MATERIAL REQUISITION FORM

NAME OF THE PERSON REQUESTED ARUN K SIDHARTH

PHONE NUMBER 566733308 LOCATION UAAI

EMPLOYEE CODE NUMBER SIGNATURE

DATE 20.10.2022 TIME OF REQ: 9:00 AM MODE OF REQ: MAIL W/APP DIRECT

SL ITEMS REQUIRED CODE PACKING SIZE QTY REQD. QTY ISSUED REMARKS
NO

1 WHITE CONTRAST PAINT 10 BOX

2 C TYPE MOBILE CHARGER 1

3 FACE MASK 5 BOX

4 FLOWER BRUSH 20 NOS

5 DOTED GLOVES 10 BOX

6 SURGICAL GLOVES 5 BOX

7 PAPER REEM A4 2 NOS

8 APRON 2 NOS

9 PEN 10 NOS

10 CORRECTION PEN 10 NOS

11 HIGH LIGHTER 5 NOS

12 FLAT BRUSH 5 NOS

13 PAINT BRUSH 1'' 10 NOS

14
FLAT & HALF ROUND FILE (SINGLE 1 NO
CUT)
15 RED COVER ALL LARGE 1 NO

16 SPRAY CAN 1 NO

17 COTTON RACKS 1 BOX

18 EMERY PAPER 1 ROLL

19 COATING 10 NOS

20 THINNER 10 NOS

SENT THROUGH
PHONE / VEHICLE NO
NAME EMP: CODE DATE TIME SIGNATURE

Mr.

RECEIVED BY
NAME EMP: CODE PHONE DATE TIME SIGNATURE

Mr.

APPROVAL OF THE DEPARTMENT HEADS

RIG/BASE /LOCATION IN CHARGE NAME PROJECT/OPER: MANAGER NAME

RIG/BASE /LOCATION IN CHARGE SIGN PROJECT/OPER: MANAGER SIGN

NOTE:-
RETURN THIS FORM DULY SIGNED BY THE INSPECTOR AND RETURN TO IPS STORE