FORM 27

Regulation 5(2)
THE PUBLIC PROCUREMENT AND DISPOSAL OF PUBLIC ASSETS ACT, 2003

QUARTERLY REPORT ON PROCUREMENT AND DISPOSAL CONTRACTS

(Insert Name of Procuring and Disposing Entity here)
Quarter of Reporting

Financial year

PART I: PROCUREMENT CONTRACTS AWARDED (except Micro Procurement)

Procurement Subject of procurement Method of Provider Date of award Market price of Contract value
Reference procurement of contract the procurement (Currency and
Number amount)

TOTAL

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 PART II: PROCUREMENT CONTRACTS AMENDED OR VARIED
Procurement Subject of Indicate Provider Date of Value of Revised contract
Reference procurement Amendmen amendment amendment or value and currency
Number t or or variation variation if applicable
variation (currency and
amount if
applicable)

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 PART III: PROCUREMENT CONTRACTS COMPLETED
Procurement Subject of Provider Date of Total amount Contract value (Currency
Reference procurement completion paid and and amount)
Number currency

TOTAL

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 PART IV: REPORT ON MICRO PROCUREMENTS
No Procurement Subject of Provider Invoice and date of Contract value
reference number procurement delivery/completion (Currency and
amount)

Total value of micro

procurements of the
Procuring and
Disposing Entity

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 PART V: QUARTERLY REPORT ON DISPOSAL

Disposal Subject of Method of Name of buyer Date of award Reserve price Contract price
reference disposal disposal (Currency and
number amount)

TOTAL

Declaration
I hereby certify that the above information is a true and accurate record of the procurement and disposal contracts undertaken
by the within the quarter.
Name: _________________________ Title: ACCOUNTING OFFICER
Signature:_________________________ Date: _________________________

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