Purchase Order No.: _________________________________ ORDER FORM 2 DEPARTMENT OF CHEMISTRY, NATIONAL UNIVERSITY OF SINGAPORE Record of Quotations and Approval for Purchases of MORE than S$5,000 but Not Exceeding S$15,000 (excluding GST) (A) Item(s) to be purchased: Is any of the scheduled chemical(s) under the CWC, Hazardous Chemicals or Arms & Explosives Act? Yes/No No. Description(s) of Item(s) Product Code Unit of Measure Qty Req’d Unit Price ($) Sub-Total ($) 1 2 3 4 5 6 7 8 9 10 (B) Quotations (minimum THREE) received for the above item(s): No Name of Suppliers Total Amount ($) GST 7% * Total after GST ($) Remarks 1** 2 3 * Only needed for supplier awarded the purchase ** Supplier awarded the purchase. [ ] Attach “Letter of Justification” if fewer than 3 quotations were called, or quotation accepted is not the lowest offer. (C) Vote Chargeable to [ ] Department OOE WBS: C-143-000-003-001 (Consumables/Maintenance/Stationery/Equipment/Others) [ ] Department GN WBS: N-143-000- [ ] Research Project Grant WBS: R-143-000- -001 (Consumables/Maintenance/Stationery/Equipment/Others) -112 (Consumables/Equipment/Others) (D) Name of Staff / Postgraduate / Lab: __________________________ (E) Quotation Recommendation and Approval (1) Recommended by: (2) Approved by QAA***: (3) Approved by QAA***: ________________________________ ____________________________ _____________________________ ________________________________ Signature and Name of PI or Officer-in-charge ____________________________ _____________________________ Signature of QAA Signature of QAA (HOD or DHOD/June Chan/Chionh)+ (HOD or DHOD/June Chan/Chionh)+ ________________________________ Date ____________________________ Date *** QAA: Quotation Approving Authority + Delete where inappropriate _____________________________ Date