PROCUREMENT REQUISITION FORM

Business Unit: JHRML Department: Quality Assurance Location & Address: Vitikandi, Gazaria, Munshigonj

Item need: Urgent Regular

Requisition No: Requisition Date: Item Type: Source of Item: Item Delivery :
Goods In House Part Delivery Date: / /
JHRML / /2023 05.12.2023 Works Local Full Delivery Place : Factory JHRML
Services International

Purpose of Use: For Implementation of ISO Guideline Item Category: Document Budget Code: Payment Mode: Cash Credit

SL Item Items Name Items Unit Required Present Last Received Budget Received Balance Estimated Cost (BDT)
Code Specification Quantity Stock QNTY against against [SCD Use]
To Date Req. & QNTY Budget Budget Rate Amount
Date & QNTY QNTY
Date
ISO 14644-9:2022 (Cleanrooms and Nil
01 Pcs 01
associated controlled vironmts- part-9)
ISO 11607-1:2023(Packaging for Nil
02 terminally sterilized medical devices- Pcs 01
part1)
03
ISO 10993-7:2019 (Biological
Pcs 01
Nil
evaluation of medical devices- part-7)

In Words-Total Estimated Cost(BDT): Total=

Urgency Justification: Implementation of ISO Guideline in QMS
[SCD Use]

Raised By & Mobile # Head of Department/ Store/Warehouse Operation Head/ Head / Director Account & Purchaser Section Head/HOD
(In Charge) Finance
Supervisor Expert (If needed) (Factory/Project)

SOP/SCD/001; FRM No.: SCD/F001, Version no. 01 CONFIDENTIAL Supersedes Form: New