Form 9.1.

(GPP6 Form)

Rev No. :

PT XXXXXXXXXX
FORMULIR USULAN PROYEK (CAPEX FORM)

Number :

Project Name :

Division :

Department :

Currency :

Description for the Project :

Penjelasan & maksud proyek

Project Supplier
or by Internal DIY

Value of proposed Project

Project Value as per Budget :-

Offer Letter Description :

No. Supplier Total Cost

1.

Please stated reason why only 1 supplier for this proposal.

Tidak ada pembanding karena pembelian barang tersebut langsung ke anak perusahan dari IPI
 PT IMPACK PRATAMA GROUP
FORMULIR USULAN PROYEK (CAPEX FORM)

Project start date : segera

Project end date : 1 tahun

Payment Method : Transfer

Savings/Benefits :-
from the Project

SALES SALES PROFIT

Years INCREASE INCREASE INCREASE
from WITH WITHOUT WITH
PROJECT PROJECT PROJECT

1.

2.

3.

Other Alternatives if not Approved: :

berisi alternatif lain dari proyek ini bila tidak disetujui.

Date Proposed : 19 October 2018 Approved Signature

By :

Unit Head

Unit Finance Head

Ibrohim arif
Division Finance Head
 Group Division Human Resources Head
( David L Liasdanu )
Group Finance Head (GFH)
( Lindawati )
Sand. K Kevin Group Head ( GH )
( Haryanto. T )
 Form 9.1. (GPP6 Form)

Rev No. :

PROFIT
INCREASE
WITHOUT
PROJECT

Date