NO.

1
General affairs Supplies Request
(Item : Sweet Water/ Skid box/ Portable Toilet for Site)
JI
2 Office Supplies Request JI
3 Stationary Requisition JI
4 Light Vehicle Supplies Request JI
5 Request for Vehicle Repair JI
6 Driver Licence Issue Request JI
7 Request For Accommodation 3 JI
8 Request for Room Repair JI
9 Room Necessaries Supplies Request JI
10 Request for Going Out 1 JI
11 Request for Airflight Ticket 1 JI
12 IT Supplies Request 3 CJ(IT)
SAMA
Date : 03 21 2013
Section : Piping Shop
S.No Item Specification To be request Quantity In Charge Remarks
1 Sweet Water Piping Shop Area 4 6 Trucks For One Week
* 2
General affairs Supplies Request
Item : Sweet Water/ Skid box/ Portable Toilet for Site / Fuel
SAMA
Request Dept. Manager In Charge Gen Manager
Issuance Departiment Management Dept.
Date :04 09 2013
Section : Piping Shop
S.No Item Specification Quantity Remarks
1 Bottled Water Big 4pcs.
2
3
4
Office Supplies Request
SAMA
Request Dept. Manager In Charge Gen Manager
Issuance Departiment Management Dept.
Date
NO. ITEMS UNIT REQUIRED ADJUSTED U/PRICE AMOUNT REMARKS
1 Ball Point Pen (Black) each
2 Ball Point Pen (Blue) each
3 Ball Point Pen (Red) each
4 Binder Clip 1 1/4" box
5 Binder Clip 1" box
6 Binder Clip 1/2" pkt
7 Binder Clip 2" box
8 Binder Clip 3/4" pkt
9 Box File (A3) each
10 Box File (A4) each
11 Box File Divider 1-10 set
12 Box File Divider Five Color set
13 CD Case (Plastic Hard Case) each
14 Clear File (A4) each
15 Correction Pen each
16 Correction Tape box
17 Document Tray each
18 Duct Tape 2" each
19 Electric Tape (Red) each
20 Empty CD (700MB) 100pcs. box
21 Envelope 9" x 4" box
22 Eraser each
23 Fastener pkt
24 Field Book each
25 Glue each
26 Highlights Pen Blue pc.
27 Highlights Pen Green pc.
28 Highlights Pen Orange pc.
29 Highlights Pen Pink pc.
30 Highlights Pen yellow pc.
31 HP Laserjet Toner (Model : ) each
32 HP plotter black each
33 HP plotter cyan each
34 HP plotter magenta each
35 HP plotter yellow each
36 I.D. Card pouch pkt
37 I.D. clip box
38 Knife For Stationery each
39 Knife For Stationery (Blade) each
40 laminating pouch A4 pkt
41 Letter Pad each
42 Log Book each
43 Marker Pen (Black) White Board each
44 Marker Pen (Blue) White Board each
45 Marker Pen (Red) White Board each
46 Masking Tape each
47 Measure Tape each
48 Mechanical Pencil pc.
49 Minolta Photo Copier Toner pc.
NO. ITEMS UNIT REQUIRED ADJUSTED U/PRICE AMOUNT REMARKS
50 Paper Clip box
Stationary Requisition(2013. )
SECTION :
51 Paper File each
52 Paper Roll 60cm x 50 yards roll
53 Paper Roll 90cm x 50 yards roll
54 Pen holder pc.
55 Pencil Lead (0.5) pkt
56 Permanent Marker (Black) each
57 Permanent Marker (Blue) each
58 Permanent Marker (Red)) each
59 Photocopy Paper A3 box
60 Photocopy Paper A4 box
61 Plus Pen (Black) each
62 Plus Pen (Blue) each
63 Plus Pen (Red) each
64 Post-It 15 X 50 MM Five color pkt
65 Post-It 38 x 50 mm pkt
66 Printer Toner Black (Model : )each
67 Printer Toner C9351A pc.
68 Printer Toner C9352A pc.
69 Printer Toner Colour (HP 1280) each
70 Printer Toner Q4129X each
71 Puncher each
72 Puncher heavy duty each
73 Push Pin box
74 Ricoh Toner 1230D each
75 Ruler (30cm) each
76 Scissors each
77 Scotch Tape each
78 Scotch Tape Dispensor each
79 Sharp Pencil pc.
80 Stapler Heavy Duty each
81 Stapler (M) each
82 Stapler Big Size each
83 Stapler Lead pkt
84 Stapler Lead Heavy Duty
85 Stapler Remover each
86 Toner C-EXY 13iR 5570/6570 each
87 Tonner TN 2025 each
88 type writter ribbon pc.
89 White Board Cleaner pc.
90 White board magnetic pc.
SAMA
Request Dept. Manager In Charge Gen Manager
Issuance Departiment Management Dept.
Date :
Section :
Type HD-NO Driver Discription MPR
SUV
SUV
SUV
SUV
PICK-UP
PICK-UP
PICK-UP
Type Quantity Remarks
SUV
PICK-UP
*
Light Vehicle Supplies Request


Specification of Purpose
SAMA
Request Dept. Manager In Charge Gen Manager Admin. Manager
Issuance Departiment Management Dept.
Section : GEN AFF
S.No Type HD-NO Driver Information Remarks
1 MINI BUS HD-81 PADAM STRING NUT NEED TO REPAIR SHUTTLE BUS
* 1, 1
Request for Vehicle Repair
SAMA
Request Dept. Manager In Charge Gen Manager Admin. Manager
Issuance Departiment Management Dept.
Date :
Section :
S.No Position Name Specification of Purpose Remarks
1
Driver Licence Issue Request
SAMA
Request Dept. Manager In Charge Gen Manager Admin. Manager
Issuance Departiment Management Dept.
NO NAME Use purpose Nationality
NUMBER OF
DAYS STAY
CHECK IN DATE
CHECK OUT
DATE
1
2
3
4
5
6
7
8
9
10
Remarks/Purpose of Booking : / /
FLIGHT DETAIL
Arrival Date : Flight no. : Arrival Time :
Departure Date : Flight no. : Arrival Time :
Breakfast : With / Without
Billing Instuctions : Personal Account / Company Account
Remarks
2) No cancellation is allow 24 Hours prior to arrival, one night room rate will be charge for "no show"
3) Reservations without flight detail will be auto released by 1800hrs (by the Hotel)
Request For Accommodation
1) All Booking depend on room availability
SAMA
Request Dept. Manager In Charge Gen Manager Admin. Manager
Issuance Departiment Management Dept.
Section :
S.No Building-NO Room-NO Name Information Remarks
1 KSA1 5 ( )
Request for Room Repair
SAMA
Request Dept. Manager In Charge Gen Manager
Issuance Departiment Management Dept.
Date :
Section :
S.No Item Unit Quantity Remarks
1 Drinking Water Box (30bottles)
2 Tooth brush piece
3 Toothpaste piece
4 Soap piece
5 Shampoo piece
6 Tissue (for toilet) piece
Room Necessaries Supplies Request
SAMA
Request Dept. Manager In Charge Gen Manager
Issuance Departiment Management Dept.
Position Name Destination Date & Departure Time Mobile.No. Vehicle
PIPING ENGR REAYAZUR RAHMAN Al-Jubail. 05/10/2013 01:00pm PTT-221
PIPING ENGR CEASAR ANDOY " " PTT-434
PIPING ENGR RUBEN PICONES " " PPT-908
DOC. CON JEFFREY AMUGUIS " " PPT-209
PIPING ENGR ROBERTO BERGANIA " " PTT-429
Request for Going Out
Cooperation Driver : / Vehicle :
SAMA
Request Dept. Manager In Charge Gen Manager Admin. Manager
Issuance Departiment Management Dept.
PM
Name
(AS IN PASSPORT)
Date
Employee. No Nationality
Destination
(Country/City)
Vacation Date
DEPARTURE DATE
(DD/MM/YY)
2012.12.31
RETURN DATE
(DD/MM/YY)
2013.01.15
AIRLINE
PREFERRED
REMARKS
2013.01.01 ~ 2013.01.14
Request for Airflight Ticket
14 / /
*

/
SAMA
Request Dept. Manager In Charge Gen Manager
Issuance Departiment Management Dept.
Date :
Section :
S.No Item Specification Quantity User Remarks
1 1 1/20
2
3
4
5
IT Supplies Request
SAMA
Request Dept. Manager In Charge IT Manager Admin. Manager
Issuance Departiment Management Dept.
Position Name Destination Date & Departure Time Mobile.No. Vehicle
PIPING ENGR REAYAZUR RAHMAN Al-Jubail. 06/28/2013 01:00pm PTT-221
Request for Going Out
Cooperation Driver : / Vehicle :
SAMA
Request Dept. Manager In Charge Gen Manager Admin. Manager
Issuance Departiment Management Dept.
PM