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Purchase Request Form Example 2025

The document is a filled purchase request form for upgrading laptops and accessories for the IT department's Data Analytics team, with a total estimated cost of $11,560. The request is marked as high priority and is part of a digital readiness initiative, with a budget balance of $13,440 remaining. The request has been approved and converted to a purchase order with the number PO-2025-0089.

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charumathi

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0% found this document useful (0 votes)

16 views2 pages

Purchase Request Form Example 2025

Uploaded by

charumathi

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

🧾 PURCHASE REQUEST FORM (Filled Example)

Section 1: Request Information

Field Value

Request ID PR-2025-0147

Request Date 11-Nov-2025

Requester Charumathi M
Name

Department IT

Project / Cost Digital Transformation – CC102

Center

Priority Level High

Purpose / To upgrade laptops for the Data Analytics team as part of Q4 digital
Justification readiness initiative. Existing devices are outdated and causing delays in
project delivery.

Section 2: Item Details

Item Description Category Quantit UoM Est. Unit Est. Suggested
y Price Total Vendor
(USD) (USD)

Dell Latitude 5440 IT 8 Units 1,100 8,800 Dell

(Intel i7, 16GB, Hardware Technologies
512GB SSD)

Logitech MX Master Accessori 8 Units 95 760 TechZone

3S Mouse es

Microsoft 365 Software 8 License 250 2,000 Microsoft

Business Premium s
(1-year license)

Total Estimated 11,560

Cost
Section 3: Budget & Attachments
Field Value

Budget Available USD 25,000

Budget Balance USD 13,440

After Request

Quotation /
Supporting Docs
📎 Dell_Quote_Q4.pdf, TechZone_Accessories_Quote.pdf
Remarks Kindly prioritize approval this week as procurement needs to
complete orders before year-end cut-off.

Section 5: System Fields

Field Value

PR Status Approved – Converted to PO

PO Number PO-2025-0089

PO Date 13-Nov-2025

Integration Status Synced with SAP (Material Group: IT-001)

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Purchase Request Form Example 2025

Uploaded by

Purchase Request Form Example 2025

Uploaded by

🧾 PURCHASE REQUEST FORM (Filled Example)

Section 1: Request Information

Request Date 11-Nov-2025

Project / Cost Digital Transformation – CC102

Priority Level High

Section 2: Item Details

Dell Latitude 5440 IT 8 Units 1,100 8,800 Dell

Logitech MX Master Accessori 8 Units 95 760 TechZone

Microsoft 365 Software 8 License 250 2,000 Microsoft

Total Estimated 11,560

Budget Available USD 25,000

Budget Balance USD 13,440

Section 5: System Fields

PR Status Approved – Converted to PO

Integration Status Synced with SAP (Material Group: IT-001)

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