Purchase Requisition

Revision No:

[Logo of Company]

Revision Date:



PURCHASE REQUISITION





Department : Supplier : Approved List No:



Location : PR Number :



Reference : Date :



Expected Delivery Date : Priority : Regular / Urgent



Select requirement form following by marking “X”



Materials : X Manpower : X Vehicles / Equipments :





S. Description / Specifications (Code etc) Quantity

No.









Total :



Prepared By: Reviewed By: Approved By:









XYZ ABC XYZ









[Document no.]