Procurement Procedural Form No.

PROCUREMENT REQUISITION
[For Submission to Procurement Management Unit (PMU)]

[Insert Logo]

NAME OF THE PROCURING ENTITY: ETHICS SECRETARIAT

Procuring Entity Code No: IE/022

Type of Procurement: Goods

Subject of Procurement: LAPTOP COMPUTER

User Department: ICT UNIT

Date required: AS SOON AS POSSIBLE

Item Description of items Quantity Unit of Estimate Estimated Date

No. [A detailed list, Statement of measure unit cost sub total Required
Requirement/Specifications] cost
1 LAPTOP COMPUTER 1 PC 3,000,000 3,000,000 1/08/2021
2
3
Estimated Total Cost inclusive of taxes (Currency(ies) 3,000,000

Balance of Fund available for this procurement [to be filled by finance section]:

Vote No. Name of Item under budget Balance available

Programme/Project

Confirmation of Fund Name: Position: Date:

Balance
(Head of Finance) ……………………… ………………….. ………………………………
(Any attachments, if applicable, may be attached and must be signed by the appropriate authority)

Signatures are required below to certify submission of request, receipt of request by PMU and
authorization to procure by Accounting Officer:

Submission of Request Receipt of Request to Procurement Authorizationi

(Head of User Department) Procure (Accounting Officer)
(Head of PMU)
Signature: Signature: Signature:

Name: MUSA S. MWAKASAMBALA Name: Name:

Position: Ag. HICT Position: Position:

Date: 15/07/2021 Date: Date:

i
This is also confirmation of availability of fund and approval to procure

October, 2017 Version