AFRICA LIFE YOUTH FOUNDATION

P.O BOX 10489, KAMPALA

CASH/BANK PAYMENT REQUISTION.
Date________________________________________________________

Requisition By:________________________________________________

Department:__________________________________________________

Purpose:__________________________________________________________________________

DETAILS AMOUNT
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
11
12.
13.
14.
TOTAL

PREPARED BY:
____________________________________________________________

PASSED BY:
____________________________________________________________

CHECKED BY: _____________________________________(Head of department)

AUTHORISED BY:_________________________________(Budget/Acc Department)