GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Cinjoejaya Perkasamuda

Complaint No. :

Address

CIF No.: 009/WEB/IV/2024

Phone

PIC

Invoice No. :

PO

Quality Order

Product : HVS ROLL

Quality Complaint

Specification : HVS ROLL 70 73 RAP PREMIUM

Problem :

-CORE RUSAK

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 :

ID ROLL 3153350752, NO. PO/23/1226		NO.DO	SJ23036/18822

Jakarta, 18 April 2024

Prepared by,

Checked by,

Approved by,

18-04-2024

( Gita Siti )

18-04-2024

( Maurina Gurning )

25-04-2024

( PT.CINJOE JAYA )

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )

PT Gelora Aksara Pratama