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CUSTOMER FEEDBACK FORM

DATE
CONTROL NO.

I. CUSTOMER INFORMATION
CUSTOMER NAME: CONTACT PERSON:

CUSTOMER ADDRESS:

CONTACT NUMBER: EMAIL

SALES REPRESENTATIVE: TYPE OF CUSTOMER:

II. DETAILS
Description of Feedback:

III. CLASSIFICATION

Type of Feedback: Complaint

Classification: Minor
For Minor Feedback
Corrective Action: _____________________________________________________
For Major Feedback:
Validation: Valid
Document Attachments: PNCR
CAR

Validated By: _________________________

III. IMMEDIATE ACTION


Authorized By
Immediate Action: Letter of Explanation
Replacement
Recall/Pullout

Prepared By: Noted By:

Sales Support/Salesman Sales Manager

VALIDATION & AUTHORITY MATRIX

VALIDATION

CONCERN AUTHORITY
Delivery Logistics
Pricing Sales
Discounting Sales
Quality QA/QC
Packaging QA/QC
Quantity Supply Chain
Attitude HR
Invoicing/SOA Accounting
Collection Credit & Collection
Stock Out PPIC

IMMEDIATE ACTION APPROVAL AUTHORITY

ACTION AUTHORITY
Letter of Explanation Manager or higher
Replacement VP-Sales or higher
Recall/Pullout VP-Sales or higher
Reprocess VP-Sales or higher
CK FORM

Commendation

Major

__________

Not Valid
Investigation Report

rized By Date Closed


Approved By:

President
SAM-FL-01.00.04.17

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