annex a purchase requisition form blank

8/17/2019 Annex a Purchase Requisition Form Blank

1/44

VIRTUAL UNIVERSITY OF PAKISTANPURCHASE (MATERIAL / SERVICES) REQUISITION (PR) FORM

Recommendaton!/ A""#o$a%! a! Pe# Fnanca% &e%e'aton!

Cost Centre/Department: HO/Admn Budget Head

Requisition No: Total Allocated Budget

Date: */+,/+-. Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Emulsion !uper"#$ite% 1& 'allon (or paint )or* o+ (A,-

& Enamel .aint

Bro)n"#$ite%0

'allon (or paint )or* o+ (A,-

- Enamel 'olden"Bro)n% & tr2 (or paint )or* o+ (A,-

3 'lue 4 .*t2 (or paint )or* o+ (A,-4 #$ite Cement & 5g2 (or paint )or* o+ (A,-

0 6arnis$ 0 7tr2 (or paint )or* o+ (A,-

8 Emer9 .aper Raigmar% & .*t2 (or paint )or* o+ (A,-

.laster o+ .aris 4 .*t2 (or paint )or* o+ (A,-

; 5erosene


2/44





Date: -,/+5/+-. Consumed/Committed

Net Available Budget

S. No. Name of Items /Specifications

QtyDemanded

EstimatedUnit Rate

EstimatedValue Justifications

1 LP !ylinde" #1 $o" Secu"ity ua"ds/%S%

& Pedestal $ans #&

' Rec(a")ea*le +o"c( #'

, Raincoats #'

- oto"*ie / 0icycle #1

2ate" coole" #13 2ate" Set 4steel )lasses

and 5u)s6 #1

7 as sto8e. 4Dou*le6 #1

9 $i"st :id %it 4:s pe"

desc"iption of oto";ay

Police6

#1

1# Eme")ency Li)(ts #1

11 +a"pal 41-


3/44



Cost Centre/Department: HVAC (HO) Budget Head 118

Requisition No: +. Total Allocated Budget Rs210->4/,

Date: +./-+/+-6 Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 E?$aust (ans & Rs2&4/, E?ecutive #as$rooms

and (emale #as$rooms

&

-

3

4

0

8

;

1

Total

&emanded 30

Name: M14ammad Im#an I#!4ad ==

Designation: AA


4/44


5/44



Cost Centre/Department: Budget Head


Date: Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 @icro)ave


6/44





Date: Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1

&

-

3

4

0

8

;

1

Total

&emanded 30

Name: M14ammad Im#an I#!4ad

Designation: AA


7/44



Cost Centre/Department: HVAC (HO) Budget Head 118

Requisition No: +. Total Allocated Budget Rs210->4/,

Date: +./-+/+-6 Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 E?$aust (ans & Rs2&4/, E?ecutive #as$rooms

and (emale #as$rooms

&

-

3

4

0

8

;

1

Total

&emanded 30


Designation: AA


8/44


1


Cost Centre/Department: Admn (HO) Budget Head


Date: 9/+:/+-. Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Complete Door +or

5itc$en Access

&

-

3

4

0

8

;

1

Total

&emanded 30


Designation: AA


9/44


1




Date: 9/+:/+-. Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Complete Door +or

5itc$en Access

&

-

3

4

0

8

;

1

Total

&emanded 30


Designation: AA


10/44





Date: +,/+-/+-, Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1

&

-

3

4

0

8

;

1

Total

&emanded 30


Designation: AA


11/44





Date: +,/+-/+-, Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 !$irts !*9blue 1& (or


12/44




Requisition No: Total Allocated BudgetDate: 6/+-/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 6isiting Cards 4 (or Director Admin2

&

-

3

4

0

8

;

1

Total

&emanded 30


Designation: AA


13/44




Date: 6/+-/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 ni+orms 18 (or !ecurit9 'uards2

& #$istles 18

- Boots D@! 18

3 Belts 18

4 ac*ets 18

0 6 Caps 18

8 T2!$irts -3

Badges Name .late 18

; n+ormation !ign2 18

1 Name .lates 18

Tota% -:5


&emanded 30


Designation: AA


14/44




Date: +9/+/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1

Room 16’-6”x44’x10’

1 For Record of

Registrar Oce andAccounts Oce

&

-

3

4

0

8

;

1

Tota% +-


&emanded 30


Designation: AA


15/44




Date: -*/+/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Vertical Blinds 0 +t,0 in? 4+t,0 in%

3 For t!e room of

director admin"

&

-

3

4

0

8

;

1

Tota% +.


&emanded 30


Designation: AA


16/44




Date: Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1

&

-

3

4

0

8

;

1

Tota%


&emanded 30

Name: ==================

Designation:================

!ignature: ===============

Head o &e"a#tment

Name: =================================

Designation: ============================

!ignature: ===============================


17/44


Cost Centre/Department: Admn/HO Budget Head


Date: +/+6/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 #niforms 18 For $ecurit% &uards

& T,!$irts -3 For $ecurit% &uards

-

3

4

0

8

;

1

Tota% ,-


&emanded 30


Designation: AAO;. (E!tate)

!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa

Designation: &#ecto# (Admn!t#aton)

!ignature: ===============================


18/44




Date: +./+6/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1'eeding of (orean

&rass )ar*eted+

&; !q+t2 For *lots of ,xecutie

Bloc. and AdminBloc.

&

-

3

4

0

8

;

1

Tota% *++ S7t


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


19/44




Date: +./+6/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 'eeding of (orean

&rass )ar*eted+

14 !q+t2 For *lot of ,xecutie

Bloc."

&

-

3

4

0

8

;

1

Tota% -,++ S7t


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


20/44




Date: -/+6/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 'eeding of (orean

&rass )ar*eted+

14 !q+t2 For *lot of Admin

Bloc."

&

-

3

4

0

8

;

1

Tota% -,++ S7t


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


21/44




Date: +/+./+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1

/itc! ’x’x’ 2it!concrete sla3

1 !q+t2 o secure 5oints of

main electric ca3le2!ic! 2as damagednear VV Building+" ,-

mail is attac!ed

!ere2it!"&

-

3

4

0

8

;

1

Tota% -: S7t


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


22/44




Date: -+/+./+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 and!eld

Rec!argea3le,mergenc% 7,/ 7ig!t

& !e re8uest and t!e

s*eci9cation of t!e7,/ are attac!ed"

&

-3

4

0

8

;

1Tota% +


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


23/44




Date: -./+./+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Ve!icle )!ec.ing

:irror

1 For c!ec.ing of

e!icles at V# "O"main 3arrier"

&

-3

4

0

8

;

1Tota% +-


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


24/44




Date: -/+./+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Vertical Blinds & For t!e room of /riers"& Air conditioner 1

-

3

4

0

8

;

1

Tota%


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


25/44




Date: /+./+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 &uardian;10 1& For s*ra% 2ee.l%3asis at V# "O"&

-

3

4

0

8

;

1

Tota% -


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


26/44




Date: -./+./+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Ve!icle )!ec.ing

:irror

1 For c!ec.ing of

e!icles at V# "O"main 3arrier"

&

-3

4

0

8

;

1Tota% +-


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


27/44




Date: +,/+,/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 ,lectric 7a2n :o2er 1 For gardening section"

&

-

3

4

0

8

;

1

Tota% +-


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


28/44




Date: +5/+,/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Roof 10 Ft" x < Ft" 1 For ele*!one

,xc!ange

&

-

3

4

0

8

;

1

Tota% +-


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: Im#an M1!taa


!ignature: ===============================


29/44




Date: -/+,/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Flexi3le 'ater *i*e


30/44




Date: +:/+5/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 '!ite )ement 1< (g" Rs" ) and )","Room ?oor tiling"

& )ement 10 Bags Rs"


31/44




Date: -+/+5/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Flooring of t!e Room

for Adisor :ar.eting


32/44




Date: /+5/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 ,xecutie )!air 01 For re*air

&

-

3

4

0

8

;

1

Tota%


&emanded 30


Designation: AAO (E!tate)

!ignature: ===============

Head o &e"a#tment

Name: E4!en


33/44




Date: */+5/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 ,xecutie )!air 01 For t!e Oce of

/irector Admin

& $ofa $et 01 -/o-

- Visitor )!airs 06 -/o-

3

4

0

8

;

1

Tota%


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: A4me# Sa0eed Qa=


!ignature: ===============================


34/44




Date: +6/+:/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Air condition 1 r"+ 01 For esta3lis!ment of

information des.

&

-

3

4

0

8

;

1

Tota%


&emanded 30



!ignature: ===============

Head o &e"a#tment



!ignature: ===============================


35/44




Date: -+/+:/+-, Consumed/Committed


S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 >ns*ection=9lling ofFire9g!ting

,xtinguis!ers

Annual >ns*ection =9lling" 7ast date of

ins*ection is=0@=014

&

-

3

4

0

8

;

1

Tota%


&emanded 30



!ignature: ===============

Head o &e"a#tment

Name: A4me# Sa0eed Qa=Designation: &#ecto# (Admn!t#aton)

!ignature: ===============================


36/44

VIRTUAL UNIVERSITY OF PAKISTANRCHASE (MATERIAL / SERVICES) REQUISITION (PR) FORM


Cost Centre/Department: HO/Admn Budget Head (urniture

Requisition No: Total Allocated Budget -21 million

Date: */+5/+-, Consumed/Committed ,Net Available Budget -21 million

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 E?ecutive C$air 1

(or t$e o++ice o+ Director

Admin2

& !o+a !et - !eater% 1 ,Do,

- 6isitor C$airs 0 ,Do,

34

0

8

;

1

11

1&

1-

Total

&emanded 30


Designation: AA< Estate%

!ignature: = ===

Head o &e"a#tment


Designation: &#ecto# Admn!t#aton ==

!ignature: == =============

Designation !ignature Remar*s


37/44





Date: +6/+:/+-, Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Air Condition 1 Tr2%1

(or establis$ment o+

in+ormation des*2

&

-

34

0

8

;

1

11

1&

1-

Total

&emanded 30



!ignature: = ===

Head o &e"a#tment



!ignature: == =============



38/44





Date: -+/+:/+-, Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 Telep$one !et C7%1


Admin2

&

-

34

0

8

;

1

11

1&

1-

Total

&emanded 30



!ignature: = ===

Head o &e"a#tment



!ignature: == =============



39/44





Date: --/+:/+-, Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 C$ec* Correct

Calculator 7arge

Displa9/1& Digit%

1


Admin2

&

-

3

4

0

8

;

1

11

1&

1-

Total

&emanded 30



!ignature: = ===

Head o &e"a#tment



!ignature: == =============



40/44





Date: --/+:/+-, Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 C$ec* Correct

Calculator 7arge

Displa9/1& Digit%

1


Admin2

&

-

3

4

0

8

;

1

11

1&

1-

Total

&emanded 30



!ignature: = ===

Head o &e"a#tment



!ignature: == =============



41/44






Date: -5/+*/+-, Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 #ooden and 'lass


42/44






Date: */+*/+-, Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 #ater T9pe(ire

E?tinguis$er%

Re+illing/NoFFle replace

1


43/44

VIRTUAL UNIVERSITY OF PAKISTAN


44/44

PURCHASE (MATERIAL / SERVICES) REQUISITION (PR) FORM





Date: /-+/+-, Consumed/CommittedNet Available Budget

S NoName o Item! /

S"eccaton!

Qt0&emanded

E!tmated

Unt Rate

E!tmated

Va%1e 21!tcaton!

1 .aint #or*

#alls"Roo+s%-1; !q+t2

(or Auditorium

& 6ertical Blinds ;+t,0 in ?

4+t,0 in%-

(or Auditorium

- Carpet 10 !q+t2 (or Auditorium

3

4

Total

&emanded 30



!ignature: = ===

Head o &e"a#tment



!ignature: == =============

annex a purchase requisition form blank

Documents