KENYA MARINE FISHERIES AND SOCIO-ECONOMIC DEVELOPMENT PROJECT (KEMFSED)
TANA RIVER COUNTY PROJECT IMPLEMENTATION UNIT
PURCHASE REQUISTION FORM FOR CIG
Date:
CIG/CBO NAME:…………………………………………………………………………………………………………………..
Name Of the Applicant: ……………………………………………………………………… … Designation: ………………………………….
Please procure/ issue the following items for CIG/CBO……………………………………………………………………………………………..
Item Description Unit Of Issue Quantity Estimated Cost Procurement
Method
PROCUREMENT SUB COMMITTEE CHAIRPERSON OR SECRETARY
NAME………………………………………….……………….SIGNATURE………………………………………………………….DATE……………………
PMC TREASURER
Name………………………………………………………….………………Signature……………,………………………………Date………..….……
APPROVED BY PSM CHAIRPERSON
APPROVED BY PMC CHAIRPERSON
NAME…………………………………………SIGN………………………………..DATE…………….