Sample Purchase Requisition Form Page 25
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34Sample Purchase Requisition Form
Appendix 1
SAMPLE ONLY
Purchase Requisition Form
PR No.
PART A
Requesting Department :
Date :
CASH PURCHASE
PURCHASE ORDER
(please
as applicable)
Item#
Qty
Description/Specification
Code
Purpose
Est. Price
TOTAL:
Budget
Accumulated
Balance
Justifications (if
Items
Budget
Provision
Expenses
Available
budget not available)
(HK$)
(HK$)
(HK$)
Deliver to:
Delivery date:
Requested by :
Signature :
Date :
____
Endorsed / Not Endorsed
(please delete as applicable)
Reason(s) if not endorsed :
Endorsing Officer :________________
Signature : ___________
Date : ____________
19
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