Material Request Form DOC # GW-PRO-FORM/001

REV 00 Date 20-04-2023

Request
Date 7/31/2023 Required Date Project # BLK9-0755 EPCC BOC SEPARATOR TRAIN AT EWTU-2 Department BLK9-0755-
#

Purpose for
Material
Dimension& Weight
Sr # Description UOM Quantity Material Category Quantity in store Requirment Budget Head (Finance)
Length Width Heigth
(Equipment,Are
a,Location)

Steel Plate 6mm thickness Meter 30 30 CM x 30 Meter CUT SIZE 30 CM

Plastic Chamfer Roll 3

12 Meter Threaded Road with Nut and Washer Roll

PVC Water Stopper meter 45

PU Filling Spray No 12
 Originator/Requester Project Controller Project Manager COO/CEO
Requsted by Verifed by Approved By Approved by
Name Ahmed Arun kumar Karrar Nori
Designation CIVIL Lead
Date

Signature
 Proof of Delivery DOC # GW-PRO-FORM/001
REV 00 Date 20-04-2023

Date 5/17/2023 Receiving Date 17-05-2023 Project # BLK9-0755 EPCC BOC SEPARATOR TRAIN AT EWTU-2 POD #
Picture/
Ordered Quantity Reciever Signature
Sr # Request/PO # Item Description Unit Model/
Quantity Recived &Date
Brand/Make
1
2
3
4
5
6
7
8

Material Handed Over by Material Received by Manager Inventory Control Remarks

Name Fatimah Ismaeel
Designation
Date

Signature
Material Category
Metalic
Non Metalic
Rubber
Wooden
Concrete
Plastic
Composite
Not Specified