SHREE CEMENT LTD, BEAWAR

USER REQUEST FOR NEW PERIPHERAL

Dept: IT
Doc. No:
Edition No: 01

Section:
IMS/35/01/FOR/14
Issue No. 02

Sub - Section:
Page: 01 of 01
Amendment Code (for office use only) :

Effective Date: 01.08.2011

TO BE FILLED BY REQUESTER

To,
IT Department,
Beawar, Dist. Ajmer (Rajasthan)

REQUEST NO: __________

(To be filled by IT Department)

Location

Date

Employee Code:

Designation

Employee Name:

Department:

Equipment Details
Requesters Signature
Justification by HOD
HOD Recommendations
FH Approval

Name

Signature

Name:

Signature

TO BE FILLED BY IT DEPARTMENT

Technical Specification
of Equipment:

Preferred Make & Model :

Policy (Please Select)

Deviation

Preferred Vendor if any

Approximate Value in Rs.

IT Approval
IT HOD Approval

APPROVAL

Normal

Name Pankaj Sharma

Signature

Name:Monoranjan Kumar

Signature

Approval Note

Approved By
Signature

INDENT NO.
Indenters Signature