Personal Details:

User ID 20248319
Candidate's Name DEEPAK PANDEY

Date of Birth 12/Oct/1998

Country India

Email ID Dp36103@gmail.com

Mobile No 7999541387

Other Personal Details:

Father's/Guardian's Name DINESH PANDEY

Mother's/Guardian's Name SULOCHANA PANDEY

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 Aadhaar Card 666640024412
Number
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 4/76 Phase-2

Address Line2 Chhatrasal Nagar

Address Line3 indrapuri

Country India Pincode 462022

State/Union Madhya Pradesh

State
Territory
Town/City Bhopal District

Alternate Email deepakki1210@gmail.com District Bhopal

Address
Emergency Contact Details :
Relationship mother Emergency Mobile 8602347638
with Candidate Number
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education

Month/Year of Completion May / 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 May / 2017

Commencement Completion
Maximum Marks 500 Total Marks 373

Aggregate Percentage 74.6

First Bachelor's Degree Details:

Are you in the final year of Bachelor's Degree? Yes

Have you completed Bachelor's Degree?

Total Duration of Degree 3 Year Current Semester Semester-6

Aggregate Marks 70 Discipline Commerce

Type of State University Degree Name BCOM

University/Institution
State/Union Territory of Madhya Pradesh University/Institute Barkatullah

University Name

Month/Year of Course (Month/Year of / 2020

Commencement
July / 2017 Course Completion) /
October

(Probable Month/Year
of Course Completion)
Name of College/Institution :- Bhopal School Of Social Sciences

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
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) /

Other Professional Degree Details:

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 Month/Year of Course /
Aggregate Marks Commencement
Month/Year of / Probable Month/Year of /
Completion Completion
Work Experience (If any) :
Industry Type Break in Experience (In
Start Date End Date
Experience days)
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, 2020)

Programmes:

Programme Name Selected/Not Interview City

Delhi
IIM Ahmedabad PGP Selected
Ahmedabad

IIM Ahmedabad PGP-

FABM Not Selected

IIM Ahmedabad ePGP

Not Selected

IIM Ahmedabad PhD Not Selected

Delhi
IIM Amritsar MBA Selected
Amritsar

IIM Amritsar PhD Not Selected

IIM Amritsar EMBA

Not Selected

Delhi
IIM Amritsar MBA-
Selected
Business Analytics Amritsar

Delhi
IIM Amritsar MBA-HRM Selected
Amritsar

Delhi
IIM Bangalore PGP Selected
Bengaluru

IIM Bangalore PGPEM Not Selected

IIM Bangalore PhD Not Selected

IIM Bangalore PGPBA Not Selected

Delhi
IIM Bodh Gaya PGP Selected
Patna

IIM Bodh Gaya PhD (FPM) Not Selected

Delhi
IIM Calcutta MBA Selected
Bengaluru

IIM Calcutta PhD Not Selected

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

IIM Indore FPM Not Selected

Delhi (NCR)
IIM Jammu PGP Selected
Bengaluru

IIM Jammu PhD Not Selected

Delhi
IIM Kashipur MBA Selected
Bengaluru

IIM Kashipur MBA (WX) Not Selected

IIM Kashipur PhD Not Selected

Delhi
IIM Kashipur MBA Selected
(Analytics) Bengaluru

IIM Kashipur EFPM Not Selected

Delhi
IIM Kozhikode PGP Selected
Bengaluru

IIM Kozhikode PGP-F Not Selected

IIM Kozhikode PGP-LSM Not Selected

IIM Kozhikode PGP-BL Not Selected

IIM Kozhikode PhD Not Selected

IIM Kozhikode PhD (PT) Not Selected

Delhi (NCR)
IIM Lucknow PGP Selected
Lucknow

IIM Lucknow PGP-ABM Not Selected

IIM Lucknow PGP-SM Not Selected

IIM Lucknow FPM Not Selected

IIM Nagpur PhD Not Selected

 Delhi
IIM Nagpur PGP Selected
Nagpur

Delhi
IIM Raipur PGP Selected
Bengaluru

IIM Raipur FPM/PhD Not Selected

IIM Raipur EFPM Not Selected

Delhi
IIM Ranchi PGP Selected
Bengaluru

IIM Ranchi PGP (Business Delhi

Analytics) Selected
Bengaluru

IIM Ranchi PGP-HRM Not Selected

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

Delhi
IIM Rohtak PGP Selected
Rohtak

IIM Rohtak EPGPX Not Selected

IIM Rohtak EPGDSM Not Selected

IIM Rohtak PhD Not Selected

IIM Rohtak Part-time FPM Not Selected

Delhi
IIM Sambalpur MBA Selected
Bengaluru

IIM Sambalpur PhD Not Selected

IIM Sambalpur E PhD Not Selected

Delhi
IIM Shillong PGP Selected
Bengaluru

IIM Shillong PGPEX Not Selected

IIM Shillong PGPWE Not Selected

IIM Shillong PhD

Not Selected
 Not Selected
IIM Shillong PhDWP

Delhi (NCR)
IIM Sirmaur MBA Selected
Bengaluru

IIM Sirmaur MBA Not Selected

(TandHM)

IIM Sirmaur PhD Not Selected

Delhi
IIM Tiruchirappalli PGPM Selected
Bengaluru

IIM Tiruchirappalli PGPM- Not Selected

HR

IIM Tiruchirappalli PGPBM Not Selected

IIM Tiruchirappalli FPM Not Selected

IIM Tiruchirappalli E-FPM Not Selected

Delhi
IIM Udaipur MBA Selected
Bengaluru

IIM Udaipur PhD Not Selected

Delhi
IIM Visakhapatnam PGP Selected
Visakhapatnam

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam PGPEx Not Selected

IIM Visakhapatnam Not Selected

PGPDGM

Test City Preferences:

Preferred Test City 1 Bhopal Preferred Test City 2 Indore

Preferred Test City 3 Sagar Preferred Test City 4 Ujjain

Preferred Test City 5 Delhi Preferred Test City 6 Raipur

Payment Details :
Amount 2000 Payment Mode online

Payment Status S Payment Transaction No. SIC49229867488

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 2020 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 2020 application & scores. I understand that all disputes will be subject to the territorial
jurisdiction of city of Indore only.