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STORE REQUISITION SLIP

U.P. Pt. Deen Dayal Upadhyaya Pashu-Chikitsa Vigyan Vishwavidyalaya
Evam Go-Anusandhan Sansthan, Mathura-281001 (UP)

Original Copy

Letter No: 15 Date: 13-05-2026
College: duvasu Department: State office
Nature of Requirement: Recurring Funding Source: University Grant
Note: Each Indent must pertain to only one category.
Project/Scheme Title:
Sanctioned Amount (Enclosed Annexure ): β‚Ή0.00

Purpose & Justification:
Office Use


Details of Items:
S.N. Item Description & Catalogue No (if applicable) Specifications Make/Brand(Only in case of RC) Qty Unit Cost (β‚Ή) Approx Cost (β‚Ή)
1 A-4 Size Rim 10.00 0.00 0.00
2 Blue pen 10.00 0.00 0.00
3 Black-pen 10.00 0.00 0.00
4 File Cover 50.00 0.00 0.00
5 Coleen liter 5.00 0.00 0.00
6 Toilet cliner liter 10.00 0.00 0.00
7 phenyl liter 10.00 0.00 0.00
8 Register no 8 5.00 0.00 0.00
9 Register no 6 5.00 0.00 0.00
10 Lizool liter 4.00 0.00 0.00
11 Scissor 4.00 0.00 0.00
12 Dastur 4.00 0.00 0.00
13 Allout 4.00 0.00 0.00
14 Tubal 4.00 0.00 0.00
15 Vim bar 4.00 0.00 0.00
16 Surf kg 2.00 0.00 0.00
17 Fevi stik 6.00 0.00 0.00
Specifications must be generic and non-proprietary (not brand specific).
Sub Total: β‚Ή0.00
GST: β‚Ή0.00
Grand Total: β‚Ή0.00
AMC Required: Yes AMC Duration: N/A

Certification:
It is certified that the rates of the above items/services have been verified from different sources and found reasonable.( Enclosed rate reasonability Annexure )

(Indentor Signature)
Date: _____________
(HOD/Officer Signature)
Date: _____________
(Dean/Director Signature)
Date: _____________