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Payment Request Application
Please complete the form & attach all required supporting
documents
Request Date
*
Requester Email
*
Department
*
Procurement
Operations
HR
Distribution & Programming
IT
Marketing
Management
Finance
Request Category
*
General
Stock Items (F&B)
IT Soft/Hardware/Subscription
Payment Purpose / Description
*
Amount
*
Beneficiary Type
Supplier
Customer Refund
Other
Employee Reimbursement
Beneficiary Name
*
Customer Email (Required for Customer Refund)
Customer Mobile (Required for Customer Refund)
Beneficiary Bank Name
Beneficiary IBAN
Payment Method
*
Bank Transfer
Cash
Cheque
Other
Due Date
*
Supporting Document
*
For Supplier PRs, please attach:
1
- Commercial Registration (CR).
2- VAT Certificate.
3- National Address.
4- Bank Details.
5- Tax Invoice or Quotation.
6- SOA & Other necessary supporting documents.
Submit
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