Procurement through UNICEF PCA

Request to procure internationally through UNICEF Project Cooperation Brinland

Earthquake
Agreement Response
1. DETAILS AND ITEM LIST (to be completed by agency)
AGENCY NAME: AGENCY PROCUREMENT FOCAL POINT:
Email:
UNICEF CONTACT: Tel:

Completed form, with UNICEF Country Office approval must be returned to Supply Division
US Dollar US Dollar Freight
Item Specification Quantity Unit Cost Est Total Cost Est Ship From Origin Cost Est
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 Procurement through UNICEF PCA

Total Est 0 0
3. SUPPLY DIVISION ASSESSMENT 2. UNICEF COUNTRY OFFICE
SD General Info (to be filled in by ECU) To be filled in by UNICEF Country Office
SD’s valuation Project Name
Basis of valuation Project Code
Project Officer
Freight valuation Comments
SD estimated lead time (average)
Comments from applicable SD Centre/Unit
1. TLC/ECU Comments

Reporting officer:
Date:
2. TLC/Shipping Comments

Approval by Rep/Deputy Rep

Reporting officer: Approved Comments
Date: Not
Approved
3. Procurement Centre Comments Name & Signature Date:

Reporting officer:
Date:
4. Procurement Centre Comments.

Reporting officer:
Date:
5. SD Emergency Coordinator Comments 4. APPROVAL FROM SUPPLY DIVISION DIRECTOR
Recommendation Approved Comments
Acceptable NOT Acceptable Not
Approved
 Procurement through UNICEF PCA

Reporting officer: Date: Name & Signature Date: