GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Cakrawala Mega Indah

Complaint No. :

Address

CIF No.: 003/WRH/XI/2023

Phone

PIC

Invoice No. :

PO

Quality Order

Product : HVS SHEET

Quality Complaint

Specification : HVS 80 61X82 PPLUS

Problem :

KERTAS JATUH PADA SAAT BUKA WING BOX DARI ATAS MOBIL KE DASAR ASPAL ( KERTAS RUSAK )

Kategory of Complaint

Claim value (IDR/USD/SGD/EUR) :
Rp. 1.974.000

In Words

( Satu juta semibilan ratur tujuh puluh emat ribu 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 :

LOT NO : 620430563
NO.DO  :	5782034643

Jakarta, 27 November 2023

Prepared by,

Checked by,

Approved by,

27-11-2023

( Gita Siti )

27-11-2023

( Maurina Gurning )

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

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )

PT Gelora Aksara Pratama