MATERIAL / SERVICE REQUEST FORM

DEP./ PROJECT CODE

3701
Related Budget Item No. Submittal Action Code

MSR SR. NO :

ISSUED ON :

Cost Code

Submittal Number

Description

Area of Application

Warehouse qty Available

Balance Required

Required Delivery Date

Remarks :

Name : Position : Department : Signature :

Date : Attached documents SPECS RECEIVED BY DRWGS SCOPE BOQ Quotation REMARKS x Others : a- Sub Contractor Request Letter, b- Sub Contractor Agreement NO CEO Action APPROVED YES NO

Action Details
Name : Position : Department : Signature :

Date : 3Quotations Needed Issue SOUCRE YES Purchase Order WAREHOUSES NO YES NO SECTION HEAD Sub-Contract DEP HEAD YES NO Remarks PROC DEP COST CONTROL PROC CEO DELIVER PROC

Doc Distribution WAREHOUSES SECTION HEAD DEP HEAD PROC DEP COST CONTROL Remarks If No PO is placed, and material is being transferred from other site or warehouse, a Material Transfer order shall be attached to this MSR. No Order To pass prior Cost Control checking and release of Approved BCRS (Budget Comparison Release Sheet)

Item

Unit

Qty

1 2 3 4 5 6 7

#VALUE! #VALUE!

#VALUE!

Prepared by Requesting Section.

Checked by Warehouse

Reviewed By

Action Details

Approved by Section Head / Project Manager Department Head Action Approved YES NO Approved YES NO

PROCUREMENT DEPARTMENT ACTIONS HEAD APPROVAL YES NO

Operation Head Action HEAD APPROVAL YES

62316440.xls

Page 1 of 3

MATERIAL / SERVICE REQUEST FORM

DEP./ PROJECT CODE

3701
Related Budget Item No. Submittal Action Code

MSR SR. NO :

ISSUED ON :

Cost Code

Submittal Number

Description

Area of Application

Warehouse qty Available

Balance Required

Required Delivery Date

Remarks :

Name : Position : Department : Signature :

Date : Attached documents SPECS RECEIVED BY DRWGS SCOPE BOQ Quotation REMARKS x Others : a- Sub Contractor Request Letter, b- Sub Contractor Agreement NO CEO Action APPROVED YES NO

Action Details
Name : Position : Department : Signature :

Date : 3Quotations Needed Issue SOUCRE YES Purchase Order WAREHOUSES NO YES NO SECTION HEAD Sub-Contract DEP HEAD YES NO Remarks PROC DEP COST CONTROL PROC CEO DELIVER PROC

Doc Distribution WAREHOUSES SECTION HEAD DEP HEAD PROC DEP COST CONTROL Remarks If No PO is placed, and material is being transferred from other site or warehouse, a Material Transfer order shall be attached to this MSR. No Order To pass prior Cost Control checking and release of Approved BCRS (Budget Comparison Release Sheet)

Item

Unit

Qty

1 2 3 4 5 6 7

#VALUE! #VALUE!

#VALUE!

Prepared by Requesting Section.

Checked by Warehouse

Reviewed By

Action Details

Approved by Section Head / Project Manager Department Head Action Approved YES NO Approved YES NO

PROCUREMENT DEPARTMENT ACTIONS HEAD APPROVAL YES NO

Operation Head Action HEAD APPROVAL YES

62316440.xls

Page 2 of 3

MATERIAL / SERVICE REQUEST FORM

DEP./ PROJECT CODE

3701
Related Budget Item No. Submittal Action Code Submittal Number

MSR SR. NO :

ISSUED ON :

27-04-2011
Warehouse qty Available Balance Required Required Delivery Date

Cost Code

Description

Area of Application

Remarks :

Name : Position : Department : Signature :

Date : Attached documents SPECS RECEIVED BY DRWGS SCOPE BOQ Quotation REMARKS x Others : a- Sub Contractor Request Letter, b- Sub Contractor Agreement NO CEO Action APPROVED YES NO

Action Details
Name : Position : Department : Signature :

Date : 3Quotations Needed Issue SOUCRE YES Purchase Order WAREHOUSES NO YES NO SECTION HEAD Sub-Contract DEP HEAD YES NO Remarks PROC DEP COST CONTROL PROC CEO DELIVER PROC

Doc Distribution WAREHOUSES SECTION HEAD DEP HEAD PROC DEP COST CONTROL Remarks If No PO is placed, and material is being transferred from other site or warehouse, a Material Transfer order shall be attached to this MSR. No Order To pass prior Cost Control checking and release of Approved BCRS (Budget Comparison Release Sheet)

62316440.xls

Item

Unit

Qty

1 2 3 4 5 6 7

PCS PCS SET PCS

1 1 1 8

ARMATURE-ASSMBLY
FILD-COIL-ASSMBLY CARBIN BRUSH

FOR CIRCULLER SAW-9" ROLLER COMP

1 1 1 8

#VALUE! #VALUE!

BOLT 12/8 MM

#VALUE!

Prepared by Requesting Section.

Checked by Warehouse

Reviewed By

Action Details

Approved by Section Head / Project Manager Approved YES NO

Approved

Department Head Action YES

NO

PROCUREMENT DEPARTMENT ACTIONS HEAD APPROVAL YES NO

Operation Head Action HEAD APPROVAL YES

Page 3 of 3