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PURCHASE REQUISITION FORM

Request Person Info: Recommended Vendor Info:

Name: MOHAMAD AFIQ IKHWAN BIN FREDERIC Name:


Department: LABUAN OPERATION Address:
Delivery Location: HJRSB WAREHOUSE LABUAN Email:
Date: 11/1/2021 Phone Num:
Attn:
List of items to purchase
No. Description Item in Reason to Qty. Unit Total Cost
stock Purchase Price (RM) (RM)
1 LACE GUTTER (6INCH X 6M) For project 3
Motorcycle Length
Parking
Shade

2
TOTAL 3

Other Requirements for Purchase: Attach as needed


 Under RM 200 – No additional quote needed
 Above RM 200 – At least three (3) written quotes must be attached

CHECKLIST & INFORMATION


i. Complete Purchase Requisition Form. ALL INFORMATION IS NEEDED.
ii. Please do not submit a request to purchase without all required information.

PURCHASING / PROCUREMENT USE ONLY

Date Review by Status Remarks/Justification


Urgent / Not Urgent

APPROVED/NOT APPROVED:

(Director/General Manager)

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