Common Management Admission Test

CMAT - 2020
Confirmation Page

Application No. 2001 1003 1781 -

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CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

Personal Details
Candidate's Name PRADHUMAN VARMA Date of Birth 16-07-1998
Mother's Name KUSUM VARMA Category General
Father's Name JAYBAHADUR VARMA Gender Male
If you are a PwD Candidate, do you have No Nationality Indian
benchmark disability (40% or more /
“Severe” where percentage is not defined)
?
State/ UT of Residence MAHARASHTRA Are You Diabetic? NO

Applied For
Applied For CMAT 2020 Choice for Examination City CHHATTISGARH - RAIPUR

Contact Details
Address NEAR AYAPPA SAINATH NAGAR TUKUM Locality
City/Town/Village CHANDRAPUR District CHANDRAPUR
State /UT MAHARASTRA Pin Code 442401
Email Address pra*************@gmail.com Mobile Number (+91) 744****277
Alternate Mobile --
Number

Fee Payment Details

Payment Mode: Pay through PAYTM Transaction ID: 20191130111212800110168862400144
573
Exam Fee: 1600 /- Date of Transaction: 30/11/2019 12:00:00
Fee Submitted On: 30/11/2019
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read the Information Bulletin for CMAT -
2020 and understood the procedures. I shall abide by the terms and conditions thereon.

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