Document Name Memo Pengajuan

Barang/Jasa

Printed by User-3.Divisi 1
Printed Date 20-07-2023 10:31:01
Module Purchase Request

Head Office Print Stamp PR-BQ0JK5Z9M1

1

MEMO

Number : 0013/PR/ORG00.1/VII/2023/13
To : Division Leader / Regional Leader / Branch Leader
From : Division Leader / Regional Leader / Branch Leader
Disposition : -
Attachment : (set)
Subject : -

1. Background
The things that underlie the submission of goods/services, such as:
a. Business plan
b. Working Unit Assignment
c. Basic rules (SK, SOP, SE, or other provisions)
d. Reason for submission

2. Budget on the 2023 Business Plan

No Budget Type Cost Center COA Budget Rest Budget
Cost Center- COA-1.Unit 25,000,000.00 100,000,000,0
1 Capex
1.Unit 4.2.2 4.2.2 IDR 00.00 IDR

3. Nominal Procurement of Goods/Services and Delivery Location

The nominal procurement of goods/services PR 20 07 2023 is 25,000,000.00 ,
as follows:

$TABLE_ITEM_LIST

Delivery shipping address detailed below :

No Addrees Name Shipping Addrees
1 TEST001x TEST001x
 Document Name Memo Pengajuan
Barang/Jasa

Printed by User-3.Divisi 1
Printed Date 20-07-2023 10:31:01
Module Purchase Request

Head Office Print Stamp PR-BQ0JK5Z9M1

2

4. Vendor
The providers of goods/services used in this
procurement proposal are:
$TABLE_VENDOR_PARTICIPANT

5. Supporting Document

No Document Name Document Type

Feedback eproc HSO Initial
1 Budget Memo Document
Piloting.xlsx

According this Memo is made to be used as necessary.