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Borang A BORANG PERMOHONAN MEMBUKA SEBUTHARGA/TENDER/DIRECT PO/DIRECT INVOICE/REIMBURSEMENT/HONORIUM (APPLICATION FORM) FAKULTI KEJURUTERAAN, UNIVERSITI MALAYA Applicant’s name : Position & Department : Email & Contact No : Allocation/Grant/ HIR No: Purpose : No Details Price Qty Type of Pu Consumables Total (RM) Maintenance Repair Approved Applicant’s Signature & Date Dean/DD/HOD Approval & Stamp * to evaluate the relevance of the Not Approved Updated : 1 st April 2015

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Borang A

BORANG PERMOHONAN MEMBUKA SEBUTHARGA/TENDER/DIRECT PO/DIRECT INVOICE/REIMBURSEMENT/HONORIUM(Application ForM)FAKULTI KEJURUTERAAN, UNIVERSITI MALAYA

Applicants name :

Position & Department :

Email & Contact No :

Allocation/Grant/HIR No:

Purpose :

Approved

Applicants Signature & DateDean/DD/HOD Approval & Stamp* to evaluate the relevance of the purchase.Not Approved

FOR OFFICE USE:Source of Fund:

Vote:

E-procurement #:

Complete document received by & date:

* No PO will be issue unless there is an approval from Dean/ Related Deputy Dean/Head of Department.Updated : 1st April 2015Sheet1NoDetailsPriceQtyTotal(RM)Type of PurchasesConsumablesMaintenance & RepairEquipmentOthers

GRAND TOTAL:

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