BUBI RURAL DISTRICT COUNCIL P.O Box 5 Turkmine PAYMENT REQUISITION FORM Payment Requisition Form Department AdminstrationFinanceProcurementAuditPlanning and DevelopmentTechnical ServicesCEONatural Resources Name Dr. Patson MliloSiqubumthetho DubeSinikiwe DubeVuyo NongoNobukhosi NyilikaChipo MarechaNonsikelelo MpofuNkosilomusa MliloPersuade MpofuZanele NcubePrecious N ManamikeCharlotee MaphosaTholubuhle NcubeBongani NyoniAnorld NdebeleBhekumusa ZidlaGugulethu BhebheKhumbululani SiwelaThembinkosi MabhenaMatthew NcubeKhulekani NcubeBancuncu MgutshiniRescue GumedePatience MasukuMisheck SibandaBliss SizibaNontuthuzelo MoyoRitabile LungaPrimrose CharumbiraIgnatious PhiriMacebo MoyoNomakhosi JubaMphathisi MoyoVusumuzi MasukuAbednigo MpofuBruce NtiniSikhulile NdlovuPrechard NgwenyaSibanesihle NdlovuNovate Tshuma I/we hereby request for Cash withdrawal of USD/ZWL $ For the Purpose/Reason of Verification of Review By signing this form, you confirm that you have been recommended by your Departmental Head of Department. Employee Signature * signature keyboard Clear Date * Recommending HOD Signature signature keyboard Clear Date C.E.O Signature signature keyboard Clear Date E.O Finance Signature signature keyboard Clear Date Submit If you are human, leave this field blank.