Material Usage Form

*Material Usage Number : (*wajib diisi oleh requestor)

*GRF Number :
*No. Surat Jalan :
*Date of Submit : (Time : ...... : ......) 24 hours
*Area :
*PIC :
*Team :
*Department/Vendor Contra:

Quantity
No IM/WH Code Material Description UOM Remarks
SJ Usage
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Notes

REQUESTOR Finance Logistic

Prepared by, Reviewed by, Acknowledged by, Filling Doc by,

( User's Supervisor ) ( BM/ PM/ Manager's Level ) ( PIC Finance ) (PIC Warehouse )
Date: Date: Date: Date: