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MAT Feb-2019 Registration Form

Registration No.

* Opted Test Mode Computer Based Test (CBT)

* Test Date 23 February 2019 (Saturday)

* Test Timing In single/different time slots at specific test venues; subject to candidates registration

* Test Centre City for Computer Based Test City Choice 1. DELHI : DELHI (NCR)
Test (CBT) Test City Choice 2. RAJASTHAN : JAIPUR

Personal Particulars
* Name of the Candidate Mr. Kumar Ritwik Basudeo

* Father's Name Anil Sharma * Mother's Name Harjeet Kaur

* Date of Birth 26-Nov-1994 * E-mail ID ritwik26nov@gmail.com

* Gender Male * Category General

* Nationality Indian

* Address for Communication 6 NEHRU NAGAR ,


First Floor,
AGRA, Uttar Pradesh, 282002

Contact Number (Telephone no.) with STD * Mobile No.+91- 8881231500


Code

* Are you a Person with Disabilities (PWD)? NO

* Photo ID to be produced at test centre Aadhar Card * Photo-ID No. 388889491812

Qualification & Experience Details


* Qualification Name * Percentage of Marks * Status of Qualification * Stream/Discipline

10+2 76.4 % Passed NA

BFIA 82.3 % Passed Commerce

Experience in Months 0

* Have you earlier appeared in GMAT - NO CAT - YES XAT - YES

Payment Details
Transaction Reference No. Payment Date Receipt No/ PG Ref.No. Amount

7895687575 14/01/2019 19:06:22 PHMP7106821475 1550.00

Declaration
I here by affirm that the particulars filled by me in this form are true and correct. I have read and understood the terms and
conditions of the test and agree to abide by those.
Registration No. 820000

Signature of Candidate

You are NOT required to send Registration Form/any documents/receipt to AIMA. Candidate can view/download the MAT
Prospectus from AIMA website. No separate Prospectus/CD will be dispatched.
MAT Feb-2019 Registration Form (Part II)
Options for Management Institute Choice
Registration No. 820000

Name of Candidate Mr. Kumar Ritwik Basudeo

Date of Birth 26-Nov-1994

Management Institute Choice Code :


* Choice 1 5639-Christ University : Bengaluru

* Choice 2 4167-Dr D Y Patil B School : Pune

* Choice 3 5625-Xavier Institute of Management & Entrepreneurship : Bengaluru

* Choice 4 5019-Institute of Public Enterprise : Hyderabad

* Choice 5 5704-Manipal University : Manipal

You may Change/Modify the MI Choice Option filled by you, by logging in at the website https://mat.aima.in/feb19 upto 23 February 2019.

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