CHECKLIST AND FORMS

S Dec-2020 Revision Date 00 Author : DPA

Issue Status 01 Revision Status 00 Approved by : MD

SBM 013B Requisition for Stores

To be completed by the vessel staff to initiate a requisition process for stores.

Vessel: M. T. BRAVA LAKE Ship Order No.: BL-160-2023

Date: 18-07-2023 Office Order No:

Department: Deck Engine Catering Status: Routine Emergency

Part / Req. Recv. on

S.NO Name of Part(s) ROB Unit Remarks
IMPA Code Qnty Board

ELECTRIC THERMO POT

Model: KP-TP4, Supply: Attached Sample
1 220VAC, 50/60Hz, Power: 0 3 PCS
Photos
750W, Capacity: 4 Ltrs, Maker:
KENPO

MICROWAVE OVEN
Model: FDR-23MWI, Supply:
220VAC, 50/60Hz, Output: Attached Sample
2 800W, Input: 1250W, Grill 0 1 PC
Photos
Power: 1000W, Microwave
Frequency: 2450MHz, Maker:
FEDERAL.

Prepared by (Name/ Rank):ABU KAWSAR / ETO

Office
Approval – Checked by CE: FOMENKO MIKHAIL / CE
Approved by:

Tech. Superintendent:

Date: Technical Manager:

Date:

RECEIVED: In Full In Part ON AT:

Master/ CE Sign:

Page 1 of 3

File No: H-3 Retention: 3 Years

 CHECKLIST AND FORMS

S Dec-2020 Revision Date 00 Author : DPA

Issue Status 01 Revision Status 00 Approved by : MD

SBM 013B Requisition for Stores

REMARKS:

ITEM NO.1 ELECTRIC THERMO POT

Page 2 of 3

File No: H-3 Retention: 3 Years

 CHECKLIST AND FORMS

S Dec-2020 Revision Date 00 Author : DPA

Issue Status 01 Revision Status 00 Approved by : MD

SBM 013B Requisition for Stores

ITEM NO.2MICROWAVE OVEN

Page 3 of 3

File No: H-3 Retention: 3 Years