PURCHASE REQUISITION FORM
Date:____________________
Requester Name:_________________________________________________Designation:_________________________________
Department/Theme Name:_____________________________________Signature:____________________________________
[Link] Description of ITEM Purpose Qty Total
(Item name and Specification/Brand)
Suggested Suppliers (If required): Remarks:
_________________________________
_________________________________
Name of Supervisor/HOD:__________________________________ Designation:_____________________________________
Signature:_____________________________________________________ Date:_____________________________________________
FOR APPROVAL
Approved by/Approving authority:_________________________________________________
(Name)
Designation:______________________________ Signature:_________________________________
Date:______________________________________
Checked by Admin Staff:
Name:______________________________________ Designation:_______________________ Signature:_____________________