GAP Portal

COMPLAINT ASSESSMENT FORM

Supplier Name

Cakrawala Mega Indah

Complaint No. :

Address

CIF No.: 012/WEB/VI/2025

Phone

PIC

Invoice No. :

PO

Quality Order

Product : HVS ROLL

Quality Complaint

Specification : HVS ROLL 70 73 AQNA

Problem :

-SAMBUNGAN JELEK  -CORE KENDOR

Kategory of Complaint

Quality	Handling
Packaging	Quantity
Delivery

Claim value (IDR/USD/SGD/EUR) :
Rp. 2.608.200

In Words

( Dua juta enam ratus delapan ribu dua rarus 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 :

300780503	226.8	CORE KENDOR
213902015	-	SAMBUNGAN PUTUS
213902002	-	SAMBUNGAN PUTUS
213902072	-	SAMBUNGAN PUTUS
213902635	-	SAMBUNGAN PUTUS

	NO.DO	5782272763

Jakarta, 23 Juni 2025

Prepared by,

Checked by,

Approved by,

23-06-2025

( Gita Siti )

23-06-2025

( Maurina Gurning )

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

( Staff Pembelian )

( Ka. Bag. Pembelian )

( Supplier )

PT Gelora Aksara Pratama

Write what You Do, Do what You Write !

Notifikasi Approval

Detail Dokumen

PT Gelora Aksara Pratama

Write what You Do, Do what You Write !