SCHOOL OF EDUCATION AND SOCIAL WORK
Purchase Order Request
Please complete details requested below if you wish to purchase goods or services. A separate form must be
completed for each requisition required. All sections must be completed.
Requisition
requested by:
Goods being purchased from:
Name:
(Person/Company)
Address:
(Include contact name/dept in
address field if applicable)
Post
Code:
Supplier’s telephone
Number:
Supplier’s e-mail address:
Details of what is being purchased
Description
(Please give a full description of the Supply or
Service to be ordered.)
Price
(Excluding
VAT)
VAT (Y/N)
Agresso budget codes to
be credited
Account
Total Including VAT
Sub project
£
Approved by: _________________________________________________________ Date __________________
Requisition raised via Agresso by (name) __________________________________
Date ___________________