KIBU/ADM.11.20 KIBABII UNIVERSITY COLLEGE KIBABINIVERSITY (A Constituent College of Masinde Muliro University of Science and Technology) P.O. Box 1699-50200 Bungoma Kenya Tel: 020-2028660 / 0708-085934 / 0734-831729 E-mail: [email protected] Website: www.kibabiiuniversity.ac.ke ESTATES MAINTENANCE WORK REQUISITION FORM (To be fill in triplicate) 1 copy to be retained by requesting Department/Section 2 copies to be submitted to Estates Department for work to be done PART I. Department Requesting Services…………………………………………………………………………. To: Senior Estates Officer/Technician In-charge Could you please arrange for the following repairs to be carried out in the place indicated:1. ………………………………………………………………………………………………….. 2. ………………………………………………………………………………………………….. 3. ………………………………………………………………………………………………… 4. ………………………………………………………………………………………………….. Name ……………………………………………….. Signature ………………………………………... Tel. No ………………………………………………. Date …………………………………………….. PART II. Comments by Senior Estates Officer/Technician In-charge. ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… Signature…………………………………………… Date ……………………………………………… PART III. Comments by Artisan (include material required if any). ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… Signature…………………………………………… Date ……………………………………………… PART IV. Stores I certify that I have issued the above material to Artisan. Name ……………………………………………….. Signature………………… Date………………… PART V. Head of Department/Section Head that requested for service. I certify that the above materials have been used and work satisfactorily carried out. Name ……………………………………Signature ………………………………Date. ……………… NB: For replacement of stolen/vandalized items, this requisition should be accompanied by written report to the Chief Security Officer.