Company Name:
Document No: OF/MIS/HO-7
የኢትዮጵያ መድሃኒት አቅራቢ ኤጀንሲ
Ethiopian Pharmaceuticals Supply Agency
Title: Effective date : 13/09/19
On line requisition form on ICT help desk system
Specification Development request form Rev. No.: 0 Page 1 of 1
From : General Service Directorate
Date of Request _________________
Expected Due Date__________________
Description
Item Name Remark
Item Type
Proposed to
Description
if Any
Receiver Name_______________________
Signature____________
Date________________
For Office Use Only Remark
Expected Due Date__________________
Assigned Emp Name Signatures
1.
2.
3.
Issue If any
Requester Name_______________________
Signature____________
Date________________
Director’s /Coordinator’s Name_______________________
Signature____________
Date________________
እባክዎ በዚህ ሰነድ ከመጠቀምዎ በፊት ትክክለኛ መሆኑን ያረጋግጡ
Form title, Form number, revision,
Please make sure that this is the correct issue before 13/09/2019
use
እባክዎ በዚህ ሰነድ ከመጠቀምዎ በፊት ትክክለኛ መሆኑን ያረጋግጡ
Form title, Form number, revision,
Please make sure that this is the correct issue before 13/09/2019
use