Requisition Form
Requisition Number Date: Fiscal Year:
23-Feb-25 2025
Employee Information
Name: Employee ID #: Department: Designation:
Quazi Jaber Ashraf IT Junior Executive
Address: City: Zip: Phone #:
Level #14, Joy Bangla tower, 78 Agrabad C/A Chattogram 4100 1329727113
Item Information
Item # Expenditure Type, Catalog # & Complete Description (Including notes & Qty Expected Expected
buyer notes) Unit Price Total
1 HP Laser 107w Single Function Laser Printer. MPN: 4ZB78A 1
Model: HP 107w 14,700.00 14,700.00
2 HP DeskJet Ink Advantage 2775 All-in-One Printer. MPN: 4WS03B 1
Model: DeskJet Ink Advantage 2775 8,800.00 8,800.00
3
4
5
-
-
-
-
-
-
-
-
-
-
-
-
Grand Total: 23,500.00
PURCHASE REASON:
….............................................................................................................. I certify that the purpose of purchase
requisition complies with the account restrictions.
Signature
Department Head Approved by