Purchase Requisition Form
Purpose: This form is used by departments to formally request the purchase of goods or
services required for production or stock replenishment based on planned production
schedules or expected sales.
Requisition No.:
Date of Requisition:
Department Name:
Requested By (Name & Designation):
Material/Item Description:
Item Code (if any):
Quantity Required:
Required Delivery Date:
Purpose/Usage (Production/Sales Stock):
Estimated Unit Price (INR):
Total Estimated Cost (INR):
Preferred Supplier (if any):
Remarks (if any): __________________________________________________________
Operations Office Approval: ___________________ Date: _______________
Purchasing Department Review: _________________ Date: _______________
Authorized Signatory: _________________________ Date: _______________