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Doc No.

: IMS-ADM-01
Issue / Rev No. : 01/00
Date : 03.11.2018
Purchase Requisition Form

To be filled by User
Date of Project Name: PR No.
Requisition (if applicable)

Sl. No Item / Description UOM Quantity Reason for


Requisition

Expected Date of Requested Authorized


Delivery: By: by:

To be filled by Admin
Purchase Order No: (If applicable)

Vendor Selection
Sl No Item
Description
Vendor Names
Factors

Quotation Price

Delivery Period

Payment Terms

Delivery Terms

Quotation Date

Selected Vendor
Remarks
Note: Please repeat the Vendor Selection Format in case more than one Item is requested.
DC/DC cum Invoice
No. Date:

Prepared By
Authorized by

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Ref No : IMS-ADM-01 Internal

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