P.O.

Box 1047 Addis Ababa Ethiopia

tel.: +251 (0) 115 5157 00
www.ethiotelecom.et
Material Requisition for Project

Division: - Wireless Network Goods Requisition No: - WL&TN6154/ 13 /22

Department: - WL O&M Date: 12/07/2022
Section: - RAN ROLLOUT Warehouse Code: -
Work Order No.: - Operation No.: -
Specific Receiver location: - ER warehouse Asset No.: -
NB: - All fields are mandatory fields and incomplete information will not be acceptable

No. Item Code Description UoM Requested Quantity Delivered Quantity

1 NW01.01675 ODU,15G sub band A, High pcs 1

2 ODU,15G sub band A, Low pcs 1

Requested By: - Authorized By:- Received by:-

Name: Jemal Ahmed Guzu Name: Receiver Name:

ID. No.9962 ID. No. Receiver ID. No.

E-Mail/Phone: - 0930105221 E-Mail/Phone: - Receiver E-Mail & Phone: -

Position: - A/supervisor Position: - Position: -

Signature: - Signature: - Signature:

Date: 12/07/2022 Date: - Date: -

Doc. Ref # SCD-LD-DM- 05

Version: 01