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ABV- Indian Institute of Information Technology & Management, Gwalior

Morena Link Road Gwalior – 474015


(An Autonomous Institute of Government of India)

Training and Placement Cell

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1. Name (In Block Letters) : …………………………………………………………………………………………………………………………….

2. Batch…………………………………………..Year……………………………………………..Roll No…………………………………………….

3. Father’s Name……………………………………………………………………………………………………………………………………………..

4. Permanent Residential Address…………………………………………………………………………………………………………………..

………………………………………………………………………………………………………..Pin Code…………………………………………….

5. Mobile No. (1)…………………………………………………………Mobile No.(2)…………………………………………………………….

6. Date of Birth………………………………………………………………………………………………………………………………………………..

7. Email (Public Email)……………………………………………………………………………………………………………………………………..

8. Placement through Campus………………………….Company Name……………………………………………………………………

Address………………………………………………………………………………………………………………………………………………………..

9. Placement through off campus……………………..Company Name…………………………………………………………………..

Location………………………………………………………Package Offered……………………………………………………………………

10. Start- up (If any)…………………………………………………………………………………………………………………………………………..

11. Higher Studies……………………………………………………………………………………………………………………………………………..

12. Other(s)……………………………………………………………………………………………………………………………………………………….

13. LinkedIn ID: ………………………………………………………………………………………………………………………………………………..

14. Face book ID: ……………………………………………………………………………………………………………………………………………..

Signature of Student

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