by,

27-08-2025

( Nurul )

27-08-2025

( Maurina Gurning )

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

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )