Material Requisition Cum Indent Form

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NO: AA/QMS/PUR/F-07
REV. NO: R01
MATERIAL REQUISITION CUM INDENT FORM REV. DATE: 01.05.2019

Financial Year: 2019-2020


Material Requisition Material Indent
(To be filed by Stores In-charge)
Requisition/Indent No.
(To be filed by Stores/ Purchase)
Month/Project code/Dept/No
Date 25/06/2019
Name of Requisitioner / Indenter APURV BHARTI
Designation Design Engineer (Mechanical)
Project Code P18027
Justification for Requisition Project Testing
Required timeline priority (By Project Manager) Normal Urgent

1. Description of Goods/Services
Availability in Issued To be Inward acceptance criteria
UoM stock register (units) ordered (To be filled for purchases by indenter)
S. Description of Goods/Services & Part No’s. Use
Units (No.s/ (Y/N) (To be filed (To be filed
No separate Sheet If required
Kg) (To be filed by by Stores In- by Stores In-
Indenter) charge) charge)
ANSI/AGMA 2101-D04 - Fundamental Rating
1. Factors and Calculation Methods for Involute Spur 1 Nos Verify the standard number
and Helical Gear Teeth (Metric Edition)
Availability in Issued To be Inward acceptance criteria
UoM stock register (units) ordered (To be filled for purchases by indenter)
S. Description of Goods/Services & Part No’s. Use
Units (No.s/ (Y/N) (To be filed (To be filed
No separate Sheet If required
Kg) (To be filed by by Stores In- by Stores In-
Indenter) charge) charge)

Signature:
Clearance by Stores department Stores In-charge

Remarks, if any: Webpage Link: https://members.agma.org/ItemDetail?iProductCode=2101-D04&Category=STANDARDS

Note: Detailed technical specifications of goods/ services required (Please specify the complete description of items with full specification & part nos in a separate
attachment)

Signature of the Indenter Signature of Project Manager


Name: Name:
Date: Date:

Signature of CTO/PMO
(Only in case of purchases)
Name:
Date:

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