Purchase Requisition Form

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INDIAN INSTITUTE OF TCHNOLOGY, KANPUR
Purchase Proposal Request Form
Page ________of_______
File No_______________
To
Officer In-charge
Store & Purchase Division.
IIT Kanpur.
Dept. Indent No:
Indent. Date
________________
____________
Department
: _
Quotation Attached (Y/N)
_______________
Indenter PF No :
________________
Types of Material:
Purchase Order Type
Consumable
Normal
Non-Consumable
Repeat Order
Limited Time Asset
Rate Contract
Please Tick Where ever-applicable
Item Category ___________
(
Please see the next page for Detailed info. of
Category)
Items Details of Required Items
Serial
Stock
Complete Description of Items
Quantity
Purpose
Aprox
Aprox
No
Held On
(Specification Model, Catalog No)
Required
Units
Total
date
(Where
Use separate Sheet If required
price
Cost
ever
)
Applicable
Total Cost
Budget Details
Sr.
Department Name/ Project No
Budget Head
Budget Amt
No.
Suggested Supplier
Sr.
Name
Address
No.
Whether Items are available in Central Stores.
1)
Y N
2) Certified that Allocation exist for the above Amount.
Approved
Indenter’s Signature
HOD Signature
DORD/Dy-Director/ Director
Name :______________
(Signature)
(Signature)
PF No _________
Email _________

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