Premiumtel Sdn. Bhd. (Reg.No.

891991-H)
No. 17, Jalan 22/6, Seksyen 22, 40300 Shah Alam, Selangor, Malaysia

Tel: +603-56143802 Fax: +603-56143812 Email: finance.admin@premiumtel.com.my

Purchase Requisition Form

Req. No #
PG:
KSL/22/12/001

(Office Use)
Ship to Address/Site Name Supplier :

JALAN LANGAT KS9, BANDAR BESTARI, 42000, KLANG,

SELANGOR / (KSL HOTEL) TEL :
Requestor FAX :

SAUFIY ATTN :
PROJECT PO & SITE NAME Other :

MKCSB/KSL/NSC/LA/05-KSL HOTEL
Receiver, Contact No. & Delivery Site
Receiver: SAUFIY

Contact No: 0123952972

Office or Site: ________OFFICE_______________
Request Deliver Date: _______21/12/2022_________

Item Unit
Brand
NO: Size Color Description OFFICE USE Quantity Price Total
Lite Series 5MP IP Dome Camera: 1/2.7” CMOS Image RM288.00/
1 SAXCO (DAHUA) Sensor; 2.8mm Fixed Lens; max IR distance: 30m; Intelligent 20 nos unit RM5,760.00
detection: Intrusion, tripwire; IP67, IK10 protection
(DH-IPC-HDBW2531EP-S-S2)

Lite Series WDR 4MP 2.7-13.5mm Motorized Varifocal Lens RM516.00/

2 SAXCO (DAHUA) IP Bullet Camera: 1/3” CMOS image sensor; max IR 2 nos unit RM1,032.00
distance: 60m; Intelligent detection: Intrusion, tripwire; IP67
protection
RM545.00/
3 SAXCO (DAHUA) 16 Ports Long Distance POE Watchdog 1 nos unit RM545.00
+ 2 X 1000 Base-X + 2 SFP Layer Two
Unmanaged Switch (DH-PFS3218-16ET-135)

Request by Approve by Receive by

Name Saufiy Name : Name :

Date 12/15/2022 Date : Date

Signatory Signatory : Signatory :

QF-17, Rev 01
1