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Biomedical Engineering-Purchase Evaluation & Validation

PURCHASE REQUEST FOR NEW EQUIPMENT

EQUIPMENT NEEDED :

QUANTITY :

PURCHASE : NEW/REPLACEMENT/ADDITIONAL REQUIREMENT

REASON FOR PURCHASE :

SUGGESTED EQUIPMENT MAKE :

MODEL :

ALTERNATIVE OPTIONS :

RECRUITMENT AREA : USER:

TIME FRAME :

REQUESTED BT: DATE: SIGNATURE:

BIOMEDICAL ENGG DEPT-OLD EQUIPMENT ASSESMENT & VALIDATION

DEFECTIVE EQUIPMENT NAME : SERIAL NO:

ASSET NO :

REQUEST EVALUATION/SUGGESTION:

COST: DATE&TIME: DONE BY:

MANAGER-BME: DIRECTORS:

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