Material Requisition Form Submission

MATERIAL REQUISITION FORM (MRF)

URL

This field is for validation purposes and should be left unchanged.

Detail Information

Work Order Ref.No(Required)

NTP Ref.No(Required)

UDM Pegging Done? [For Perak Only]

MRF Ref. No.(Required)

MRF Ref. No. shall be controlled by Subcons. i.e MRF-BSSB-0001 for Berjaya Selalu Sdn Bhd

MRF Issuance Date(Required)

School State(Required)

School Code(Required)

School Name(Required)

Company(Required)

Requester Name(Required)

Email(Required)

Phone(Required)

Delivery Information

Delivery State(Required)

District(Required)

Delivery Address(Required)

Full Address

Latitude & Longitude(Required)

Onsite Contact Person(Required)

Onsite Contact No.(Required)

Material Information

Please submit separate MRF for Pole & Cable.

Material Name

Pole

Cable

Concrete Pole

Pole Type 1

Quantity Requested (Unit)

i.e 1 unit (Enter 1)

Remarks

Pole Type 2

Quantity Requested (Unit)

i.e 1 unit (Enter 1)

Remarks

48c Fiber Optic Cable

Cable Type 1

Quantity Requested (Drum)

1 drum = 2000 meters, i.e 2000 mtr (Enter 1)

Remarks

For KACP Use Only

Supplier

Delivery Batch

MRF Status

Approval Date

Remarks [FOR KACP USE]

DN No.

DN Date

File

Max. file size: 512 MB.

Person In Charge [FOR KACP USE]

PIC Contact No. [FOR KACP USE]

Delivery Acknowledgment (By Subcontractor)

Drum No. (Only applicable from Cable)

Received by (Name & Signature)

Company's Name & Stamp

Received Date