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Indian Institute of Technology Indore: General Payment Against Direct Purchase Form

Sanchit Gupta is requesting payment of Rs. 2,000 for unloading charges for a carbonation chamber's hydraulic charges. As a research scholar in the Department of Civil Engineering, he declares that the item was procured for official use from a reliable supplier at a reasonable price. The form requires signatures from a recommending authority and an approving authority with financial approval power to sanction the expenses.

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Sanchit Gupta
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60 views

Indian Institute of Technology Indore: General Payment Against Direct Purchase Form

Sanchit Gupta is requesting payment of Rs. 2,000 for unloading charges for a carbonation chamber's hydraulic charges. As a research scholar in the Department of Civil Engineering, he declares that the item was procured for official use from a reliable supplier at a reasonable price. The form requires signatures from a recommending authority and an approving authority with financial approval power to sanction the expenses.

Uploaded by

Sanchit Gupta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Form: F9

INDIAN INSTITUTE OF TECHNOLOGY INDORE


GENERAL PAYMENT AGAINST DIRECT PURCHASE FORM

(Please use separate Form for TA-DA/Local Conveyance/General Advance settlement/Medical Expenses/ CPDA)

Purpose of the
1 Unloading Charges for Carbonation Chamber – Hydra Charges
Expenditure

Name of the Research Scholar Civil


2 Sanchit Gupta 3 Designation 4 Department
Applicant 1801204004 Engineering

5 Payment to be made in the favour of Claimant ( √ ) Party ( )


Departmental ( √ ) Project ( ) Others ( )
Please specify the budget head for
6 (Please specify other source/Project No. if applicable)
expenditure

7 Amount Claimed (Rs) Two thousand only


1. Certified that the item procured was for the official purpose.
2. Certified that I have not purchased any material from any supplier for more than
Rs.5,000/- in a day. In case of payment of more than Rs. 5,000/- VAT shall be
deducted from reimbursement to applicant. (For details please refer SOP).
3. Certified that I am personally satisfied that these goods purchased are of the requisite
Declaration by
8 quality and specification and have been purchased from a reliable supplier at a
Applicant
reasonable price.

(Sanchit Gupta)

Signature of
9 Recommending
Authority

Signature of the
Approving
Authority having
10
financial power to
sanction above
expenses

Note:

1. Please attach the approval, if any.


2. Form to be sent to Material Management Division for stock entry in the asset register in order to avoid time lag.
3. The consumables purchased also to be entered in the stock register.

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