MATERIAL REQUEST FORM

Site Name KAMPONG GAJAH, PERAK Project Code ANFP / POP

PO. No MRF No. 2402-MRF-0001
Material CABLE Proposed Date Collection

Delivery Method Site Delivery Warehouse Collection

(Please tick appropriate box) (Please specify location) (Please specify warehouse)

PO Title

ADSS (Non-Anti Rodent) ADSS (Anti Rodent)

No. Cable Size Cable Length
Cable Vendor Drum No. Cable Vendor Cable Length (m) Drum No.
(m)
1 96C ALLO 2,000
2 96C ALLO 2,000
3 96C ALLO 2,000
4 96C ALLO 2,000
5 96C ALLO 2,000
6 96C ALLO 2,000
7 96C ALLO 2,000
8 96C ALLO 2,000
9 96C ALLO 2,000
10 96C ALLO 2,000
11
12
13
14
15
16
17
18
19
20

Requested by: Acknowledged by: (Warehouse /

Approved by: (ALLO PIC) Received by: (Contractor PIC)
(Contractor PIC) Contractor PIC)

Name : NIZAM MUSA Name : Name : Name :

Date : 05-02-2024 Date : Date : Date :
Position : PM Position : Position : Position :
Company : VISI INTEGRATED
Company : Company : Company :
PRIMA SDN BHB

Comment/ Remarks: