Annex A Purchase Requisition Form Blank

VIRTUAL UNIVERSITY OF PAKISTAN
PURCHASE (MATERIAL / SERVICES) REQUISITION (PR) FORM

Cost Centre/Department: H.O./Admin
Requisition No:
Date:
29/05/2014
S. No.
Qty
Name of Items /
Specifications
Demanded
Emulsion (Super+White)
2
3
Enamel Paint
(Brown+White)
Enamel (Golden+Brown)
Budget Head
Total Allocated Budget
Consumed/Committed
Net Available Budget
Estimated
Unit Rate
Estimated
Value
Justifications
Gallon
For paint work of FA-3
Gallon
02
Qtr.
Glue
05
Pkt.
White Cement
20
Kg.
Varnish
06
Ltr.
Emery Paper (Raigmar)
02
Pkt.
Plaster of Paris
05
Pkt.
Kerosene Oil
10
Ltr.
12
06
10
11
12
13
Total
Demanded By
Head of Department
Name: Muhammad Imran Irshad
Name: Omer Ali
Designation: AAO-4 (Estate)
Designation: Director Administration__
Signature: _
______________
Signature: __
_____________
Recommendations/ Approvals as Per Financial Delegations

Designation
Signature
Remarks

Requisition No:
Date:
15/07/2014
S. No. Name of Items /

Specifications
LPG Cylinder
1
Qty
Demanded Estimated
Unit Rate
Pedestal Fans
02
Rechargeable Torch
03
Raincoats
03
Motorbike / Bicycle
01
Water cooler
01
Water Set (steel glasses

and jugs)
Gas stove. (Double)
10
11
First Aid Kit (As per

description of Motorway
Police)
Emergency Lights
Tarpal (15x15)
Estimated
Value
01
Budget Head
Consumed/Committed
Justifications
For Security Guards/KSK
01
01
01
01
01
12
Rain Shoes (pair)
03
13
Folding Bed/Bedstead
03
Demanded By
Head of Department
Name: Omer Ali
Designation: Director Administration
Signature:
Signature:

Designation
Signature
Remarks

Cost Centre/Department: HVAC (H.O)

Requisition No:
04
Date:
04/10/2013
S. No.
Name of Items /
Specifications
Qty
Demanded
Exhaust Fans
02
Budget Head
Consumed/Committed
Estimated
Unit Rate
0011007
Rs.163,500/-
Estimated
Value
Rs.2500/-
Justifications
Executive Washrooms
and Female Washrooms
2
3
4
5
6
7
8
9
10
Total
Demanded By
Head of Department
Name: Muhammad Imran Irshad __
Name: ____________________

________________
Signature: _______________
Designation:________________
Signature: _______________

Designation
Signature
Remarks

Cost Centre/Department:
Requisition No:
Date:
S. No.
Budget Head
Consumed/Committed
Qty
Name of Items /
Specifications
Demanded
Microwave Oven 23
Liters Capacity
Estimated
Unit Rate
Estimated
Value
01
Justifications
Both the Ovens have

been repaired lots of
time and it cannot be
repaired now said by the
technician.
2
3
4
5
6
7
8
9
10
Demanded
By
Head of Department
Name: Atif Mushtaq
Designation: Incharge Administration__
Signature: _______________
Signature: _______________

Designation
Signature
Remarks

Requisition No:
Date:
S. No.
Budget Head
Consumed/Committed
Qty
Name of Items /
Specifications
Demanded
Estimated
Unit Rate
Estimated
Value
Justifications
1
2
3
4
5
6
7
8
9
10
Total
Demanded By
Head of Department
Name: Syed Salman Hassan_
Signature: _______________
Signature: _______________
Designation
Signature
Remarks

Cost Centre/Department: HVAC (H.O)

Requisition No:
04
Date:
04/10/2013
S. No.
Name of Items /
Specifications
Qty
Demanded
Exhaust Fans
02
Budget Head
Consumed/Committed
Estimated
Unit Rate
0011007
Rs.163,500/-
Estimated
Value
Rs.2500/-
Justifications
Executive Washrooms
and Female Washrooms
2
3
4
5
6
7
8
9
10
Total
Demanded By
Head of Department
Name: ____________________

________________
Signature: _______________
Designation:________________
Signature: _______________

Designation
Signature
Remarks

Cost Centre/Department: Admin (H.O)

Requisition No:
Date:
26/08/2014
S. No.
Name of Items /
Specifications
Qty
Demanded
Complete Door for

Kitchen Access
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
01
2
3
4
5
6
7
8
9
10
Total
Demanded By
Head of Department
Name: Omer Ali
Designation: Director Admin
Signature: _______________
Signature: _______________

Designation
Signature
Remarks
Justifications


Requisition No:
Date:
26/08/2014
Budget Head
Consumed/Committed
01
S. No.
Name of Items /
Specifications
Qty
Demanded
Estimated
Unit Rate
Estimated
Value
Complete Door for

Kitchen Access
2
3
4
5
6
7
8
9
10
Total
Demanded By
Head of Department
Name: Omer Ali
Designation: Director Admin
Signature: _______________
Signature: _______________

Designation
Signature
Remarks
Justifications


Requisition No:
Date:
05/01/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications
1
2
3
4
5
6
7
8
9
10
Total
Demanded By
Head of Department
Name: __________________________________
Designation: Director Admin_________________
Signature: _______________
Signature: _______________________________

Designation
Signature
Remarks


Requisition No:
Date:
05/01/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Shirts Skyblue
12
Pants Navy Blue
12
Jersseys/Sweaters
Navey Blue
06
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications
For Office Boys working

on VU Payroll.
4
5
6
7
8
9
10
Total
Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________

Designation
Signature
Remarks

Requisition No:
Date:
23/01/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Visiting Cards
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
500
Justifications
For Director Admin.
2
3
4
5
6
7
8
9
10
Total

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
23/01/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Uniforms
17
Whistles
17
Boots DMS
17
Belts
17
Jackets
17
VU Caps
17
T.Shirts
34
Badges & Name Plate
17
Information Sign.
17
10
Name Plates
17
Total
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications
For Security Guards.
187

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
06/02/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications
For Record of
Registrar Office and
Accounts Office
01
Room 16-6x44x10
2
3
4
5
6
7
8
9
10
Total
01

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
19/02/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Vertical Blinds (6 ft-6 in
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications
For the room of

director admin.
04
x 5ft-6 in)
2
3
4
5
6
7
8
9
10
Total
04

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________

Requisition No:
Date:
S. No.
Name of Items /
Specifications
Budget Head
Consumed/Committed
Qty
Demanded
Estimated
Unit Rate
Estimated
Value
Justifications
1
2
3
4
5
6
7
8
9
10
Total

Demanded By
Head of Department
Name: __________________
Name: _________________________________
Designation:________________
Designation: ____________________________
Signature: _______________
Signature: _______________________________

Cost Centre/Department: Admin/H.O.

Requisition No:
Date:
02/03/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications
Uniforms
17
For Security Guards
T-Shirts
34
For Security Guards
Total
51
3
4
5
6
7
8
9
10

Demanded By
Head of Department
Name: Imran Mustafa
Designation: Director (Administration)
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
04/03/2015
S. No.
Name of Items /
Specifications
Weeding of Korean
Grass (Carpeted)
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
2900 Sqft.
Justifications
For plots of Executive

Block and Admin
Block
2
3
4
5
6
7
8
9
10
Total
2900 Sqft.

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
04/03/2015
S. No.
Name of Items /
Specifications
Weeding of Korean
Grass (Carpeted)
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
1500 Sqft.
Justifications
For plot of Executive

Block.
2
3
4
5
6
7
8
9
10
Total
1500 Sqft.

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
12/03/2015
S. No.
Name of Items /
Specifications
Weeding of Korean
Grass (Carpeted)
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
1500 Sqft.
Justifications
For plot of Admin

Block.
2
3
4
5
6
7
8
9
10
Total
1500 Sqft.

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
02/04/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
18 Sqft.
Ditch 3x3x2 with
concrete slab
Justifications
To secure joints of
main electric cable
(which was damaged
near VTV Building). Email is attached
herewith.
2
3
4
5
6
7
8
9
10
Total
18 Sqft.

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
10/04/2015
S. No.
Name of Items /
Specifications
Handheld
Rechargeable
Emergency LED Light
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
02
Justifications
The request and the

specification of the
LED are attached.
2
3
4
5
6
7
8
9
10
Total
02

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
14/04/2015
S. No.
Name of Items /
Specifications
Vehicle Checking
Mirror
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
01
Justifications
For checking of
vehicles at VU H.O.
main barrier.
2
3
4
5
6
7
8
9
10
Total
01

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
21/04/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Vertical Blinds
02
Air conditioner
01
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications
For the room of

Drivers.
3
4
5
6
7
8
9
10
Total

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
22/04/2015
S. No.
Name of Items /
Specifications
Guardian+10
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
12
Justifications
For spray weekly

basis at VU H.O.
3
4
5
6
7
8
9
10
Total
12

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
14/04/2015
S. No.
Name of Items /
Specifications
Vehicle Checking
Mirror
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
01
Justifications
For checking of
vehicles at VU H.O.
main barrier.
2
3
4
5
6
7
8
9
10
Total
01

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
05/05/2015
S. No.
Name of Items /
Specifications
Electric Lawn Mower
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
01
Justifications
For gardening section.
2
3
4
5
6
7
8
9
10
Total
01

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
07/05/2015
S. No.
Name of Items /
Specifications
Roof 10 Ft. x 5 Ft.
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
01
Justifications
For Telephone
Exchange
2
3
4
5
6
7
8
9
10
Total
01

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
12/05/2015
S. No.
Name of Items /
Specifications
Flexible Water pipe

250 Ft.
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
250 Ft.
Justifications
For Gardening Section
2
3
4
5
6
7
8
9
10
Total
250 Ft.

Demanded By
Head of Department
Name: Imran Mustafa
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
08/07/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
White Cement
15 Kg.
Cement
10 Bags Rs. 5300/-
DMC Bond
30 Bags Rs. 8100/-
Labour
700 Sqft. Rs.

18,900/
Estimated
Value
Justifications
Rs. 500/For DICT and C.E.

Room floor tiling.
5
6
7
8
9
10
Total

Demanded By
Head of Department
Name: Ehsen Puri
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
10/07/2015
S. No.
Name of Items /
Specifications
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Flooring of the Room 58 Sq.

for Advisor Marketing Meter
Justifications
For the room of

Advisor Marketing
2
3
4
5
6
7
8
9
10
Total

Demanded By
Head of Department
Name: Ehsen Puri
Signature: _______________
Signature: _______________________________
A.O. (E&T):_______________


Requisition No:
Date:
22/07/2015
S. No.
Name of Items /
Specifications
Executive Chair
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
01
Justifications
For repair
2
3
4
5
6
7
8
9
10
Total

Demanded By
Head of Department
Name: Ehsen Zafar Puri
Designation: AAO (Estate)
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
29/07/2015
S. No.
Name of Items /
Specifications
Executive Chair
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
01
Sofa Set
01
Visitor Chairs
06
Justifications
For the Office

Director Admin
-Do-Do-
4
5
6
7
8
9
10
Total

Demanded By
Head of Department
Name: Ahmer Sayeed Qazi
Signature: _______________
Signature: _______________________________
of

Requisition No:
Date:
S. No.
Admin/H.O.
03/08/2015
Name of Items /
Specifications
Air condition (1 Tr.)
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
01
Justifications
For establishment of
information desk
2
3
4
5
6
7
8
9
10
Total

Demanded By
Head of Department
Signature: _______________
Signature: _______________________________

Requisition No:
Date:
10/08/2015
S. No.
Name of Items /
Specifications
Inspection/filling of
Firefighting
Extinguishers
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
37
Justifications
Annual Inspection /
filling. Last date of
inspection
is
22/08/2014
2
3
4
5
6
7
8
9
10
Total

Demanded By
Head of Department
Signature: _______________
Signature: _______________________________


Requisition No:
Date:
29/07/2015
S. No.
Qty
Name of Items /
Specifications
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Furniture
3.1 million
3.1 million
Estimated
Value
Justifications
Executive Chair
Sofa Set (03 Seater)
01
For the office of Director

Admin.
-Do-
Visitor Chairs
06
-Do-
01
4
5
6
7
8
9
10
11
12
13
Total
Demanded By
Head of Department
Signature: _
Signature: __
___
_____________
Designation
Signature
Remarks


Requisition No:
Date:
03/08/2015
S. No.
Qty
Name of Items /
Specifications
Demanded
Air Condition (1 Tr.)
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications
For establishment of
information desk.
01
2
3
4
5
6
7
8
9
10
11
12
13
Total
Demanded By
Head of Department
Signature: _
Signature: __
___
_____________

Designation
Signature
Remarks

Requisition No:
Date:
10/08/2015
S. No.
Name of Items /
Specifications
Telephone Set (CLI)
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications

Admin.
01
2
3
4
5
6
7
8
9
10
11
12
13
Total
Demanded By
Head of Department
Signature: _
Signature: __
Designation
___
_____________

Signature
Remarks

Requisition No:
Date:
11/08/2015
S. No.
Qty
Name of Items /
Specifications
Demanded
Check & Correct

Calculator (Large
Display/12 Digit)
01
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications

Admin.
2
3
4
5
6
7
8
9
10
11
12
13
Total
Demanded By
Head of Department
Signature: _
Signature: __
___
_____________

Designation
Signature
Remarks


Requisition No:
Date:
11/08/2015
S. No.
Qty
Name of Items /
Specifications
Demanded
Check & Correct

Calculator (Large
Display/12 Digit)
01
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications

Admin.
2
3
4
5
6
7
8
9
10
11
12
13
Total
Demanded By
Head of Department
Signature: _
Signature: __
___
_____________

Designation
Signature
Remarks

Requisition No:
Date:
17/09/2015
S. No.
Qty
Name of Items /
Specifications
Demanded
Wooden and Glass

Office at Admin HR
(Room) 12x12
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications
For Director Admin. The

design and drawing are
attached.
01
2
3
4
5
Total
Demanded By
Head of Department
Signature: _
Signature: __
___
_____________

Designation
Signature
Remarks


Requisition No:
Date:
29/09/2015
S. No.
2
3
Name of Items /
Specifications
Water Type(Fire
Extinguisher)
Refilling/Nozzle replace
CO2 (Replacement of
Valve/ Nozzle replace)
DCP (Refilling)
Qty
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Justifications
Over pressured
Nozzle is damaged
01
Valve Rusty
Nozzle is damaged
Empty
01
02
4
5
Total
Demanded By
Head of Department
Signature: _
Signature: __
___
_____________

Designation
Signature
Remarks

Requisition No:
Date:
22/10/2015
S. No.
1
2
3
Qty
Name of Items /
Specifications
Demanded
Budget Head
Consumed/Committed
Estimated
Unit Rate
Estimated
Value
Paint Work
3109 Sqft.
(Walls+Roofs)
Vertical Blinds (9ft-6 in x
03
5ft-6 in)
Carpet
1600 Sqft.
Justifications
For Auditorium
For Auditorium
For Auditorium
4
5
Total
Demanded By
Head of Department
Signature: _
Signature: __
___
_____________

Designation
Signature
Remarks

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VIRTUAL UNIVERSITY OF PAKISTAN

PURCHASE (MATERIAL / SERVICES) REQUISITION (PR) FORM

For paint work of FA-3

For paint work of FA-3

For paint work of FA-3

For paint work of FA-3

For paint work of FA-3

For paint work of FA-3

Emery Paper (Raigmar)

For paint work of FA-3

For paint work of FA-3

For paint work of FA-3

Name: Muhammad Imran Irshad

Name: Omer Ali

Designation: AAO-4 (Estate)

Designation: Director Administration__

Recommendations/ Approvals as Per Financial Delegations

VIRTUAL UNIVERSITY OF PAKISTAN

S. No. Name of Items /

Water Set (steel glasses

First Aid Kit (As per

Rain Shoes (pair)

Name: Muhammad Imran Irshad

Name: Omer Ali

Designation: AAO-4 (Estate)

Designation: Director Administration

Recommendations/ Approvals as Per Financial Delegations

VIRTUAL UNIVERSITY OF PAKISTAN

Cost Centre/Department: HVAC (H.O)

Name: Muhammad Imran Irshad __

Designation: AAO-4 (Estate)

Recommendations/ Approvals as Per Financial Delegations

VIRTUAL UNIVERSITY OF PAKISTAN

Both the Ovens have

Name: Muhammad Imran Irshad

Name: Atif Mushtaq

Designation: AAO-4 (Estate)

Designation: Incharge Administration__

Recommendations/ Approvals as Per Financial Delegations

VIRTUAL UNIVERSITY OF PAKISTAN

Name: Muhammad Imran Irshad

Name: Syed Salman Hassan_

Designation: AAO-4 (Estate)

Designation: Director Administration__

VIRTUAL UNIVERSITY OF PAKISTAN

Cost Centre/Department: HVAC (H.O)

Name: Muhammad Imran Irshad __

Designation: AAO-4 (Estate)

Recommendations/ Approvals as Per Financial Delegations

VIRTUAL UNIVERSITY OF PAKISTAN

Cost Centre/Department: Admin (H.O)

Complete Door for

Name: Muhammad Imran Irshad __

Name: Omer Ali

Designation: AAO-4 (Estate)

Designation: Director Admin

Recommendations/ Approvals as Per Financial Delegations

VIRTUAL UNIVERSITY OF PAKISTAN

Cost Centre/Department: Admin (H.O)

Complete Door for

Name: Muhammad Imran Irshad __

Name: Omer Ali

Designation: AAO-4 (Estate)