Requisition Slip

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}}

Website: {{website}}

REQUISITION SLIP

**Requisition Number:** {{requisition_number}}

**Date of Request:** {{date_of_request}}

**Department:** {{department}}

**Requested by (Employee Name):** {{employee_name}}

**Employee ID:** {{employee_id}}

ITEM/SERVICE DETAILS

Please list the items or services required, including descriptions, quantities, and estimated costs where known.

| Item/Service Description | Quantity | Unit Price ({{currency}}) | Estimated Total ({{currency}}) | Justification for Request |

|---|---|---|---|---|

| {{item_1_description}} | {{item_1_quantity}} | {{item_1_unit_price}} | {{item_1_total}} | {{item_1_justification}} |

| {{item_2_description}} | {{item_2_quantity}} | {{item_2_unit_price}} | {{item_2_total}} | {{item_2_justification}} |

| {{item_3_description}} | {{item_3_quantity}} | {{item_3_unit_price}} | {{item_3_total}} | {{item_3_justification}} |

**Sub-total (Excl. VAT):** {{sub_total}}

**VAT ({{vat_rate}}%):** {{vat_amount}}

**Grand Total (Incl. VAT):** {{grand_total}}

PURPOSE OF REQUISITION

Kindly provide a detailed explanation for the necessity of this requisition.

{{purpose_of_requisition}}

DELIVERY/COLLECTION DETAILS

**Required By Date:** {{required_by_date}}

**Delivery Location:** {{delivery_location}}

**Special Instructions (if any):** {{special_instructions}}

AUTHORISATION

This section must be completed by the authorised departmental head or manager.

**Department Head/Manager Name:** {{manager_name}}

**Title:** {{manager_title}}

**Date of Authorisation:** {{authorisation_date}}

**Signature:** __________________________

**Approval Status:** {{approval_status}} (e.g., Approved, Rejected, Pending Review)

**Comments (if any):** {{manager_comments}}

PROCUREMENT/FINANCE USE ONLY

This section is for use by the Procurement and Finance departments once the requisition has been submitted and approved.

**Assigned to (Procurement Officer):** {{procurement_officer_name}}

**Purchase Order Number:** {{purchase_order_number}}

**Date of PO Issue:** {{po_issue_date}}

**Vendor/Supplier:** {{vendor_supplier}}

**Actual Cost ({{currency}}):** {{actual_cost}}

**Date Fulfilled:** {{date_fulfilled}}

**Procurement Comments:** {{procurement_comments}}

DECLARATION

I, the undersigned, confirm that the information provided in this requisition slip is accurate and the requested items/services are essential for the stated purpose within the company’s operations.

SIGNATURE BLOCK

**Requested By (Employee):** __________________________

**Date:** {{employee_signature_date}}

**Approved By (Department Head/Manager):** __________________________

**Date:** {{manager_signature_date}}