Kopila Valley Sewa Samaj (KVSS)

Birendranagar-4 Surkhet
Purchase requisition/Deman Form
Requested Date:- 2078/9/29 Required Date:- 2078/10/1 PR No:-

Purchase from Market Purpose of Demand:- Fruits and Vegitables for CH

Issue from Store

Brand/Size/ Unit Total
SN Issue from Store Unit QTY Remarks
Specification Rate Amount

1 Banana dzn 10
90 900
Apple kg 10
2 120 1200
Banana dzn 10
3 90 900
4 Kinu kg 23
60 1380
Ka Angur krate 1
5 2300 2300
Apple kg 10
6 120 1200
7 Banana dzn 10
90 900
kerau kg 5
8 70 350
Apple kg 10
9 120 1200
10 Banana dzn 10
90 900
cauli kg 5
11 60 300
khursani kg 1
12 80 80
13 Apple kg 10
120 1200

14 kimu kg 20 60 1200
Apple kg 10
15 120 1200
Total Amount 15210
Vat 13%
Transportation Cost
Gross Amount

Prepared by: Recommended by: Approved by

Name:- Sachyam S Upadhyay Name:- Name:- Top B Malla

Position:- CH Coordinator Position:- Position:- MD

Date:- 2078/8/29 Date:- 2078/8/29 Date:- 2078/8/29

For Administration use only: Suggested Suppliers

Received by: Name Of Suppliers:-

Name:- Address:-

Date: Contact:-
Note:- Request to be receive by store before 3 Days of Material/Service required.
 Kopila Valley Sewa Samaj (KVSS)
Birendranagar-4 Surkhet
Purchase requisition/Deman Form
Requested Date:- 2078/8/29 Required Date:- 2078/9/1 PR No:-

Purchase from Market Purpose of Demand:- Fruits and Vegitables for CH

Issue from Store

Brand/Size/ Unit Total
SN Issue from Store Unit QTY Remarks
Specification Rate Amount

1 Banana dzn 10
90 900
Apple kg 10
2 120 1200

3 Kagati kg 5 90 450
4 Ganji kg 25
90 2250
Banana dzn 10
5 90 900
Khursani kg 5
6 80 400
7 Banana dzn 10
90 900
Ka Angur kg 10
8 220 2200
Suntala local kg 20
9 70 1400
10 kerau kg 6
80 480
Khursani kg 1
11 100 100
Ka Angur kg 10
12 220 2200
13
Kimu kg 21 60 1260
Apple kg 10
14 120 1200

15 Suntala kg 21 70 1470
Total Amount 17310
Vat 13%
Transportation Cost
Gross Amount

Prepared by: Recommended by: Approved by

Name:- Sachyam S Upadhyay Name:- Name:- Top B Malla

Position:- CH Coordinator Position:- Position:- MD

Date:- 2078/8/29 Date:- 2078/8/29 Date:- 2078/8/29

For Administration use only: Suggested Suppliers

Received by: Name Of Suppliers:-

Name:- Address:-

Date: Contact:-
Note:- Request to be receive by store before 3 Days of Material/Service required.
 Kopila Valley Sewa Samaj (KVSS)
Birendranagar-4 Surkhet
Purchase requisition/Deman Form
Requested Date:- 2078/8/29 Required Date:- 2078/9/1 PR No:-

Purchase from Market Purpose of Demand:- Fruits and Vegitables for CH

Issue from Store

Brand/Size/ Unit Total
SN Issue from Store Unit QTY Remarks
Specification Rate Amount

1 Apple kg 2
120 240
Suntala kg 2
2 70 140

3 kera dzn 1 90 90
4

6
7

9
10

11

12
13

14

15
Total Amount 470
Vat 13%
Transportation Cost
Gross Amount

Prepared by: Recommended by: Approved by

Name:- Sachyam S Upadhyay Name:- Name:- Top B Malla

Position:- CH Coordinator Position:- Position:- MD

Date:- 2078/8/29 Date:- 2078/8/29 Date:- 2078/8/29

For Administration use only: Suggested Suppliers

Received by: Name Of Suppliers:-

Name:- Address:-

Date: Contact:-
Note:- Request to be receive by store before 3 Days of Material/Service required.