EMERGENCY PURCHASE FORM
Emergency Purchase No.: _001________                                                         Date: _06/09/2017
No. of Emergency Purchase in a month/yr: _________                     Region  Circle: Assam (1st/ 2nd/ 3r ...
    deviation of a month)
Details to be filled by User:
1 (a) Reasons for Emergency           Govt./Regulatory rqmt.          Not Planned          Unforeseen reqmt.
      Purchase         (Attach        Network Breakdown               Natural Disaster     Any other reason.
      supporting mail)         Detailed justification to be given in below space:
                               We have 2 nos. 200 KVA Cummins DG at Panbazar MSC. At DG-1 there is a leakage at
                               silencer pipe and at DG-2 ducting part got damaged. Approval is required for
                               repairing the mentioned issues.
(b)     Business Impact in case (What could have been the repercussion had the requirement not been
        requirement was not met?)
        met                     Since this a MSC location and we need to run both the DG one by one during mains
                                fail. At present due to the leakage of the silencer pipe of the DG-1 huge noise
                                pollution is occurring and neighbor issue cropping up. And due to the damage of
                                ducting part high temperature occurring at DG room and DG got hanged. So, during
                                prolong mains fails MSC will be at high risk.
(c)     Date of Emergency           Arisen on: UnPredicted Met on: _31/08/17___________________
2       User Function               Network(O&M)
3 (a) Material Purchased / Hiring of Genset
      Service rendered
    (b) Item Quantity               15 days
4 (a) Vendor Name
    (b) Value of Purchase (INR)     INR 37500/-
    (b) Vendor          Selection       Contracted Vendor       Non- Contracted Vendor    Approved Vendor
        Criteria                         Non-Approved (attach commercial endorsement on rates)
                                    Reference
                                        taken from other circle
5 (a) Category                              Capex         Opex          Both
    (b) Telco/ Non-Telco            Telco
6       Purchase References         Actual Purchase Details (to be filled by User)_____________
                                    Corresponding PO No./Dt in SAP (to be filled by Commercial) ________________
         Kaushal                  Ranjit Barua,         Amitav                 Vikash
         Choudhury, O&M           Network Head-Assam    Chakraborty, SCM       Acharya,      Dibyajyoti Khaund-
         Head- Assam                                    Head-Assam             CBC-Assam     CBH-Assam