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.: 015/SHT/IX/2025
Phone
PIC
Invoice No. :
PO
Quality Order
Product : 10.08
Quality Complaint
Specification : HVS 70 65X88 RAP PRM
Problem :
-FLUI
Kategory of Complaint
Quality
Handling
Packaging
Quantity
Delivery
Claim value (IDR/USD/SGD/EUR) :
Rp.2.205.360
In Words
(
Dua juta lima ratus dua ribu tiga ratus enam 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 :
SJ25030/12688
Jakarta, 03 Oktober 2025
Prepared by,
Checked by,
Approved by,
03-10-2025
( Gita Siti )
03-10-2025
( Maurina Gurning )
( ........................ )
( Staff Pembelian )
( Ka. Bag. Pembelian )
( Supplier )
Link Verifikasi Vendor :
Copy
LAMPIRAN USER
WhatsApp Image 2025-09-29 at 13.48.04.jpeg
LAMPIRAN PCH
Catatan
Rp.2.205.360
LAMPIRAN AKT
028. Klaim CAF 41-45 CJP.pdf
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