PURCHASE REQUISITION FORM

Requisitioner
Info: Recommended Vendor Info:
Date 09.19.2020 Name

Name Rasika Address

Project
Department Development
Phone 0791859406
Park Royal Tower –
Project Management
Delivery Location Office Phone

Center & A/C # Fax

PO# or VISA Attn:

(Internal Use Only)

Item # Quantity Description Unit Price Total

01 03 Stapler with Pins large Size
02 04 Office Tables
03 04 Office Chairs
04 01 ID card Printing Machine
Laptops or Desk Top
05 04 Computers
Color and Black and White
06 02 Machine
07 03 Paper Puncher Machine
08 01 Paper Shedder Machine
09 04 Pen Holders
10 06 A4 Sheets
11 12 Box Files
12 36 Paper Folders
13 24 Stickie Notes
14 06 Power Cables – Multi
15 04 Dustbins
16 01 Water Heating Kettle
Tea/ Coffee/ Sugar / Tea
17 Cups / Spoons
Special Instructions:

Department Approval: CEO Approval:

Rasika J.W. 09.19.2020

Signature Date Signature Date

Purchase Requisition P.R.T. - 00001