S. No.___________
Date: ___________

To:
___________________________ [Insert name and address of the Institution]
___________________________
___________________________

Dear Sirs,

PURCHASE REQUISITION FOR PURCHASE OF THE GOODS
MURABAHA FACILITY AGREEMENT DATED

(1) Please refer to the Murabaha Facility Agreement dated [______] (the "Agreement") between [insert name of the Client] (the "Client") (of the first part) and [insert name of the Institution] (the "Institution") (of the second part).

(2) All terms defined in the Agreement bear the same meanings herein.

(3) The Client hereby requests you to purchase the Goods from the Suppliers as per the provisions of the Agreement as follows:

(a) Goods as detailed in Murabaha Document # 3/2:
(b) Cost Price: ____________________
(c) Value Date: ___________________

(4) Please make arrangements to pay the Cost Price to the account of _______________on the Value Date in immediately available funds.

(5) All the terms and conditions of the Agreement shall form an integral part of this Requisition.

Yours faithfully,

For and on Behalf of the Client
______________________
________________________________________________________________________________________

INSTITUTION’S INSTRUCTIONS

No. _____________
Date: _____________

_____________________
_____________________
_____________________

Dear Sir,

You are hereby instructed to execute the aforesaid Purchase Requisition for and on our behalf in the manner, to the extent and for the Goods stipulated therein.

For and on Behalf of

______________________
(Insert Institution’s name)