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Purchase Order Orthodontist in Saudi Arabia Jeddah –Free Word Template Download with AI

Al-Nour Orthodontic Center – Jeddah, Saudi Arabia

PO Number: PO-ORTH-JED-2025-0487  |  Date of Issue: 15 June 2025

Orthodontist Procurement – Saudi Arabia Jeddah

Supplier / Vendor

Company: Gulf Dental Supplies Co., Ltd.

Address: King Fahd Road, Al-Shati District, Jeddah 23412, Saudi Arabia

CR Number: 1010456789

VAT Number: 310123456700003

Contact: Mr. Khalid Al-Rashidi – +966 12 654 3210

Buyer / Receiving Party

Entity: Al-Nour Orthodontic Center

Address: Prince Sultan Road, Al-Andalus District, Jeddah 21589, Saudi Arabia

CR Number: 1010987654

VAT Number: 310987654300003

Contact: Dr. Sarah Al-Otaibi, Lead Orthodontist – +966 12 345 6789

Delivery Details

Ship To: Al-Nour Orthodontic Center, Receiving Bay 2, Prince Sultan Road, Jeddah, Saudi Arabia

Delivery Window: 22 June 2025 – 29 June 2025

Incoterms: DDP (Delivered Duty Paid) – Jeddah Port / Local Delivery

Payment Terms

Method: Bank Transfer (SACO / Saudi Payments Network)

Terms: Net 30 days from invoice date

Bank: Al Rajhi Bank – Jeddah Branch

IBAN: SA03 8000 0000 6080 1016 7519

Item # Description Qty Unit Unit Price (SAR) Amount (SAR)
01 Self-Ligating Orthodontic Brackets (Aesthetic Ceramic), 16-piece sets – for the Orthodontist's adult patient caseload 25 Set 1,850.00 46,250.00
02 NiTi Arch Wires, 0.014" to 0.022" (full range), 18-inch length – essential for the Orthodontist's treatment protocols 120 Pack 320.00 38,400.00
03 Clear Aligner Trays (Thermoform), 50-tray boxes – for the Orthodontist's Invisalign-style treatment plans in Saudi Arabia Jeddah 15 Box 4,200.00 63,000.00
04 Orthodontic Bonding Kit (Adhesive, Etchant, Light-Curing Unit) – for the Orthodontist's bracket placement procedures 10 Kit 1,150.00 11,500.00
05 Interproximal Reduction (IPR) Strips, 60-grit to 180-grit – for the Orthodontist's space management in Jeddah clinic 40 Pack 185.00 7,400.00
06 Orthodontic Elastics (Power Chain, 0.010" to 0.022"), assorted colors – for the Orthodontist's daily adjustments 60 Box 95.00 5,700.00
07 Cephalometric X-Ray Film & Digital Sensor (17x23mm) – for the Orthodontist's diagnostic imaging in Saudi Arabia Jeddah 8 Unit 3,800.00 30,400.00
08 Orthodontic Wax & Patient Comfort Kits (200 units) – for the Orthodontist's post-adjustment patient care 5 Box 420.00 2,100.00
09 Retainer V-Pak (Hawley & Essix), 50-pair sets – for the Orthodontist's retention phase in Jeddah 12 Set 680.00 8,160.00
10 Orthodontic Forceps, Pliers & Scissors (Stainless Steel, Autoclavable) – for the Orthodontist's instrument tray 6 Set 2,350.00 14,100.00
Subtotal (SAR) 227,010.00
VAT @ 15% (SAR) 34,051.50
Delivery & Handling – Jeddah (SAR) 1,500.00
Grand Total (SAR) 262,561.50

Terms, Conditions & Regulatory Compliance

  1. This Purchase Order is issued by Al-Nour Orthodontic Center, a licensed dental facility operating under the Ministry of Health (MOH) of Saudi Arabia, located in Jeddah. All orthodontic products procured under this Purchase Order must comply with the Saudi Food and Drug Authority (SFDA) registration requirements for medical devices and orthodontic materials.
  2. The Lead Orthodontist, Dr. Sarah Al-Otaibi, holds a valid practicing license issued by the Saudi Commission for Health Specialties (SCFHS) and is the authorized clinical recipient of all orthodontic supplies listed herein. The Orthodontist shall inspect all deliveries within 48 hours of arrival at the Jeddah facility and report any discrepancies in writing to the supplier.
  3. All products must be shipped with valid certificates of origin, SFDA import permits, and batch/lot traceability documentation. The supplier warrants that all orthodontic brackets, wires, aligners, and instruments are CE-marked and meet ISO 13485 medical device quality standards.
  4. Payment shall be processed via bank transfer through the Saudi Payments Network (SACO) within thirty (30) calendar days of the supplier's invoice date, provided that all goods have been received and accepted by the Orthodontist at the Jeddah clinic. Late payments shall accrue interest at 1.5% per month as per Saudi commercial law.
  5. The supplier shall deliver all items to the specified address in Jeddah, Saudi Arabia, within the stated delivery window. Risk of loss transfers to the buyer upon physical delivery and signed receipt at the Al-Nour Orthodontic Center receiving bay.
  6. This Purchase Order is governed by the laws of the Kingdom of Saudi Arabia. Any disputes arising from this Purchase Order shall be resolved through the Jeddah Commercial Court. The parties agree to attempt amicable resolution before initiating legal proceedings.
  7. The Orthodontist reserves the right to reject any lot of orthodontic materials that fails to meet the clinical specifications outlined in this Purchase Order or that does not carry valid SFDA registration. Rejected items shall be returned at the supplier's expense.
  8. All personal data processed under this Purchase Order shall comply with the Saudi Personal Data Protection Law (PDPL) and the data privacy regulations enforced in Saudi Arabia Jeddah.
  9. This Purchase Order becomes effective upon signature by both parties and remains valid until all line items have been delivered, inspected, and paid in full. Amendments must be made in writing and signed by both the Orthodontist and the authorized representative of the supplier.

Authorized Signatory – Buyer

Dr. Sarah Al-Otaibi

Lead Orthodontist, Al-Nour Orthodontic Center

Jeddah, Saudi Arabia

Signature & Date

Authorized Signatory – Supplier

Mr. Khalid Al-Rashidi

General Manager, Gulf Dental Supplies Co., Ltd.

Jeddah, Saudi Arabia

Signature & Date

This Purchase Order (PO-ORTH-JED-2025-0487) was prepared for the orthodontic practice of Al-Nour Orthodontic Center, Jeddah, Saudi Arabia. All orthodontic materials and equipment referenced herein are intended for use by a licensed Orthodontist under SCFHS supervision. This document is valid for a period of 90 days from the date of issue. For inquiries, contact the procurement department at [email protected] or +966 12 345 6789.

© 2025 Al-Nour Orthodontic Center – Jeddah, Saudi Arabia. All rights reserved.

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