LOCATION REQUEST FORM (for campus locations)

Name: Srikanth Student ID: MAFM202308016

Course: MA 1 F&M

Project Title: Quickening

Student Director: Srikanth

From To
Locations Date of Booking (Date & Time) (Date &
Time)
Police Station September 13, 2023 Sep 16, 10 AM Sep 17, 5 PM

Class Room 17 or Class Room 16 September 13 2023 Sep 16, 10 AM Sep 17, 5 PM

Undertaking
I undertake that I will use the location for shooting for academic purposes only.
I will not make any kind of permanent alterations to the location during the duration of the shoot.
I will be responsible in case of any damage done to the location, and for clearing up the litter from
the shoot.

Signature of the Student

Permission

Permission is hereby granted for the use of the above-mentioned location

Manager – Production & Media

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