Personal Details:

User ID 21102120
Candidate's Name ADARSH KUMAR

Candidate's Surname or KUMAR

First Name
Date of Birth 05/Mar/2000

Country India

Email ID xdadarshh@gmail.com

Mobile No 8860383494

Other Personal Details:

Father's/Guardian's Name SATISH KUMAR SINGH

Mother's/Guardian's Name POONAM SINGH

Spouse's Name

Candidate Gender Male Category General

Nationality Do you require

Indian wheelchair support
at the test centre?
State/Union Territory of Serial/Entry/Certifi
Category cate Number of
Category
Caste/Tribe Name

PwD Category Would you be

using a scribe for
the Test?

Do you belong to Persons with Disabilities (PwD) category as per RPwD Act 2016? No
Communication Address :
Address Line1 p-52/1 gun factory area

Address Line2 lucknow cantt

Address Line3 lucknow

Country India Pincode 226002

State/Union Uttar Pradesh

State
Territory
Town/City lucknow District

Alternate Email adrshh.xd@gmail.com District Lucknow

Address
Emergency Contact Details :
Relationship son of Emergency Mobile 9582493145
with Candidate Number
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education

Month/Year of Completion June / 2015

Maximum Marks 500

Total Marks Obtained 380 Aggregate 76

Percentage :
HSC/12th/Equivalent/Diploma Course Details:
Course Type HSC

University/Board/Other Authority
Name
12th/Equivalent Board Name Central Board of Secondary Education

Duration of Diploma Course

12th/Equivalent Discipline Commerce

Month/Year of Course / Month/Year of June / 2017

Commencement Completion
Maximum Marks 500 Total Marks 309

Aggregate Percentage 61.8

First Bachelor's Degree Details:

Are you in the final year of Bachelor's Degree? No

Have you completed Bachelor's Degree? Yes

Total Duration of Degree 3 Year Current Semester

Aggregate Marks 53 Discipline Commerce

Type of State University Degree Name BCOM

University/Institution
State/Union Territory of Uttar Pradesh University/Institute Lucknow
University Name

Month/Year of Course (Month/Year of

Commencement August
/
2017
Course Completion) /
November
/ 2020
(Probable Month/Year
of Course Completion)
Do you have or are you undergoing dual or 5 year integrated course? No
Aggregate Marks or Promotion/Pass without Marks?
Name of College/Institution :- national pg college

I have more than one Bachelor's Degree

Second Bachelor's Degree Details:

Are you in the final year of Bachelor's Degree?
Have you completed Current Semester
Bachelor's Degree?
Total Duration of Degree Type of
University/Institution
Aggregate Marks (%) State/Union Territory of
University
Aggregate Marks or Promotion/Pass without Marks?
Degree Name University/Institute
Name

Discipline Name of
College/Institution

Month/Year of Course (Month/Year of Course

/
Commencement Completion) /(Probable
/ Month/Year of Course
Completion)
Master's Degree Details:
Do you want to enter No Master's Degree
Master's Degree details? Completion Status

Total Duration of Current Semester

Degree

Aggregate Marks (%) Type of

University/Institution

Degree Name State/Union Territory

of University

Discipline University/Institute
Name

Name of Month/Year of Course /

College/Institution Commencement

(Month/Year of Course Completion) /(Probable Month/Year of Course Completion) /

Aggregate Marks or Promotion/Pass without Marks?
Other Professional Degree Details:
Are you a Fellow of the Institute of Actuaries of India (FIAI) ? No

FIAI Final Aggregate Marks (%)

Month/Year of Course Commencement / Month/Year of Completion /
Have you completed any professional degree such as No
CA/CS/ICWA?
CA Degree Completion Status :
ICWA Degree Completion Status :
CS Degree Completion Status :
Name of professional Professional Inter Marks
degree
Professional Final Marks (%)
Professional Final Month/Year of Course /
Aggregate Marks Commencement
Month/Year of / Probable Month/Year of /
Completion Completion
Work Experience (If any) :
Industry Type Break in Work Experience (In
Start Date End Date days as on July 31, 2021)
Experience
Automobiles/
Auto-ancillaries
Banking/
Financial Servics
Durables
Engineering/
Industrial
Fast Moving
Consumer Goods
(FMCG)
Information
Technology
Pharmaceuticals/
Healthcare
Retail
Telecommunications

Others

Total Work Experience(In days as on July 31, 2021)

Programmes:
Programme Name Selected/Not Interview City
Ahmedabad
IIM Ahmedabad PGP Selected
Delhi

IIM Ahmedabad PGP- Ahmedabad

FABM Selected
Delhi

IIM Ahmedabad PhD Not Selected

Amritsar
IIM Amritsar MBA Selected
Bengaluru

Not Selected
IIM Amritsar PhD

IIM Amritsar EMBA Amritsar

Selected
Delhi

Amritsar
IIM Amritsar MBA- Selected
Business Analytics Bengaluru

Amritsar
IIM Amritsar MBA-HRM Selected
Bengaluru

Bengaluru
IIM Bangalore PGP Selected
Hyderabad

IIM Bangalore PGPEM Selected Bengaluru

IIM Bangalore PhD Not Selected

Bengaluru
IIM Bangalore PGPBA Selected
Delhi

Patna
IIM Bodh Gaya PGP Selected
Delhi

IIM Bodh Gaya PhD (FPM) Not Selected

Kolkata
IIM Calcutta MBA Selected
Delhi

IIM Calcutta PhD Not Selected

Indore
IIM Indore PGP Selected
Delhi
 Indore
IIM Indore PGP-HRM Selected
Delhi

IIM Indore FPM Selected Indore

Bengaluru
IIM Jammu MBA Selected
Delhi (NCR)

IIM Jammu PhD Not Selected

Delhi
IIM Kashipur MBA Selected
Mumbai

Kashipur
Selected
IIM Kashipur EMBA
Dehradun

IIM Kashipur PhD Not Selected

Kashipur
IIM Kashipur MBA
Selected
(Analytics) Mumbai

Kozhikode
IIM Kozhikode PGP Selected
Delhi

Kozhikode
IIM Kozhikode PGP-F Selected
Delhi

Kozhikode
IIM Kozhikode PGP-LSM Selected
Kolkata

Kozhikode
IIM Kozhikode PGP-BL Selected
Mumbai

IIM Kozhikode EPGP Selected

Kozhikode

Kochi Thiruvananthapuram

IIM Kozhikode PhD Not Selected

IIM Kozhikode PhD (PT) Not Selected

Lucknow
IIM Lucknow PGP Selected
Delhi (NCR)

Lucknow
IIM Lucknow PGP-ABM Selected
Delhi (NCR)

Lucknow
IIM Lucknow PGP-SM Selected
Delhi (NCR)

IIM Lucknow PhD Not Selected

IIM Nagpur PGP

Nagpur
Selected
Delhi
 IIM Nagpur PhD Not Selected

Delhi
IIM Raipur PGP Selected
Mumbai

IIM Raipur FPM/PhD Not Selected

IIM Raipur EFPM Not Selected

Delhi
IIM Ranchi PGP Selected
Mumbai

IIM Ranchi PGP (Business Delhi

Analytics) Selected
Kolkata

Ranchi
IIM Ranchi PGP-HRM Selected
Delhi

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

Rohtak
IIM Rohtak PGP Selected
Delhi

IIM Rohtak EPGPX Selected Rohtak

IIM Rohtak EPGDSM Selected Rohtak

IIM Rohtak PhD Not Selected

Delhi
IIM Sambalpur MBA Selected
Kolkata

IIM Sambalpur Delhi

Executive MBA Selected
Mumbai

IIM Sambalpur PhD Not Selected

IIM Sambalpur Not Selected

Executive PhD
Delhi
IIM Shillong PGP Selected
Bengaluru

IIM Shillong PGPEX Selected Delhi

Kolkata

IIM Shillong PGPWE Selected Shillong

Guwahati

Not Selected
IIM Shillong PhD
 Shillong
Selected
IIM Shillong PhDWP Guwahati

Delhi (NCR)
IIM Sirmaur MBA Selected
Mumbai

IIM Sirmaur MBA Selected

Bengaluru

(TandHM) Delhi

IIM Sirmaur PhD Not Selected

Delhi
IIM Tiruchirappalli PGPM Selected
Kolkata

IIM Tiruchirappalli PGPM- Selected

Bengaluru

HR Delhi

IIM Tiruchirappalli PGPBM Selected Chennai

IIM Tiruchirappalli FPM Selected Trichy

IIM Tiruchirappalli E-FPM Selected Trichy

Bengaluru
IIM Udaipur MBA Selected
Kolkata

Delhi
IIM Udaipur MBA-DEM Selected
Kolkata
Chennai
IIM Udaipur MBA-GSCM Selected
Kolkata

IIM Udaipur PGDBAWE Selected Chennai

Delhi
IIM Udaipur PhD Selected Udaipur

Visakhapatnam
IIM Visakhapatnam PGP Selected
Delhi

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam PGPEx Selected Visakhapatnam

IIM Visakhapatnam Selected Visakhapatnam

PGPDGM
Test City Preferences:
Preferred Test City 1 Lucknow Preferred Test City 2 Kanpur

Preferred Test City 3 Varanasi Preferred Test City 4 Gurugram

Preferred Test City 5 Agra Preferred Test City 6 Bareilly

Payment Details :
Amount 2200 Payment Mode online

Payment Status S Payment Transaction No. 13881822258

Declaration:
I hereby certify that the information given by me in this Application Form is
true to the best my knowledge. I certify that I fulfill the CAT 2021 eligibility criteria and undertake
to produce original documents whenever necessary and I will not demand any reschedule of exam. I
agree to abide by the declaration of the authorities regarding the eligibility of my application and
understand that any misrepresentation or omission of facts in my application may justify
cancellation of my CAT 2021 application & scores. I understand that all disputes will be subject to
the territorial jurisdiction of city of Ahmedabad only.