PP Form 20

MAKERERE UNIVERSITY BUSINESS SCHOOL R 104 (1)

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PROCUREMENT REQUISITION

Procurement Reference Number (Refer to the Procurement Guidelines)

PD Entity Code Wrks/Srvcs/Supplies? Budget Year Sequence Number ITB Number Contract Number

Subject of Procurement:

Location for Delivery: Date Required:

Item Description Quantity Unit of Estimated Estimated

No. (A detailed list, Statement of Requirements or Stock Management Information may be attached) Measure Unit Cost Total Cost

Funds Availability: Vote/Head Programme Sub-programme Item Balance Currency: __________

No. Remaining Estimated Total Cost:

(1) Confirmation of Need (2) Approval to Procure (3) Confirmation of Funding

(Originating Officer) (Authorising Officer) (Accounting Officer unless delegated)
Signature:
_____________________________________ _____________________________________ _____________________________________
Name: _____________________________________ _____________________________________ _____________________________________
Position: _____________________________________ _____________________________________ _____________________________________
Date: _____________________________________ _____________________________________ _____________________________________

PP Form issued May 2003 Continue on additional pages if necessary. Any attachments must be signed in the same way as this form.