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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 Permission Form
Document ID: trip-001
Employee Particulars
Name of Employee
Deepak Bareth
Employee Code
EMP12DE
Designation
Senior Field Reporter
Contact Number
+91 98765 43210
Assignment Details
Nature of Duty
Outstation
Location / City
Jaipur, Rajasthan
Purpose of Visit
State Election Ground Report
Client / Project
Prime Time Debate Show
Logistics & Timeline
Departure
2026-06-21 | 06:00 AM
Return
2026-06-23 | 10:00 PM
Net Duration
3 Days
Mode of Travel
OB Van
Finance & Assets
Cash Advance
Yes
Amount (INR)
₹ 8000/-
Items Carried
Press ID, LiveU Backpack, DSLR Camera, Boom Mic
Work Summary
Deliverables
3 Live phonos, 1 Ground Report Package
Admin Remarks
Covered the main political rally. Footage transferred to ingest server.
Reporting Manager
Verified
2026-06-19
Dept. Head Approval
Approved
2026-06-19
HR Verification
Approved
2026-06-20
Authentication: Electronic Verified Record
Verified Digital Copy
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