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INDIAN INSTITUTE OF TECHNOLOGY ont moe BANARAS HINDU UNIVERSITY Serg the aon se 1513 ‘pftraror wet WeATTAT Wats TRAINING AND PLACEMENT CELL, No. IT (BHUYTPC/20_ PHOTOGRAPH Attested by the concemed Advisory Committee cI F THE STUDENT ‘Member Name Institute Roll No. B.Tech/B.Pharm/IDD/IMD in ‘Name, Address & Contact No. of... Father / Guardian who may be contacted in case of any emergency Company's Name with Place of Training Residential Address of the Student atthe Training Centre ‘Name, Address & Contact No. of Local Guardian (ifany) Seal of the Cell Signature ofthe concemed Member of the Advisory Committee saree sata ster (sre fy Renee), eno 221005 (aIeT) INDIAN INSTITUTE OF TECHNOLOGY oe BANARAS HINDU UNIVERSITY Srig tena since 1313 aitrerot Ut WeEATTAT Wests TRAINING AND PLACEMENT CELL WEEKLY PROGRESS REPORT (Co be completed by the Supervisor under whom the student has taken training) Student's Name Institute Roll No. Class & Discipline... Date ‘Actual working, Pa ‘Signatureofthe From 7 daysputin Supervisor Week 10" Signature of the overall Head/Incharge. Name. Designation. (Office Seal) rea vrehfrat sear (araft fig fervaferarere ), erenfi-221005 (arm) Indian institute of Technology (Banaras Hindu University), Varanasl221 Phone en institute of Technology (Banaras Hindu University), 1005 (INE

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