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Appendix 02 - Logistics Requisition Form - V1.0

This document is a logistics requisition form containing fields for requesting the purchase, quotation, or leasing of logistics items. It includes fields for reference number, country, account code, project, date, desired arrival date, transport mode, currency, item description and price, delivery address, consignee information, special requirements, and authorizing signatures. The form is used to request the procurement or leasing of items and transport for humanitarian aid projects while providing budget and authorization details.

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Jaime Pineda
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700 views2 pages

Appendix 02 - Logistics Requisition Form - V1.0

This document is a logistics requisition form containing fields for requesting the purchase, quotation, or leasing of logistics items. It includes fields for reference number, country, account code, project, date, desired arrival date, transport mode, currency, item description and price, delivery address, consignee information, special requirements, and authorizing signatures. The form is used to request the procurement or leasing of items and transport for humanitarian aid projects while providing budget and authorization details.

Uploaded by

Jaime Pineda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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LOGISTICS REQUISITION

For purchase Reference Nº **      


For quotation only Country*      
For Leasing
Others (WH dispatch …)

To*       Account code *      


Project*      
From*       Activity*      
Donor*      
Date *       Budgeted Yes No
For action*       Budget limit CHF      

Transport
Desired Date of Arrival*       Land Sea Air
Mode* 

Delivery Term (Incoterms 2010) Currency* CHF

Item Description and Emergency Item


Catalogue Code * Item Price Total Price
Quantity* UOM*
Requirements to be clearly specified – for items with no (Currency) (Currency)
code a clear description to be provided
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
Delivery Term Place*
Total* 0

Consignee address*
(full address/tel+fax,
Contact name)

Delivery address*
(if different from Consignee address)
(full address/tel+ fax, Contact name)

For vehicle leasing only From: To:


Leasing period:       month(s) Leasing date:            

Payment Terms: Monthly Quarterly Annually


1. Transport – Packing – Shipping information
* Mandatory Fields, to be filled in by requester
** Reference Number LRN / CC (country and city ISO code) / YY (year) / XXXX (sequential number)

Appendix 02 - Logistics Requisition Form_V1.0 Page 1 of 2


Clearing Agent (if any)
[full address/ tel+ fax]

Goods in transit: Yes No

Notify party (if other than Consignee)

Packing (e.g. pre-packed, on pallets, in container, etc.)

Shipping Marks (e.g. marking "transit", "donated by......", "Logo”,"Donor Ref.", etc.)
(on documents)

Shipping Marks (e.g. marking "transit", "donated by......", "Donor Ref.", etc.)
(on goods)

Special
requirements

Attachment(s)
(Please list)

2. Authorisation

Title Name Signature Date


Prepared by*
Authorised by* Project Manager
Head of Field
Office (2)
Validated by* Finance Officer(1)
Head of
Logistics(2)

(1)
Finance validation
 Coding is correct
 Budget is approved
 Balance on approved budget is sufficient
 Supporting documents are valid
(2)
Signature required only for vehicle purchase or leasing

* Mandatory Fields, to be filled in by requester

Appendix 02_Logistics Requisition Form_V1.0 Page 2 of 2

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