GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Cakrawala Mega Indah

Complaint No. :

Address

CIF No.: 002/WEB/III/2023

Phone

PIC

Invoice No. : 1

PO

Quality Order

Product : HVS ROLL

Quality Complaint

Specification : HVS ROLL 70 82 PAPER PINDOPLUS

Problem :

-FLUI

Kategory of Complaint

Claim value (IDR/USD/SGD/EUR) :
Rp.14.067.000

In Words

( Empat Belas Juta enam puluh tujuh riburupiah )

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, 10 Maret 2023

Prepared by,

Checked by,

Approved by,

10-03-2023

( Gita Siti )

10-03-2023

( Maurina Gurning )

13-03-2023

( Oscar )

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )

PT Gelora Aksara Pratama