Country: Organization: Address: Contact Person Position: Telephone: Fax: Email: Name and full contact details of Organization: Consignee (organization receiving the Address: goods) Name: Position: Telephone: Fax: e-mail: Full contact details of party to be Name: notified (person/authority responsible for Position: products shipment authorization) Organization: Note: Above person will be contacted via Address: email when shipment is ready to be Telephone: shipped. Authorization will be required Fax: before the shipment is dispatched. e-mail: Full contact details of Payer Name: Position: The person in charge of managing Organization: payment related to this procurement form Address: Telephone: Fax: e-mail: Other contacts to be copied in Name: communication related to this Organization: procurement form e-mail: Name: Position: Organization: e-mail: SECTION 3: DELIVERY & IMPORTATION DETAILS The Preferred date (s) of Delivery specified by the Programme should indicate when the Programme needs products to arrive in-country to ensure sufficient stock are maintained at the central, regional and peripheral programme levels. The GDF will undertake best efforts to accommodate preferred delivery date (s). GDF will provide updates on the Estimated Time of Arrival (ETA) as such information becomes available. It is recommended to place a request for products at least 6 months before the Preferred Delivery Date. Period in which products will be used Preferred delivery date (date the products are required, considering standard lead-time 4-6 months from receipt of funds for products )
Country: Organization: Address: Contact Person Position: Telephone: Fax: Email: Name and full contact details of Consignee (organization receiving the goods) Organization: Address: Name: Position: Telephone: Fax: e-mail: Full contact details of party to be notified (person/authority responsible for products shipment authorization) Note: Above person will be contacted via email when shipment is ready to be shipped. Authorization will be required before the shipment is dispatched. Name: Position: Organization: Address: Telephone: Fax: e-mail: Full contact details of Payer The person in charge of managing payment related to this procurement form Name: Position: Organization: Address: Telephone: Fax: e-mail: Other contacts to be copied in communication related to this procurement form Name: Organization: e-mail: Name: Position: Organization: e-mail: SECTION 3: DELIVERY & IMPORTATION DETAILS The Preferred date (s) of Delivery specified by the Programme should indicate when the Programme needs products to arrive in-country to ensure sufficient stock are maintained at the central, regional and peripheral programme levels. The GDF will undertake best efforts to accommodate preferred delivery date (s). GDF will provide updates on the Estimated Time of Arrival (ETA) as such information becomes available. It is recommended to place a request for products at least 6 months before the Preferred Delivery Date. Period in which products will be used Preferred delivery date (date the products are required, considering standard lead-time 4-6 months from receipt of funds for products )
Procurement%20Request%20Form%20medicines%202018_update%2018%20June.docx