PT Gelora Aksara Pratama
Write what You Do, Do what You Write !
FRM.WRH.03.02/rev-3
1

COMPLAINT INTERNAL FORM
BAGIAN : WEB
NO CIF : 005/WEB/II/2026
NO. MRN/TO : TORL/26/0334
NAMA BARANG : HVS ROLL 70 73 AQNA
TOTAL QTY : 761
NO. JOB : 260343
TANGGAL : 11-02-2026
2
JENIS BARANG
.........
3 JENIS COMPLAINT
COMPLAINT QUALITY (KHUSUS KERTAS) COMPLAINT NON QUALITY
4 *CATATAN KHUSUS KERTAS ROLL 5 *CATATAN KHUSUS KERTAS SHEET
NOMOR ID ROLL QTY KET' RUSAK
213984034 292 Flui
300805655 115 Flui
213983774 354 Flui
1. KODE LOT NUMBER
2. KERTAS SUDAH TERCETAK(HASIL CETAK OK) : .......RIM
3. KERTAS SUDAH TERCETAK(HASIL CETAK NG) : .......RIM
4. KERTAS BELUM TERCETAK UK' TO/MRN(PLANO) : .......RIM
5. KERTAS BELUM TERCETAK UK' SUDAH TERPOTONG X ............................. : .......RIM
6. ..................................................................... : .......RIM
* TOTAL QTY KERTAS : .......RIM
6
PROBLEM (NON KERTAS) :
7
USULAN :
8
CATATAN GUDANG :
NO. PO PO/25/0475 NO.DO 5782331868
PRN/25/5220 : 213984034 PRN/25/5222 : 300805655 PRN/25/5225 : 213983774 CAKRAWALA MEGA INDAH, PT
9 PELAPOR/USER MENGETAHUI WAREHOUSE PURCHASING
11-02-2026
( Fajar Setiyawan )
11-02-2026
( Fajar Setiyawan )
11-02-2026
( Indra )
13-02-2026
( Maurina Gurning )
NOTE : SETELAH DIISI MOHON DIKEMBALIKAN KE GUDANG
COPY : 1. WAREHOUSE 2. PURCHASING 3. USER
LAMPIRAN USER
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LAMPIRAN PCH
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