MATERIAL REQUISITION FORM

HAI LECK ENGINEERING PTE LTD HAI LECK INTEGRATED SERVICES PTE LTD

HAI LECK ENGINEERING & CONSTRUCTION PTE LTD HAI LECK SERVICES PTE LTD

HAI LECK INDUSTRIAL SERVICES PTE LTD

If there are any amendment's or alternation made to quantity & description in the MR, it must be Initial & dated by the respective Managers. Form No: STO-QR-03
T: 6862 2211
Please Tick Accordingly : F: 6862 1202
Winky Metal & Steel Material (Mechanical), Gases, Walkie Talkie New, Insulation, Refractory, Freight Forwarding Reference No:
PPE, Heavy Machinery & Equipment(Purchase only), Blasting Painting, Vehicle & Equipment Spare parts
Date: Monday, July 19, 2021
Miko Bolt/Nut & Gasket, Heavy Machinery & Equipment (Rental only), Diesel, Eletrical
Category : Please tick one of the below in bold
Jesslyn IT, Furniture, Hardware & Consumable, Office supplies Scaffold
Painting
Prakash Calibration & Recertification / Servicing Refractory
Insulation
Venkat Logistics, Scaffold Material , Walkie Talkie(Repair), Vehicle repair & servicing Mechanical
Miscellaneous

For Rental of equipment, please indicate the duration required

From: ______________ To: ________________

For Procurement Use Only

S.No. Description Stock Code Size Qty
PO / WO No Supplier Unit Rate Date Received

1 Mobil Hydraulic 10W Engine Lubricant Oil 20 L

2 Castrol Moly Grease (Heavy Duty Grease) 20 kg

3 Teflon Tape 10 dozen

4 Spray Paint (Red) 5 pcs

5 WD-40 1 dozen

6 1" Brass Gate Valve PN16 1" 20 pcs

7 3/4" Brass Gate Valve PN16 3/4" 20 pcs

8 1 1/2" Galvanized Union Coupling 1 1/2" 10 pcs

9 Transparent PVC Nylon Braided Hose 2"ID x 6mm Thk 2"ID x 6mm Thk 100 m

10 SS Hose Clip 4"ID 10mm Thk 4"ID 10mm Thk 10 pcs

11 AIR LEVEL VALVE AS SAMPLE SCREW END TO END 93MM 5 pcs

See attached drawing and quote for items 1,2,8,12

Remark: To be back-charged to Client Yes No Approval by Procurement Department

To be completed by site Purchased By
Requested By: Saw Wen Shen, Ayyappa Approved By Don Cheng
Site / Dept: HLIS STORE Job Code: 300 Single Source Supply
Approved By: Yvonne Lim Client Specified Product
End User Specified
NOTE : Please separate all request by category.
: All request must be submitted 7 working days in advance. Revised copy : 21