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NEW CREATION / CHANGE OF NAV ITEM REQUEST FORM - PAH MY (QDX & GPM)

Entity Name: Gribbles Pathology (M) Sdn Bhd

For NAV ONLY


Unit of Base unit of Unit of Item Category Vendor Business Unit
Item Measurement measurement code Purchase Special Covid related Consumables/ Warehouse/Store Gen prod posting Inventory posting
S/N Description (if there is conversion,kindly include at the back of item description) Brand Item Category Measurement Vendor Code Vendor Name Product Location Department
Number Unit Price Price purchase? Reagents? item? group group
For Purchase For Inventory conversion Storage /Machine Number
/etc
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
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#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
#N/A 0 Lab - Reag/Csum
NOTE:-
a) For New Item Creation: please fill up all Column.
b) For Item Update: please fill up ONLY the relevant columns which info needs to be updated. Please provide the supporting documents together with Price Adjustment Form for the purpose of finance tracking.
Requested by: Approved by:

Head of department Name

Department Department

Date Date

Created by: Reviewed by:

NAV Support Finance Manager

Department Department

Date Date

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