TV Project - ‫وع اﻟﺘﻠﻔ ﻮن‬ ‫ ﻣ‬MATERIAL SUPPLY REQUISITION‫ﺗﻐﺬ'ﺔ‬ ‫إﺳﺘﻤﺎرة ﻃﻠﺐ‬

District: NORTH :‫اﻟﻤﻨﻄﻘﺔ‬ REF. NO.: NAR 1101 :‫رﻗﻢ اﻟﻄﻠﺐ‬

Site: ARAR :‫اﻟﻤﻮﻗﻊ‬ Date: 10/8/2021 :‫اﻟﺘﺎر ـ ــﺦ‬
Department: STUDIO :‫اﻟﻘﺴﻢ‬ Originator: STUDIO ENG. :‫اﻟﻄﺎﻟﺐ‬
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‫ﺔ‬L‫ﺎﻧﺎت إﺿﺎﻓ‬L‫ﺑ‬ ‫اﻟ ﻛﺔ اﻟﺼﺎﻧﻌﺔ‬ O‫اﻷﺳﺎ‬
N ‫ ﻟﻠﺠﻬﺎز‬T‫ﺴﻠﺴ‬U‫اﻟ‬
N ‫اﻟﺮﻗﻢ‬ O‫اﻷﺳﺎ‬
N ‫اﺳﻢ اﻟﺠﻬﺎز‬ ‫ﺔ‬L‫ﻤ‬M‫اﻟ‬ ‫رﻗﻢ اﻟﻘﻄﻌﺔ‬ ‫وﺻﻒ اﻟﻘﻄﻌﺔ‬ ‫م‬
Additional info. Manufacturer Serial Number for Main Eqt. Main Equipment Qty. Part# Description #
portable USB hard disk it size 4
1 1
tira
2
3
r
‫ﻟﻼﺳﺘﺨﺪام | ﺗﺨﺬﻳﻦ اﻟﻤﻮاد اﻟﻤﺼﻮرة‬
r 4
‫ﺎت اﻟﻤﺨﺘﻠﻔﺔ | ﻋﺮﻋﺮ‬L‫ﻟﻠﻔﻌﺎﻟ‬
5
6
Each Material Requisuition Should be used for One Supplier, Manufacturer, sr
t‫اﻟﻤﻬﻨﺪﺳ‬ v‫ﻛﺒ‬
s ‫ﺗﻮﻗﻴﻊ‬ ‫ﺧﺘﻢ دﻟﺘﺎ‬ ‫ﺗﻮﻗﻴﻊ ﻣﻤﺜﻞ اﻟﻬﻴﺌﺔ‬ ‫ﺧﺘﻢ اﻟﻬﻴﺌﺔ‬ ‫اﻟﻨﻤﻮذج‬
or Similar Stock CE Signature Delta Stamp SBA Signature SBA Stamp Form
‫ﺸﺎﺑﻬﺔ‬2‫ﺴﺘﺨﺪم ﻟﺠﻬﺔ ﺻﺎﻧﻌﺔ واﺣﺪة أو ﻣﻮرد واﺣﺪ أو ﻗﻄﻊ ﻣ‬D ‫ﺠﺐ أن‬# ‫ﻞ ﻃﻠﺐ‬I RIFAAT IBRAHIM ‫ﻞ‬#‫ﻋ(' ال ﻗﻨﺪ‬.‫ا‬ 1
A technical Report should be attached to every Request b
‫ وﻓﻘﺎ ﻟﻠﻨﻤﻮذج اﻟﻤﻌﻤﻮل ^ﻪ‬c‫ﻓ‬
a ‫ﺮ‬ef‫ﻞ ﻃﻠﺐ ﺑﺘﻘ‬I ‫ﺠﺐ إرﻓﺎق‬#
 ‫‪‬ﺗﻘﺮﻳﺮ ﻓﻨﻲ ﻟﻄﻠﺐ ﻗﻄﻊ ﻏﻴﺎﺭ‬

‫ﺍﻟﻤﺤﺘﺮﻡ‬ ‫ﺳﻌﺎﺩﺓ ﻣﺪﻳـﺮﻋــﺎﻡ ﺍﻟﺸــﺆﻭﻥ ﺍﻟﻔﻨﻴــﺔ‬

‫ﺍﻟﺴﻼﻡ ﻋﻠﻴﻜﻢ ﻭﺭﺣﻤﺔ ﷲ ﻭﺑﺮﻛﺎﺗﻪ‪،،‬‬
‫ﺩﺭﺟﺔ ﺍﻷﻭﻟﻮﻳﺔ ‪1‬‬ ‫‪B‬‬ ‫‪:‬ﻓﺌﺔ ﺍﻟﻤﻮﻗﻊ‬ ‫ﻳﺮﺟﻰ ﺍﻟﻤﻮﺍﻓﻘﺔ ﻋﻠﻰ ﺗﺄﻣﻴﻦ ﺍﻟﺒﻨﻮﺩ ﺍﻟﻤﺮﻓﻘﺒﻴﺎﻧﻬﺎ ﺑﺎﻟﻄﻠﺐ ﺭﻗﻢ ‪NAR 1101‬‬
‫ﻹﺳﺘﺨﺪﺍﻣﻬﺎ ﻓﻲ ﻣﻮﻗﻊ‪_____ :‬ﻋﺮﻋﺮ ___________ ﻗﺴﻢ‪_______ :‬ﺇﺳﺘﻮﺩﻳﻮ _____ ﺟﻬﺎﺯ‪_ :‬ﻫﺎﺭﺩ ﺩﻳﺴﻚ ____________‬
‫ﻻ‪‬‬ ‫ﻫﻞ ﺍﻟﻘﻄﻊ ﺿﻤﻦ ﻣﺸﺮﻭﻉ ﺃﻭ ﻧﻈﺎﻡ ﻟﻢ ﻳﺘﻢ ﺇﺳﺘﻼﻣﻪ ﻧﻬﺎﺋﻲ‪ :‬ﻧﻌﻢ‬
‫ﻻ‪‬‬ ‫‪ ‬ﻫﻞ ﺍﻟﻘﻄﻊ ﺍﻟﻤﻄﻠﻮﺑﺔ ﻋﺪﺓ ﻟﻠﺼﻴﺎﻧﺔ‪ :‬ﻧﻌﻢ‬ ‫ﻻ‬ ‫ﻫﻞ ﻟﻬﺬﻩ ﺍﻟﻘﻄﻊ ﺭﺟﻴﻊ ﻋﻨﺪ ﺍﻟﺘﺮﻛﻴﺐ‪ :‬ﻧﻌﻢ‬

‫)‪The reasons for this request areTick or Fill‬‬ ‫√‬ ‫ﺍﻷﺳﺒﺎﺏ ﺍﻟﻤﻮﺟﺒﺔ ﻟﻬﺬﺍ ﺍﻟﻄﻠﺒﻬﻲ‪‬ﺃﺷﺮ ﺃﻭ ﺇﻣﻸ(‬
‫‪Lack of stock.‬‬ ‫‪‬‬ ‫ﻧﻘﺺ ﺍﻟﻤﺨﺰﻭﻥ‪.‬‬
‫‪Secure the minimum stock according to our‬‬ ‫ﺗﺄﻣﻴﻦ ﺍﻟﺤﺪ ﺍﻷﺩﻧﻰ ﻭﻓﻘﺎ ﻟﺘﻮﻗﻌﺎﺗﻨﺎ‪.‬‬
‫‪‬‬
‫‪expectations.‬‬
‫‪Available quantities in Stock:‬‬ ‫__‪__0‬‬ ‫ﺍﻟﻜﻤﻴﺔ ﺍﻟﺤﺎﻟﻴﺔ ﺍﻟﻤﺘﻮﻓﺮﺓ ‪:‬‬
‫‪Perform scheduled maintenance.‬‬ ‫‪‬‬ ‫ﺇﺟﺮﺍء ﺻﻴﺎﻧﺔ ﻣﺠﺪﻭﻟﺔ‪.‬‬
‫‪The required part is to repair a fault. Attach copy of‬‬ ‫ﺍﻟﻘﻄﻌﺔ ﻣﻄﻠﻮﺑﺔ ﻹﺻﻼﺡ ﻋﻄﻞ‪.‬ﻳﺮﻓﻖ ﺻﻮﺭﺓ ﻣﻦ ﺗﻘﺮﻳﺮ ﺍﻟﻌﻄﻞ‬
‫‪Fault Report‬‬
‫‪Number of similar equipment in the Zone. The‬‬ ‫ﺃﻋﺪﺍﺩ ﺍﻷﺟﻬﺰﺓ ﺍﻟﻤﻤﺎﺛﻠﺔ ﺍﻟﺘﻲ ﺗﺨﺪﻣﻬﺎ ﻫﺬﻩ‬
‫‪number of devices serviced by these materialshould‬‬ ‫ﺍﻟﻘﻄﻌﺔﺑﺎﻟﻤﻨﻄﻘﺔ‪ .‬ﺗﺬﻛﺮ ﺃﻋﺪﺍﺩ ﺍﻷﺟﻬﺰﺓ ﺍﻟﺘﻲ ﺗﺨﺪﻣﻬﺎ ﻫﺬﻩ‬
‫‪be mentioned.‬‬ ‫____‬ ‫ﺍﻟﻤﻮﺍﺩ‪.‬‬
‫‪The non existing of the part may leads to outage.‬‬ ‫ﻋﺪﻡ ﺗﻮﺍﺟﺪ ﺍﻟﻘﻄﻌﺔ ﻳﺆﺩﻱ ﺇﻟﻰ ﺧﺮﻭﺝ ﺍﻷﺟﻬﺰﺓ ﻣﻦ ﺍﻟﺨﺪﻣﺔ‪.‬‬
‫‪The expected time period available to the site until‬‬ ‫ﺍﻟﻔﺘﺮﺓ ﺍﻟﺰﻣﻨﻴﺔ ﺍﻟﻤﺘﻮﻗﻌﺔ ﻭﺍﻟﻤﺘﺎﺣﺔ ﻟﻠﻤﻮﻗﻊ ﻟﺤﻴﻦ ﺗﻮﺭﻳﺪ‬
‫‪the required parts are supplied to avoid interruption‬‬ ‫ﺍﻟﻘﻄﻊ ﺍﻟﻤﻄﻠﻮﺑﺔ ﻟﺘﻔﺎﺩﻱ ﺧﺮﻭﺝ ﺍﻷﺟﻬﺰﺓ ﻣﻦ ﺍﻟﺨﺪﻣﺔ‬
‫‪of servicedays.‬‬ ‫____‬ ‫ﻳﻮﻡ‪.‬‬
‫‪Technical Report and Notes‬‬ ‫‪Attach Detailed‬‬ ‫ﺗﻘﺮﻳﺮ ﻓﻨﻲ ﻭ ﻣﻼﺣﻈﺎﺕ‪‬ﻳﺮﻓﻖ ﺗﻘﺮﻳﺮ ﻓﻨﻲ ﺗﻔﺼﻴﻠﻲ(‬
‫)‪Technical Report‬‬

‫ﺍﻟﻣﻁﻠﻭﺏ ﻫﺎﺭﺩ ﺩﻳﺳﻙ ﻣﺣﻣﻭﻝ ﻟﺗﺧﺫﻳﻥ ﺍﻟﻣﻭﺍﺩ ﺍﻟﻣﺻﻭﺭﺓ ﻟﻠﻔﻌﺎﻟﻳﺎﺕ ﺍﻟﻣﺧﺗﻠﻔﺔ ﻓﻰ ﻋﺭﻋﺭ‪.‬‬

‫_‪Date of application:__/__/202‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻟﻄﻠﺐ‪2021_/__08/10:‬‬

‫‪Requested By:‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﻄﻠﺐ‪ :‬ﻣﺤﻤﻮﺩ ﺍﻟﻌﺒﺎﺩﻯ‬
‫‪Signature:‬‬ ‫ﺍﻟﺘﻮﻗﻴﻊ‪:‬‬
‫ﺇﻋﺘﻤﺎﺩ ﻣﻤﺜﻞ ﺍﻟﻬﻴﺌﺔ‬ ‫ﺇﻋﺘﻤــﺎﺩ ﻛـﺒﻴﺮ ﺍﻟﻤﻬﻨﺪﺳـﻴﻦ‬
‫‪Endorsement of SBC representative‬‬ ‫‪Approval of Chief Engineer‬‬
‫ﺍ‪ .‬ﻋﻴﺴﻰ ﺍﻝ ﻗﻨﺪﻳﻞ‬

‫ﻣﻼﺣﻈﺎﺕ ﻫﺎﻣﺔ‪ :‬ﻓﻲ ﺣﺎﻝ ﻁﻠﺐ ﺟﻬﺎﺯ ﻛﻘﻄﻌﺔ ﻏﻴﺎﺭﺑﺪﻳﻞ ﻟﺠﻬﺎﺯ ﻣﺘﻮﻓﺮ ﻳﺒﻴﻦ ﺃﺳﺒﺎﺏ ﺫﻟﻚ ﻣﻊ ﺫﻛﺮ ﺍﻟﺮﻗﻢ ﺍﻟﺘﺴﻠﺴﻠﻲ ﻟﻠﺠﻬﺎﺯ ﺍﻷﺻﻠﻲ ﻭ‬
‫ﺑﻴﺎﻧﺎﺗﻪ ﺍﻟﻤﺴﺘﻮﺩﻋﻴﺔ‪ .‬ﺍﻟﻤﺮﺑﻌﺎﺕ ﺇﻣﺎ ﻳﺆﺷﺮﻋﻠﻴﻬﺎ ﺃﻭ ﺗﻤﻸ ﺑﺎﻟﻠﻮﻥ ﺍﻷﺳﻮﻡ‪ .‬ﻳﺠﺐ ﺇﺳﺘﻜﻤﺎﻝ ﺟﻤﻴﻊ ﺍﻟﺒﻴﺎﻧﺎﺕ‪.‬‬

‫‪In case of local procurement, Items more than 3,000SAR attach‬‬ ‫ﻓﻲ ﺣﺎﻝ ﺑﻠﻐﺕ ﻗﻳﻣﺔ ﺍﻟﻣﻭﺍﺩ ﺃﻛﺛﺭ ﻣﻥ ‪ 3,000‬﷼ ﻭﺗﻡ ﺇﺳﺗﺩﺭﺍﺝ ﻋﺭﻭﺽ ﻋﻥ ﻁﺭﻳﻖ ﺍﻟﻣﻭﻗﻊ‬
‫‪three quotations for approval. Items less than 3,000SAR do not‬‬ ‫ﻳﺟﺏ ﺇﺭﻓﺎﻕ ﺛﻼﺛﺔ ﻋﺭﻭﺿﻣﻊ ﻁﻠﺏ ﺍﻟﻣﻭﺍﻓﻘﺔ‪ .‬ﺍﻟﺑﻧﻭﺩ ﺍﻷﻗﻝ ﻣﻥ ‪ 3,000‬﷼ ﻻ ﺗﺣﺗﺎﺝ‬
‫‪require approvals.‬‬ ‫ﻟﻠﻣﻭﺍﻓﻘﺔ‪.‬‬