Leighton Asia – PT.

Leighton Contractor Indonesia

MATERIAL REQUISITION

Material Requisition #
Project ID * : ID246 Priority * (Tick one) P1 P2 P3 P4 Date Required (if P4)
Date * : Work Order : N/A
Asset No * :
Cost code * : Fields with "*" are required to be completed

Item No * CATALOG / PART NUMBER * DESCRIPTION * QTY * UOM * S.O.H LOCATION BALANCE PR No
1 Smart phone Samsung Galaxy S23 Ultra 5G 12/256GB - Black 1 PCS EI Building

Reason Note's:
Urgent for Commissioning

UNPlanned Priority Codes: P1 – Item required urgently. Eg. Machine Breakdown. May require further approval above certain levels.
Planned Priority Codes: P2 – Items required within 3 days. P3 – Items required within 7 days. P4 – Items required “at a date specified’ in excess of 7 days.

Yoga
Requested by Originator Agreed by, Approved by Project Manager Warehouse Check by
Prastyo
2024.03.0
_______________________
9 09:54: ______________________ ___________________________ __________________________
Name: Yoga Prastyo Name: Name: Name:
Date: 08-03-2024 48+09'00' Date: 08-03-2024 Date: Date:

Title: Material Requisition

Doc No.: ID246-DEP-FRM-401 Version: 1.0 Date Published: 07/11/2016
Management System – Uncontrolled Documents when Printed
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