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Purchase Form

The document is a requisition form for purchasing raw materials and equipment for a project titled 'Design Intervention in Teaching Methodologies for Hearing and Speech Impaired Students' at the Indian Institute of Information Technology, Design and Manufacturing Jabalpur. The total amount required is Rs. 2,900, and the form includes details of the project, mentor, group members, and a list of required materials with justifications. Recommendations from the mentor, Head of Department, and Dean Academic are also included for approval.

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0% found this document useful (0 votes)
4 views

Purchase Form

The document is a requisition form for purchasing raw materials and equipment for a project titled 'Design Intervention in Teaching Methodologies for Hearing and Speech Impaired Students' at the Indian Institute of Information Technology, Design and Manufacturing Jabalpur. The total amount required is Rs. 2,900, and the form includes details of the project, mentor, group members, and a list of required materials with justifications. Recommendations from the mentor, Head of Department, and Dean Academic are also included for approval.

Uploaded by

shashibanoth888
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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PDPM

Indian Institute of Information Technology,


Design and Manufacturing Jabalpur

Requisition Form for Purchase of Raw Material/Equipment/Components

I. Project Details

1. Project Type: DS-3001


2. Project ID (if any): DFP_041
3. Project Title: Design Intervention in Teaching Methodologies for Hearing and

Speech Impaired Students


4. Mentor Name (s) & Discipline: Dr. Prabir Mukhopadhyay

5. Group members:

S. No. Name Disc. Roll No. Signature

1 N. Aparna Gomathi DESIGN 21BDS059

2 Gautam Joshi DESIGN 21BDS018

3 Nara Sharan Kumar CSE 21BCS141

4 T.A. Pradhyumn CSE 21BCS219

5 Azemera Vishnu Nayak CSE 21BCS051

6 Nalabolu Harshitha Reddy CSE 21BCS139

7 Banothu Shashi Kiran SM 21BSM014

II. Total amount required amount (Rs.):2,900/-

Did you receive any grant earlier (Yes/No):


If Yes, give details including settlement ………………………………………………....
[Please attach the list of raw material/equipment/components including price, quantity and
justification on a separate sheet (format attached).]

III. Recommendation/Comments of Mentor

1. The items requisitioned are currently not available in my lab.


2. The items purchased and the prototype developed will be stock entered into my lab.
3. My lab name is:...........................................................................................................

Recommended/Not Recommended (Signature of Project Supervisor with name)

IV. Recommendation/Comments of HoD

Recommended/Not Recommended (HoD,Desing)


V. For the use of Office of Dean Academic
The student has already availed financial assistant of Rs. ………. on ………….. and settled
the same.

(Name and signature of concerned Jr. Assistant)

VI. Recommendation/ Comments of Dean Academic:

Recommended/Not Recommended (Prof. S. N. Sharma, Dean (Academics))

For the use of Directorate

Approved/Not Approved/Discuss/Remarks for Rs. ………………..

Director
Details of Raw Material/Components Required

Name of raw
S. No. Quantity Unit Price Justification
material/component

1 Arduino Nano
1 400 Microcontroller

2 16x2 LCD Display


1 150 Showing output

3 1 230 Simplify interfacing with LCD


I2C Module

4 Wire
1 metre 40 For making connections

5 Jumper Wires
4 120 For making connections

6 Flex Sensors
4 1200 Read the inputs

7 Resistors 10 10 To control the flow of current

8 Soldering Wire
2 40 To make permanent connections

9 1 pair 270 Accesability


Hand Glouse

10 9v Battery 1 50 Power supply

Total Amount = Rs 2,900/-

This is to certify that I have inquired and checked the availability of the part/ material/
equipment in the Institute and it is

i) Not available anywhere


ii) Is available but cannot be used due to following reason:

(Name and Signatures of Students)


(Name and Signature of Supervisor)

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