SPEEDWIND DISTRIBUTIONS CO., LTD.

3rd Floor, Regency Complex A, Mao Tse Toung Blvd,

Sangkat Tomnubteuk, Kham Chamkarmon, Phnom Penh, Cambodia.

PURCHASE REQUISITION FORM

Complete the information and obtain approvals below. Forward the completed and approved form to the Purchasing Department, Lim Lina. Forms that are
not approved or incomplete will be returned to the requisitioner. All inquiries may be directed to 085 233 222.

Requisitioned Info: Exchange Laptop Lenovo IdeaPad 330 for

Recommended Vendor Info:
( Kean keaKaknekar )
Date of request: 9-Jun-20 Request No.:
Department: IT Company Name:
Sub Dept.: Name:
Requestor Name: Phal Sereirathanak Address:
ID Number: SW 336 Phone Number:
Delivery Location: HQ Email:

Item # Description Quantity Unit Price Total (USD)

1 Lenovono IdeaPad 330 CPU Core i5 8th , Ram 8Gb , SSD 250Gb 1
2
3
4
5
Total USD: 0.00
VAT 10%:
Grand Total USD: 0.00
Special Instructions:
Purpose of Request: Exchange Laptop Lenovo IdeaPad 330 for ( Kean keaKaknekar )

Requested By: Head of Department Approval:

Signature Date Signature Date

Corporate Resource Dept. Approval: CEO Approval:

Signature Date Signature Date