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A-QHIRE PROJECT - INSTITUT TEKNOLOGI BANDUNGDOCUMENT 1: GOODS AND SERVICES REQUEST FORM

Goods and Services Procurement Request Form

In accordance with A-QHIRE ITB Procurement SOP (Ref: .../RF/A-QHIRE/2026). Each submission is verified through a multi-tier approval workflow without requiring an account login.

Procurement Method:

1. Request Information

Requester identity and project activity details

Ref No: [Auto]/RF/A-QHIRE/2026

2. Procurement Details

Technical specifications, quantities, schedule, and justification

Exchange Rate: 1 EUR ≈ Rp 20.000
Rp

Note: The amount entered at this stage is an estimated budget proposal. The actual realization amount will be determined during the quotation / Purchase Order (PO) phase.

3. Supporting Documents

Supporting document completeness (TOR, cost breakdown, quotation brochure, etc.)

4. Requester Confirmation

4 Standard A-QHIRE Project Forms

Form 1: Request Form (RF)
Initial requester form & need justification.
Form 2: Proposal Form (PF)
Feasibility review & 3 vendor quotations by Secretariat.
Form 3: Ranking Form (RF - Finance)
Budget verification & financial feasibility assessment.
Form 4: Selection & Approval (AF)
Final decision & vendor award by Project Director.

Budget Threshold Guidelines

Direct Cash ( < 2500 Euro)

Requester → Secretary → Finance → Project Director → PO Issued.

Need Quotation ( 2500 - 10.000 Euro )

The Secretary is required to upload 3 comparative vendor quotations on Form PF before Director decision.

Project Review Authorities

M. Rizki Aflahul M
A-QHIRE Project Secretary
Dr. Rinovia Simanjuntak
A-QHIRE Finance Manager
Dr. Sahat Hutajulu
A-QHIRE Project Director