MATERIAL APPROVAL REQUEST

Project: Construction of School and Nurse’s Houses in Request No: 005

Marocane Sites| Ancuabe District | Lot 1

Contractor: Julen Construções, Limitada Date: 15.03.2024

Item Submitted:
Discipline : Civil ☐ Mechanical ☐
Electrical
Description: Anti – termite
Supplier/Manufacture, including model number: COOPERS environmental science
BOQ Specificatio 3.2. TERMITE PROTECTION
● ADMIN + COMPUTER ROOM +
Ref.: n Ref.:
LIBRARY –Item.A.1.2
● 2X3 CLASSROM BLOCKS –Item.A.1.2

● 2 LITERACY + 2 CLASSROOMS
BLOCK –Item. A.1.2
● FEMALE SANITARY –Item.A.1.2

● MALE SANITARY- Item.A.1.2

● STAFF HOUSE- Item.A.1.2

Attachments:
☐ Data Sheet ☐ Catalogue ☐ Sample

For Contractor
Discipline Engineer Name: Stelio Madeira Signature:

Project Manager Name: Signature:

For UNOPS
Received Date: 15.03.2024 Received Time:13:36
Received By: Aurelio Macamo

Signature:

UNOPS Action:
☐ Approved ☐ Not Approved
☐ Approved As Noted ☐ Others: ...................................................

Remarks:.......................................................................................................................................................
........................................................................................................................................................................

1
FORM IPI 09 – MATERIAL APPROVAL REQUEST
........................................................................................................................................................................
.......................................................................................................................................................................

Action by: Date:

Signature:
For UNOPS Project Manager Use:

........................................................................................................................................................................
........................................................................................................................................................................

Project Manager Name: Signature: Date:

Contractor Receive
Received Date:20/03/2024 Received Time: 8:45PM
Received By: Stelio Madeira Signature:

2
FORM IPI 09 – MATERIAL APPROVAL REQUEST