WHF0029-A2 Debit Note Requisition (DNR form)

DNR (Debit Note Requisition) From

DNR No.T 1000001 (A) Store / IQC

Vendor Name:__________________________________________________

Item Part Number CE NO.Qty CE Value Class Rejected Reason.

1

2

3

4

5

Prepared by Store:_____________Approved by Store:_____________Confirmed by IQC:____________

(B) Purchasing :

Action:Debit Note to vendor / Replacement / Expense*

Item Part Number Qty Currency Unit Price Total

1

2

3

4

5

Comment: (Return to vendor / Scrap)

Checked by:______________ Approved by:_________________ Date to FIN/Store:_________________

(C) Store :

Date of DNR to FIN / PUR:________________ Date of Delivery :________________

Checked by:________________ Approved by:_______________ Date:_____________________

Received by Vendor :______________________________________

Remark : DNR(Used as DOC)

Form No. :WHF0029-A2