Proforma-II

Material Requisition form ( CI Verticals)

Mission Bhagiratha-Inta village network- Details of Materials Requisitioned for placing supply orders
(Annexure to Lr No:_____________________________________, Dt_______________)

1 Name of the District :: Bhadradri Kothagudem

2 Type of Material requistioned :: CI Verticles
3 Requisition No. & Date ::
4 Name of RWS&S/MB Divn :: RWS&S Division, Kothagudem
Verticals
Est Cost Details of Qty Requisitined
required for
Rs in D/F pipes Fittings/Specials Name of
Agree Place of
Lakhs Capac Semi Section
Sl. Name of sub Packag TS No. ment No of Duck Bell Consignee Supply of Name of
Mandal GP Habitation (Hab ity of Dia in 2.0 m 1.0 m 0.60 m Circul Officer to
No. Divn e No & Date No. & OHSR foot mouth (DEE) material to be Agency
Cost/ OHSR mm length length length ar recieve
Date S bends pieces supplied
Mandal in KL (Nos) (Nos) (Nos) bends material
Cost) (Nos) (Nos)
(Nos)
1 2 3(a) 3(b) 4 5(a) 5(b) 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
E.Sadashiva T.Yeswanth
1 Manuguru Burgampadu 8 NagineniProlu Gommuru 80 20 1 5 4 2 1 Burgampadu V.Raviteja
Kumar Kumar
22.425 20 1
E.Sadashiva T.Yeswanth
2 Manuguru Burgampadu 8 NagineniProlu Gommuru 100 6 0 1 1 1 0 Burgampadu V.Raviteja
Kumar Kumar
E.Sadashiva T.Yeswanth
3 Manuguru Burgampadu 8 Morampalli Banjara Kothanakiripeta 17.025 10 1 80 26 1 6 5 3 1 Burgampadu V.Raviteja
Kumar Kumar
E.Sadashiva T.Yeswanth
4 Manuguru Burgampadu 7 Morampalli Banjara Polavaram 80 20 1 5 4 2 1 Burgampadu V.Raviteja
Kumar Kumar
19.825 10 1
E.Sadashiva T.Yeswanth
5 Manuguru Burgampadu 7 Morampalli Banjara Polavaram 100 6 0 1 1 1 0 Burgampadu V.Raviteja
Kumar Kumar
E.Sadashiva M.Mohan
6 Manuguru Burgampadu 1 Burgampadu Sanjeevareddy palem 80 20 1 5 4 2 1 Burgampadu V.Raviteja
Kumar Reddy
24.825 20 1
E.Sadashiva M.Mohan
7 Manuguru Burgampadu 1 Burgampadu Sanjeevareddy palem 100 6 0 1 1 1 0 Burgampadu V.Raviteja
Kumar Reddy
E.Sadashiva M.Mohan
8 Manuguru Burgampadu 1 Morampalli Banjara Sompalli 80 20 1 5 4 2 1 Burgampadu V.Raviteja
Kumar Reddy
25.125 20 1
E.Sadashiva M.Mohan
9 Manuguru Burgampadu 1 Morampalli Banjara Sompalli 100 6 0 1 1 1 0 Burgampadu V.Raviteja
Kumar Reddy
E.Sadashiva M.Mohan
10 Manuguru Burgampadu 1 Iravandi Kothuru Big 17.725 10 1 80 26 1 6 5 3 1 Burgampadu V.Raviteja
Kumar Reddy
E.Sadashiva M.Mohan
12 Manuguru Burgampadu 2 Morampalli Banjara Gandragoddalapalli 21.025 10 1 80 26 1 6 5 3 1 Burgampadu V.Raviteja
Kumar Reddy
E.Sadashiva M.Mohan
13 Manuguru Burgampadu 2 Morampalli Banjara Marrikunta 19.126 20 1 80 26 1 6 5 3 1 Burgampadu V.Raviteja
Kumar Reddy
E.Sadashiva K.Rajendra
14 Manuguru Burgampadu 9 Morampalli Banjara Vepalagadda 80 20 1 5 4 2 1 Burgampadu V.Raviteja
Kumar Prasad
23.025 10 1
E.Sadashiva K.Rajendra
15 Manuguru Burgampadu 9 Morampalli Banjara Vepalagadda 100 6 0 1 1 1 0 Burgampadu V.Raviteja
Kumar Prasad
E.Sadashiva K.Rajendra
16 Manuguru Burgampadu 6 Mussalamadugu Cheruvusingaram 80 20 1 5 4 2 1 Burgampadu V.Raviteja
Kumar Prasad
21.825 20 1
E.Sadashiva K.Rajendra
17 Manuguru Burgampadu 6 Mussalamadugu Cheruvusingaram 100 6 0 1 1 1 0 Burgampadu V.Raviteja
Kumar Prasad
E.Sadashiva T.Yeswanth
18 Manuguru Burgampadu 4 Tekulacheruvu Tekulacheruvu 80 40 2 10 8 4 2 Burgampadu V.Raviteja
Kumar Kumar
52.025 20 2
E.Sadashiva T.Yeswanth
19 Manuguru Burgampadu 4 Tekulacheruvu Tekulacheruvu 100 12 0 2 2 2 0 Burgampadu V.Raviteja
Kumar Kumar
E.Sadashiva M.Mohan
20 Manuguru Burgampadu 3 Pinapaka Pattinagar Uppusaka 80 40 2 10 8 4 2 Burgampadu V.Raviteja
Kumar Reddy
53.235 20 2
 Verticals
Est Cost Details of Qty Requisitined
required for
Rs in D/F pipes Fittings/Specials Name of
Agree Place of
Lakhs Capac Semi Section
Sl. Name of sub Packag TS No. ment No of Duck Bell Consignee Supply of Name of
Mandal GP Habitation (Hab ity of Dia in 2.0 m 1.0 m 0.60 m Circul Officer to
No. Divn e No & Date No. & OHSR foot mouth (DEE) material to be Agency
Cost/ OHSR mm length length length ar recieve
Date S bends pieces supplied
Mandal in KL (Nos) (Nos) (Nos) bends material
Cost) (Nos) (Nos)
(Nos)
1 2 3(a) 3(b) 4 5(a) 5(b) 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
53.235 20 2
E.Sadashiva M.Mohan
21 Manuguru Burgampadu 3 Pinapaka Pattinagar Uppusaka 100 12 0 2 2 2 0 Burgampadu V.Raviteja
Kumar Reddy
E.Sadashiva K.Rajendra
23 Manuguru Burgampadu 5 Mussalamadugu Krishnasagar 80 20 1 5 4 2 1 Burgampadu V.Raviteja
Kumar Prasad
52.125 20 1
E.Sadashiva K.Rajendra
24 Manuguru Burgampadu 5 Mussalamadugu Krishnasagar 100 6 0 1 1 1 0 Burgampadu V.Raviteja
Kumar Prasad
E.Sadashiva K.Rajendra
25 Manuguru Burgampadu 5 Mussalamadugu Mussalamadugu 80 20 1 5 4 2 1 Burgampadu V.Raviteja
Kumar Prasad
28.525 10 1
E.Sadashiva K.Rajendra
26 Manuguru Burgampadu 5 Mussalamadugu Mussalamadugu 100 6 0 1 1 1 0 Burgampadu V.Raviteja
Kumar Prasad
E.Sadashiva K.Rajendra
27 Manuguru Burgampadu 6 Mussalamadugu Sandellapadu 80 20 1 5 4 2 1 Burgampadu V.Raviteja
Kumar Prasad
35.075 20 1
E.Sadashiva K.Rajendra
28 Manuguru Burgampadu 6 Mussalamadugu Sandellapadu 100 6 0 1 1 1 0 Burgampadu V.Raviteja
Kumar Prasad
Burgampadu Total 17 442 17 102 85 51 17

Asst.Executive Engineer, Executive Engineer, Superintending Engineer,

RWS&S ,Burgampadu Dist.RWS&S Engg.Office, Kothagudem. RWS&S Regional Engg.Office,Khammam.