PT Gelora Aksara Pratama

Write what You Do, Do what You Write !
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.: 002/WEB/I/2026
Phone
PIC Invoice No. :
PO
Quality Order Product : HVS ROLL
Quality Complaint Specification : HVS ROLL 70 73 AQNA
Problem :
Kategory of Complaint
Claim value (IDR/USD/SGD/EUR) :
Rp.16.885.680
In Words
( Enambelas juta delapan ratus delapan puluh lima ribu enam ratus delapan puluh rupiah )
Data :
Notes :
Jakarta, 14 Januari 2026
Prepared by, Checked by, Approved by,
14-01-2026

( Gita Siti )
14-01-2026

( Maurina Gurning )
( ........................ )
( Staff Pembelian ) ( Ka. Bag. Pembelian ) ( Supplier )

Link Verifikasi Vendor :

LAMPIRAN USER
WhatsApp Image 2026-01-14 at 08.35.25.jpeg
WhatsApp Image 2026-01-14 at 08.35.50.jpeg
WhatsApp Image 2026-01-14 at 08.39.38.jpeg
WhatsApp Image 2026-01-14 at 08.39.51.jpeg
LAMPIRAN PCH
Catatan
Rp.16.885.680
LAMPIRAN AKT
002 Klaim CMI.pdf