Service Purchase/Payment Request
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Email *
Requesting Sevak *
Request Origination Date *
MM
/
DD
/
YYYY
Department/Team and Sub-team/Group *
Approving Sevak (Team/Dept Lead) *
Prior approval has to be taken before filling this form and sent to us via email
Approval Date *
MM
/
DD
/
YYYY
Name/Description of the Tool/Service *
Tools/Service Provider URL and Login Details *
Website details, Username/Password - any other details as needed
Price/Cost (if pre-paid - Minimum Balance and Recharge Amount) *
Frequency *
If Selected 'Other' for frequency, provide details.
Sevak responsible for renewals and approvals if needed?
Please mention Name, Email, Dept of the Person responsible
This expense will be settled against which Trust *
Please make sure this expense is accounted in your budget and Trust if aware of this settlement at end of year. If not sure, please confirm with  Approving Sevak (Team/Dept Lead).
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