PURCHASE REQUEST FOR

GOODS / SERVICES
FORM-SGU-PROC-001-E
Rev. 0 Date:
Page 1 of 1


saigut



To be filled in by the requester
PURCHASE REQUEST No. (goods / services)
1
Date:
REQUESTER:
Ref.Tel:
Ref. e-mail:
VENDOR/S (suggested):
Internal Procurement reference: (to be filled in by Procurement Department)
RE: (description of the Goods/Services Supply)
No./
Item
Description UM Quantity Unit Price
M.N.
Amount
M.N.











Controls and inspections YES (type)
NO

Delivery date:__ ______
Delivery place
2
:


To be filled in by Project Control Department
Project no.: (applicable only for General Expenses)
Cost Element:
Requester: Approved by
3
: Gennaro Siciliano
(Name/Signature) (Name/Signature)

1
Add your department consecutive number, so you can track.
2
Indicate any expected delivery date and place.
3
Add Project Manager Signature for any Project related request