Khetan Media Creation Pvt. Ltd.

D – 4, 1st Floor, Sector – 10, Noida, Uttar Pradesh – 201301

Web-www.kmcliv.com, Email-info@kmcliv.com

OFFICIAL DUTY FORM

Field Visit & Permission Request

1. Employee Details

Employee Name

Employee ID

Department

Designation

Contact Number

2. Duty & Visit Details

Purpose of Visit / Assignment

Type of Duty

Local / NCRField work within the region

OutstationOfficial travel outside NCR

Location

Client / Project Name

3. Duration of Duty

Departure Date & Time

Expected Return Date & Time

Calculated Duration

* Total time includes travel and site work hours.

4. Travel & Stay Details

Mode of Transport

Accommodation Required?

YesNo

Advance Required?

YesNo

5. Reporting & Responsibility

Reporting Manager Name *

Expected Deliverables / Work Plan

A clear work plan helps expedite the approval process. List tasks, meetings, or site audits expected.

6. Employee Declaration

"I hereby confirm that the information provided above is true and accurate to the best of my knowledge. I agree to adhere to all company policies and safety protocols during this official duty. I understand that the company shall not be held liable for any unauthorized acts performed outside my official capacity."

Digital Signature

Digitally signing as: ________________

Date of Declaration

I understand that this digital signature is legally binding and equivalent to a handwritten signature.

7. Approval Section (Mandatory)

👨‍💼 Reporting Manager

🧑‍💼 Department Head

🏢 HR / Admin

8. Belongings / Instruments

Laptop, Tools, etc.

* List all company assets being carried for this field visit.

9. Additional Remarks

History

Profile