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MATERIAL & SERVICE REQUEST (MR)

MR NO. : DEPARTMENT :
DATE : SECTION :
REQUIRED : WO NO :
CAPEX NO :

COST
NO DESCRIPTION QTY UNIT
CODE

Remark :

APPROVED BY,
PREPARED BY, CHECKED BY, BUDGET CONTROL PLANT DIV. HEAD
SPV/SPT DEPT. HEAD

______________ ______________ ______________ _______________

Name/Sign/Date Name/Sign/Date Name/Sign/Date Name/Sign/Date