Personal Details:

User ID 22182628

Candidate's Name ANKUR SHARMA

Candidate's First Name ANKUR

Candidate's Middle Name

Candidate's Last Name SHARMA

Date of Birth 29/May/1999

Country India
Email ID whotheak@gmail.com

ankur11sharma25@gmail.com
Alternate Email ID
Mobile No 91 7007677216

Other Personal Details:

Father's/Guardian's Name JAI RAM SHARMA

Mother's/Guardian's Name BABITA KUMARI

Spouse's Name

Candidate Gender Male Category General

Country Indian Other Country

State/Union Territory of Serial/Entry

Category Number of the
Caste
Caste/Tribe Name
Do you belong to Persons No Is the disability
with Disabilities (PwD) measurable?
category as per RPwD Act
2016?
Percentage of Disability PwD UDID
Number

PwD Category

Do you require wheelchair Would you be

support at the test centre? using a scribe for
the Test?
First Covid Vaccination 25/05/2021 Second Covid 18/08/2021
Date Vaccination Date
Communication Address :
Address Line1 Qt no. p5/4 OGB 32

Address Line2 Cantt Faizabad

Address Line3 Faizabad

Country India Other Country

State/Union Uttar Pradesh State/Union
Territory Territory
District Faizabad Other District
Town/City Faizabad Pincode 224001

Communication Address :
Emergency 8765793964 Relationship with son
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education

Other Board Name

Month/Year of Completion May / 2014

Maximum Marks 500

Total Marks Obtained 399 Aggregate 79.8

Percentage (%)
HSC/12th/Equivalent/Diploma Course Details:
Course Type 12th/Equivalent

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

12th/Equivalent Other Board

Name
Duration of Diploma Course (In
Year)
Discipline Science

12th/Equivalent Other Discipline Month/Year of Course

Commencement /

Month/Year of Completion Aggregate Marks or

May / 2016
Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 379
subjects) 600 (Inclusive of all
subjects)
Aggregate Percentage (%) 63.17

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

Type of State University Other Type of
University/Institution University/Institution
State/Union Territory of Uttar Pradesh Other State/Union Territory
University of University

University/Institute Name Dr. Ram Manohar Lohia Other University/Institute

Avadh
Name
Name of College/Institution GRAMODAY Degree Name BS/BSC
MAHAVIDYALAYA
RAMPUR SARDHA
FAIZABAD
Other Degree Name Discipline Others

Graduation Stream Non Engineering Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name

Month/Year of Course July / 2016 Probable Month/Year of July / 2019

Commencement Course Completion
Aggregate Marks or Promotion/Pass without Marks?
Aggregate Marks (%) 59.39

Do you have or are you undergoing dual or 5 year integrated course? No

I have more than one Bachelor's Degree Yes

Second Bachelor's Degree Details:

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

Have you completed Bachelor's Degree? Yes

Total Duration of Degree 2 Year Current Semester

Type of State University Other Type of

University/Institution University/Institution
State/Union Territory of Uttar Pradesh Other State/Union Territory
University of University

University/Institute Dr. Ram Manohar Lohia Other University/Institute

Avadh
Name Name

Name of MAHATAMA JAGJIVAN Degree Name BED

SAHAB
College/Institution MAHAVIDHYALAYA
RAMNAGAR AMANI
Other Degree Name GANJ AYODHYA Discipline Science

Graduation Stream Non Engineering Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of Course August
/ 2019
Commencement
Month/Year of December Aggregate Marks or
/ 2021
Completion Promotion/Pass without
Marks?
Aggregate Marks (%) 77
Master's Degree Details:
Do you want to enter Master's Degree details? Yes
Master's Degree Completion Status In Progress Total Duration of Degree 2 Year

Current Semester Semester-3 Type of University/ State University

Institution

Other Type of University/Institution State/Union Territory of Uttar Pradesh

University

Other State/Union Territory University/Institute Name Dr. Ram Manohar Lohia

Avadh
of University

Other University/ Name of College/ SHIV SAVITRI

MAHAVIDYALAYA
Institute Name Institution SARAI MUGAL
RUDHAULI AYODHYA
Degree Name MS/MSC Other Degree Name

Discipline Mathematics Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of August / 2021
Commencement
Probable Month/Year of Completion August Aggregate Marks or Aggregate Marks
/ 2023
Promotion/Pass without
Marks?
Aggregate Marks (%) 68.5

Other Professional Degree Details:

Are you a Fellow of the Institute of Actuaries of India (FIAI) ? No
FIAI Final Aggregate Month/Year of /
Marks (%) Commencement
Month/Year of Do you want to enter any No
Completion / professional degree details
such as CA/CS/ICWA?
Degree Completion Degree Completion Status
Status
Degree Completion Specify Other Professional
Status Degree

Professional Inter Professional Final Marks

Marks (%) (%)
Professional Final Aggregate Marks Month/Year of Course /
(%) Commencement
Month/Year of / Probable Month/Year of /
Completion Completion
Work Experience (If any):
Industry Type Work Experience Work Experience Gap in work Work Experience
Start Date End Date experience (In days as on 31st
July 2022)
Automobiles/Auto-
ancillaries
Banking/Financial Services

Durables

Engineering/Industrial

Fast Moving Consumer

Goods (FMCG)

Information Technology

Pharmaceuticals/Healthcare

Retail

Telecommunications

Others

Total Work Experience (In days as on 31st July 2022)

Programmes:

Programme Name Selected/Not Interview City

IIM Ahmedabad PGP Selected
Delhi

Ahmedabad

IIM Ahmedabad PGP- Delhi

Selected
FABM
Ahmedabad

IIM Ahmedabad ePGD-ABA Selected Interviews will be organized only

through virtual mode

IIM Ahmedabad PhD Selected Ahmedabad

Delhi
Selected
IIM Amritsar MBA
Amritsar

Delhi
Selected
IIM Amritsar PhD Amritsar
 IIM Amritsar EMBA Selected Delhi

Amritsar

Delhi
IIM Amritsar Selected
MBA-Business Analytics Amritsar

Delhi
Selected
IIM Amritsar MBA-HRM Amritsar

Delhi
Selected
IIM Bangalore PGP Kolkata

IIM Bangalore PGPEM Selected Bengaluru

IIM Bangalore PhD Selected Bengaluru

Delhi
Selected
IIM Bangalore PGPBA Kolkata

Delhi
Selected
IIM Bodh Gaya PGP
Patna

IIM Bodh Gaya PhD (FPM) Selected Bodh Gaya

Delhi
Selected
IIM Calcutta MBA Kolkata

IIM Calcutta PhD Selected Kolkata

IIM Indore PGP Selected Delhi

Indore

IIM Indore PGP-HRM Selected Delhi

Indore

IIM Indore MSDSM Selected Indore

IIM Indore FPM Selected Indore

Delhi (NCR)
IIM Jammu MBA Selected
Kolkata

IIM Jammu PhD Selected Jammu

IIM Kashipur MBA Delhi

Selected
Kolkata

IIM Kashipur EMBA Kashipur

Selected
Dehradun

IIM Kashipur EMBAA Selected Kashipur

IIM Kashipur PhD Selected Kashipur

Delhi
IIM Kashipur MBA Selected
(Analytics) Kashipur

IIM Kozhikode PGP Delhi

Selected
Kozhikode

IIM Kozhikode PGP-F Selected Delhi

Kozhikode
IIM Kozhikode PGP-LSM Delhi
Selected
Kozhikode
Delhi
IIM Kozhikode PGP-BL Selected
Kozhikode

IIM Kozhikode EPGP Kochi Selected Kozhikode

Kochi

IIM Kozhikode PhD Selected Kozhikode

IIM Lucknow PGP Lucknow

Selected
Delhi (NCR)

IIM Lucknow PGP-ABM Selected Lucknow

Delhi (NCR)

IIM Lucknow PGPWE Selected Delhi (NCR)

IIM Lucknow PGP-SM Selected Delhi (NCR)

Lucknow

IIM Lucknow PhD Selected Lucknow

IIM Nagpur MBA Selected Delhi

Nagpur

IIM Nagpur MBA Selected Nagpur

(Executive) Pune
Selected Nagpur
IIM Nagpur PhD
(Executive)
IIM Nagpur PhD Selected Nagpur

IIM Raipur PGP Selected Delhi

Kolkata

IIM Raipur FPM/PhD Selected Raipur

IIM Raipur EFPM Selected Raipur

IIM Ranchi PGP Selected Delhi

Kolkata

IIM Ranchi PGP (Business Selected Delhi

Analytics) Kolkata

IIM Ranchi PGP-HRM Selected Delhi

Ranchi

IIM Ranchi PhD Selected Ranchi

IIM Ranchi EPhD Selected Ranchi

IIM Rohtak PGP Selected Delhi

Kolkata

IIM Rohtak EPGDSM Selected Rohtak

IIM Rohtak PhD Selected Rohtak

IIM Sambalpur MBA Delhi

Selected
Kolkata

IIM Sambalpur Executive Selected Delhi

MBA Kolkata

IIM Sambalpur PhD Selected Delhi

Kolkata
 IIM Sambalpur Executive Selected Delhi
PhD
IIM Shillong PGP Delhi
Selected
Kolkata

IIM Shillong PGPEX Selected Delhi

Kolkata

Selected Shillong
IIM Shillong MBA (WE)
Guwahati

IIM Shillong PhD Delhi

Selected
Kolkata

IIM Shillong PhDWP Selected Shillong

Guwahati

IIM Sirmaur MBA Selected Delhi (NCR)

Kolkata

IIM Sirmaur MBA (T&HM) Selected Delhi

Bengaluru

IIM Sirmaur ExMBA Selected Sirmaur

IIM Sirmaur PhD Selected Sirmaur

Delhi
Delhi
IIM Tiruchirappalli PGPM Selected
Kolkata

IIM Tiruchirappalli PGPM- Selected Delhi

HR Kolkata

IIM Tiruchirappalli PGPBM Selected Chennai

IIM Tiruchirappalli DPM Selected

IIM Tiruchirappalli E-DPM Selected

Delhi
IIM Udaipur MBA Selected
Kolkata

IIM Udaipur MBA-DEM Selected Udaipur

IIM Udaipur MBA-GSCM Selected Udaipur

IIM Udaipur PGDBAWE Selected Udaipur

IIM Udaipur PhD Selected Udaipur

IIM Visakhapatnam PGP Selected Delhi

Kolkata

IIM Visakhapatnam PhD Selected Visakhapatnam

IIM Visakhapatnam PGPEx Selected Visakhapatnam

IIM Visakhapatnam Selected Visakhapatnam

PGPDGM
Test City Preferences:
Preferred Test State- Uttar Pradesh - Lucknow Preferred Test State- Uttar Pradesh - Gorakhpur

City 1 City 2
Uttar Pradesh - Prayagraj Preferred Test State- Uttar Pradesh - Kanpur
Preferred Test State-
City 3 City 4
 Uttar Pradesh - Greater Noida - Uttar Pradesh - Meerut
Preferred Test State- Preferred Test State-
Noida
City 5 City 6
Payment Details :
Transaction Number 15829752911 Payment mode: online

Applicable Registration 2300 Payment Status S

Fee (Rs)

Declaration:
I have previewed the Application Form by clicking on the Preview Application Button and confirm
that all the data reflecting in the Preview are correct.

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 2022 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 2022
application & scores. I understand that all disputes will be subject to the territorial jurisdiction of city
of Bangalore only.