World

Food
Programm
e

Purchase
Request

TO BE COMPLETED BY
PROCUREMENT BRANCH

PR N:
PO N:

Requesting Officer

Room N/Ext.

Date

Division

Account/Cost Centre

Project Code

Date Required

Actual Use To Be Made of Equipment and Supplies

Suggested Supplier(s), Name and Address (if any)

Shipped by:
To: (give precise shipping address as per shipping instruction form)

Other Shipping Instructions, if Required

Item N

General Description (including functions, capacity and basic

non-optional, i.e. essential, characteristics)

Approximate Price
Quantity

Unit

Total

Freight and Insurance

TOTAL

ROUTING SIGNATURES/CLEARANCES (to be completed by authorised HQ staff)

To

Name/Title/Division

Room

1. Reviewing Officer (of initiating Branch)

2. Telecommunications/Computer Division (if

required)

3. Procurement Branch

4. Certifying Officer

5. Division/Regional/Country Director(of country of

final destination of goods)

Purchase Request, page 1

Initials and Date

REQUEST FOR WAIVING COMPETITION (if needed)

I hereby request waiving of competition for the purchase(s) listed overleaf and for the reason(s) indicated below, which I certify to be correct to
the best of my knowledge (see Non Food Manual).
Prices or rates are fixed pursuant to national legislation or regulatory bodies.
WFP, on the basis of competent technical advice, has approved the standardisation of supplies, equipment, spare parts and other
items and where the related services pertaining to these standardised items makes competition impracticable.
The requirements of emergency operations, or other immediate operational needs, do not permit the delay attendant on the execution
of a competitive process.
Only one source can meet WFPs requirement or the procurement relates to perishable supplies.
Competition for identical items has been obtained during the preceding three months, and there has been no substantial change in
price or market trends in the meantime.
The proposed contract is for services of individuals other then staff members.

Explanatory Notes on Reason (s) for Waiving Competition

Comments of Procurement Branch

Item N

General Description (including functions, capacity and basic

non-optional, i.e. essential, characteristics)

Approximate Price
Unit
Total

Quantity

Freight and Insurance

TOTAL