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F1-Compalaint Form

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channaveer
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8 views

F1-Compalaint Form

Uploaded by

channaveer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CUSTOMER COMPLAINT FORM

Date of receipt of complaint:


Complaint details
Complaint No.:
Name of complainant:
Address of complainant:

Phone No.:
Complaint description:

Complaint received through:


Distributor:

Product details
Name of the product: Batch No.:
Mfg. Date: Exp. Date:
Unique Identification Number:
Defective sample received: Yes No

Signature (Originator)
Investigation details (To be filled by QA)
Is investigation required? Yes No
Result of Investigation:

Investigation Date: ____________ To ____________


Extension for closure:  Yes  No
Justification of extension:

CAPA Report No.:


Status of CAPA Report: Open Close Date of CAPA closure:

Signature with date (MR/QA Head)

Doc. No.: Effective Date: Next Review


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