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REQUISITION SLIP

(As per Rule 209 (ii) of GFR 2017)

Sl. Description of Materials Unit of Qty


No. Measuremen
t
1.

2.

3.

4.

5.

6.

I hereby certify that I will use the afore-mentioned items for official use
only.

Signature of Requisitioner: _________________________________________

Name of Requisitioner: _________________________________________

Designation: __________________________________________________

Contact No.___________________________________________________

E-mail id______________________________________________________

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