FORMAT FOR PURCHASE REQUISITION/INDENT

ETHIOPIAN ELECTRIC UTILITY

Harar Region Automation & Technology
Date: _______________
Ref. №: _____________
Sub.: Indent for Purchase of Network Installation Service of ERP Project for EEU Harari
Region office
1.0 Details of Indent/Requisition:
S.№ Description Detail of the Purchase
1. Item/Works EEU Harari Region office ________Network Installation_
2. Mode of Purchase Performa Purchase /Single Tender/Limited
Tender/Open Tender /direct purchase
3. Name of indenting dep’t. _Automation & Technology__
4. Purpose of purchase in brief ERP Project
5. Nature of Requirement Urgent/Normal
6. Specification of Item to be purchased (in brief)
№ Service Description
1 Trucking Installation of wall out late or I/O

7. Details of Quantity to be purchased

№ Service Description quantity

1 Trucking Installation of wall out late or I/O 120

8. Budget Estimated
Unit Price Total
№ Service Description UoM Amount (Birr) (Birr)
Trucking Installation of wall out late or
1 I/O Pcs 120 1500 180,000

Grand Total 180,000

9. Non-Availability Certificate from Store received & enclosed: Yes/No

10. Delivery Period: Seven (7) Days
11. Any special condition

1
2.0 Submitted for concurrence of Finance Dep’t. And for approval of the Competent Authority as per DOP
please. On approval, the proposal shall be forwarded to PL & W dep’t. For necessary action.

____________________________
Designation & Department
Head (Indenting Dep’t) _____________________________________

CFO _____________________________________________________

APPROVING AUTHORITY _________________________________________

[The Channel of Authority / Approving Authority shall be as per DOP]
PLW & F