GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Budi Karya Sentosa Sejati

Complaint No. :

Address

CIF No.: 002/FIN/I/2024

Phone

PIC

Invoice No. :

PO

Quality Order

Product : 3 CAN

Quality Complaint

Specification : SILICON SPRAY TRITON

Problem :

Informasi dari produksi :
1. Terlalu banyak gas ( kandungan silicon kurang )
2. Lengket di pisau sehingga lem masih menempel

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 :

Jakarta, 06 Februari 2024

Prepared by,

Checked by,

Approved by,

06-02-2024

( Nurul )

07-02-2024

( Maurina Gurning )

08-02-2024

( Aris Budi )

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )

PT Gelora Aksara Pratama