GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

DIC Graphics

Complaint No. :

Address

CIF No.: 002/WRH/II/2025

Phone

PIC

Invoice No. :

PO

Quality Order

Product : TINTA PROSES SHEET

Quality Complaint

Specification : INKS SYNER-G EX PROSES MAGENTA@2,5 KG

Problem :

TINTA KERING, KUALITAS BEDA DENGAN KALENG SEBELUMNYA KEMASAN @2.5 KG

Kategory of Complaint

Claim value (IDR/USD/SGD/EUR) :
Rp. 8.772.000.-

In Words

( Delapan juta tujuh ratus tujuh puluh 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 :

NO. PO	PO/24/2395		NO.DO	824143077

Jakarta, 20 Februari 2025

Prepared by,

Checked by,

Approved by,

20-02-2025

( Gita Siti )

20-02-2025

( Maurina Gurning )

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

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )

PT Gelora Aksara Pratama