Store Requisition Slip

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STORE REQUISITION SLIP

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

Important Note:
Please do not enter any special characters in this form. Enter only letters and numbers while filling the details.
Avoid using symbols such as:
₹ @ # $ % ^ & * ( ) { } [ ] | \ / " ' < > ~

Letter No:

Date: *

Please select a valid date.

1. Administrative Details

College/Institute/Office: *

College/Institute/Office is required.

Department: *

Department is required.

2. Nature of Requirement (✔ Select One Only)

Recurring (Consumables/Perishables)

Non-Recurring (Dead Stock Items)

Repair / Maintenance

University Services

Note: Each Indent must pertain to only one category.

3. Source of Funding (✔ Select One Only)

University Grant

Externally Funded; If Externally Funded:

4. Details of Items

S.N.	Item Description & Catalogue No (if applicable)	Specifications	Purpose & Justification of Requirement	Make/Brand (Only in case of RC)	Quantity	Unit Cost (₹)	Approx Cost (₹)	Action
1

* Specifications must be generic and non-proprietary (not brand specific).

Approximate Total Cost (₹):

GST (₹):

Grand Total (₹):

Notes

1. For Non-Recurring (Equipment etc.)

Minimum three budgetary quotations enclosed.

AMC / CMC required: * Yes No

If yes, duration:

2. For Repairs / Services:

S.N.	Description of item	Cost (₹)	Date of Purchase	Details of Previous Repairs with Date & Cost	Current Estimated Repair Cost (₹) (Enclosed Annexure)	Action
1

3. 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