Office of Legal Affairs Form: OLA. 01 Management Department Page

Office of Legal Affairs
Management Department
Form: OLA. 01
WORK REQUEST FOR OFFICE OF LEGAL AFFAIRS
Date ……………………………………………….
Subject:
Request to prepare a Power of Appointment
To:
Head of Office of Legal Affairs
I, …………………………………………………………, position ……………………………………………………………. of …………..(name
of department)…………………….. tel …………………….. wish to request the Office of Legal Affairs to prepare or review
an agreement based on the following:
Documents Supporting a Request
 Internal memo with approval (mandatory)
 Minutes of Procurement Meeting (if any)
 Purchase Order
 Proposal
 Term of References (TOR)
 Details of Goods / Services, i.e. brochures, catalogues, maps, etc.
 Company Registrations / Power of Appointment from the contracting party (if any)
 Draft Agreement (if any)
 Other documents / details, i.e. installments, other special terms, etc.
……………………………………………………………………………………………………………
Details for a Review / Agreement
1. Agreement number ……………………………………… (in case there is a former agreement, please specify
the agreement number ………………………….)
2. Types of agreement:
 Sales agreement
 Work-for-hire agreement
 Maintenance agreement
 Other ………………………………………………………
3. Price
 As per attachment no………….
 Other ………………………………………………………
4. Terms of the agreement / delivery date
 As per attachment no………….
 Other ……………………………………………………..
5. Payment conditions
 As per attachment no……………………………..
 Other ……………………………………………………..
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Office of Legal Affairs
Management Department
Form: OLA. 01
6. Special conditions (if any)
 As per attachment no……………………………..
 Other ……………………………………………………..
7. Term of warranty
 As per attachment no……………………………..
 Other ……………………………………………………..
8. Guarantee / Pledge
 Percentage of guarantee ……………………….
 Time to return the Guarantee: within …………… days from the approval date.
9. Authorized signatories (Contracting Party)
 As per attachment no……………………………
 Other ……………………………………………………
Requested by ………………………………………………..
(
)
……………………………………………..
(
)
Chairman of the Procurement Committee
For Office of Legal Affairs
Date/Time Received …………………………………….
Assign to ……………………………………………………………
By …………………………………………………………………
Head of the Office ……………………………………………..
Date ……………………………………
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