PURCHASE REQUISITION FORM
PO NO.:
(to be filled by purchasing dept.)
Job #: Supplier:
Supplier's PIC: Tel No.: Fax:
S/No. Description Quantity Unit Price Amount
Total:
Note: pls use separate sheef if space is insufficient
You may replace description details with a performa invoice
Payment Term: COD
CR Term 30 / 60 Days* Transport Mode: Land
L/C at sight Sea freight
L/C 30 / 60 days term * Airfreight
D/P Courier
D/P 30 / 60 Days * Reason for airfreight / courier:
Others
Deposit % , Balance By
Price basis (if applicable) : FOB / CNF / CIF / EX-FACTORY *
Required date: Delivery place: office / site / others *
Others, please specify:
Requested by: Approved by:
Date: Date:
For Purchasing Dept
Payment status (cheque No. & date) Delivery status (D/O No. & date)
1st payment - 1st delivery -
2nd payment - 2nd delivery -
3nd payment - 3nd delivery -
(please use separate sheet if more than 3 deliveries)