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MATERIAL REQUISITION FORM

HAI LECK ENGINEERING PTE LTD HAI LECK INTEGRATED SERVICES PTE LTD

HAI LECK ENGINEERING & CONSTRUCTION PTE LTD HAI LECK SERVICES PTE LTD

HAI LECK INDUSTRIAL SERVICES PTE LTD

If there are any amendment's or alternation made to quantity & description in the MR, it must be Initial & dated by the respective Managers. Form No: STO-QR-03
T: 6862 2211
Please Tick Accordingly : F: 6862 1202
Winky Metal & Steel Material (Mechanical), Gases, Walkie Talkie New, Insulation, Refractory, Freight Forwarding Reference No:
PPE, Heavy Machinery & Equipment(Purchase only), Blasting Painting, Vehicle & Equipment Spare parts
Date: Monday, July 19, 2021
Miko Bolt/Nut & Gasket, Heavy Machinery & Equipment (Rental only), Diesel, Eletrical
Category : Please tick one of the below in bold
Jesslyn IT, Furniture, Hardware & Consumable, Office supplies Scaffold
Painting
Prakash Calibration & Recertification / Servicing Refractory
Insulation
Venkat Logistics, Scaffold Material , Walkie Talkie(Repair), Vehicle repair & servicing Mechanical
Miscellaneous

For Rental of equipment, please indicate the duration required


From: ______________ To: ________________

For Procurement Use Only


S.No. Description Stock Code Size Qty
PO / WO No Supplier Unit Rate Date Received

1 BE64 Coupling Seal Washer (for BE-45) 50 pcs

2 BE508 Body Liner 20 pcs

3 BE507 Body Liner "O" Ring 50 pcs

4 BE509 Water Plate (aluminium) 25 pcs

5 BE61B Adapter Seal Washer (for BE-511&BE-512) 50 pcs

6 BE701 Tip Liner 100 pcs

7 BE366 Cap "O" Ring (Thick) 50 pcs

8 BE316A Hex Water Nipple 25 pcs

9 BE52 1/2" 90˚ Blk Mall Elbow 25 pcs

10

11 Note: All items from GUNFORM

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13

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15

Remark: To be back-charged to Client Yes No Approval by Procurement Department


To be completed by site Purchased By
Requested By: Saw Wen Shen, Ayyappa Approved By Don Cheng
Site / Dept: HLIS STORE Job Code: 300 Single Source Supply
Approved By: Yvonne Lim Client Specified Product
End User Specified
NOTE : Please separate all request by category.
: All request must be submitted 7 working days in advance. Revised copy : 21

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