Personal Details:

User ID 22056552

Candidate's Name YAMAN TEOTIA

Candidate's First Name YAMAN

Candidate's Middle Name

Candidate's Last Name TEOTIA

Date of Birth 22/Jan/2002

Country India
Email ID yamanchaudhary51@gmail.com

Alternate Email ID
Mobile No 91 7060119114

Other Personal Details:

Father's/Guardian's Name DHARMENDRA KUMAR

Mother's/Guardian's Name RAJNI DEVI

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 10/11/2021 Second Covid
Date Vaccination Date
Communication Address :
Address Line1 H No. 78

Address Line2 VILL- CHITTORA URF DIDWARI

Address Line3 POST- NOORPUR

Country India Other Country

State/Union Uttar Pradesh State/Union
Territory Territory
District Ghaziabad Other District
Town/City MURADNAGAR Pincode 201206

Communication Address :
Emergency 9760442783 Relationship with FATHER
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Council for Indian School Certificate Examination

Other Board Name

Month/Year of Completion May / 2017

Maximum Marks 600

Total Marks Obtained 445 Aggregate 74.17

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

University/Board/Other Authority
Name
12th/Equivalent Board Name Council for Indian School Certificate Examination

12th/Equivalent Other Board

Name
Duration of Diploma Course (In
Year)
Discipline Commerce

12th/Equivalent Other Discipline Month/Year of Course

Commencement /

Month/Year of Completion Aggregate Marks or

May / 2020
Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 248
subjects) 500 (Inclusive of all
subjects)
Aggregate Percentage (%) 49.6

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-5
Type of Private University Other Type of
University/Institution University/Institution
State/Union Territory of Uttar Pradesh Other State/Union Territory
University of University

University/Institute Name Ch. Charan Singh Other University/Institute

Name
Name of College/Institution Institute of Management Degree Name BCA
Studies

Other Degree Name Discipline Computer Science

Graduation Stream Non Engineering Does the 'Other Discipline'

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

Month/Year of Course September / 2020 Probable Month/Year of Septemb / 2023

er
Commencement Course Completion
Aggregate Marks or Promotion/Pass without Marks? Aggregate Marks

Aggregate Marks (%) 63.67

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

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 Bachelor's Degree?
Total Duration of Degree Current Semester

Type of Other Type of

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

University/Institute Other University/Institute

Name Name

Name of Degree Name

College/Institution

Other Degree Name Discipline

Graduation Stream Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of Course /
Commencement
Month/Year of Aggregate Marks or
/
Completion Promotion/Pass without
Marks?
Aggregate Marks (%)
Master's Degree Details:
Do you want to enter Master's Degree details? No
Master's Degree Completion Status Total Duration of Degree

Current Semester Type of University/

Institution

Other Type of University/Institution State/Union Territory of

University

Other State/Union Territory University/Institute Name

of University

Other University/ Name of College/

Institute Name Institution

Degree Name Other Degree Name

Discipline Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of /
Commencement
Probable Month/Year of Completion Aggregate Marks or
/
Promotion/Pass without
Marks?
Aggregate Marks (%)
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 Not Selected

IIM Ahmedabad PhD Not Selected

Delhi
Selected
IIM Amritsar MBA
Amritsar

Not Selected
IIM Amritsar PhD
 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 Bengaluru

IIM Bangalore PGPEM Not Selected

IIM Bangalore PhD Not Selected

Delhi
Selected
IIM Bangalore PGPBA Bengaluru

Delhi
Selected
IIM Bodh Gaya PGP
Patna

IIM Bodh Gaya PhD (FPM) Not Selected

Delhi
Selected
IIM Calcutta MBA Kolkata

IIM Calcutta PhD Not Selected

IIM Indore PGP Selected Delhi

Indore

IIM Indore PGP-HRM Selected Delhi

Indore

IIM Indore MSDSM Not Selected

IIM Indore FPM Not Selected

Delhi (NCR)
IIM Jammu MBA Selected
Bengaluru

IIM Jammu PhD Not Selected

IIM Kashipur MBA Delhi

Selected
Bengaluru

IIM Kashipur EMBA Kashipur

Selected
Dehradun

IIM Kashipur EMBAA Not Selected

IIM Kashipur PhD Not Selected

Delhi
IIM Kashipur MBA Selected
(Analytics) Kashipur

IIM Kozhikode PGP Delhi

Selected
Bengaluru

IIM Kozhikode PGP-F Selected Delhi

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

IIM Kozhikode EPGP Kochi Selected Kochi

Kozhikode

IIM Kozhikode PhD Not Selected

IIM Lucknow PGP Delhi (NCR)

Selected
Lucknow

IIM Lucknow PGP-ABM Selected Delhi (NCR)

Lucknow

IIM Lucknow PGPWE Not Selected

IIM Lucknow PGP-SM Selected Delhi (NCR)

Lucknow

IIM Lucknow PhD Not Selected

IIM Nagpur MBA Selected Delhi

Bengaluru

IIM Nagpur MBA Selected Nagpur

(Executive) Pune
Not Selected
IIM Nagpur PhD
(Executive)
IIM Nagpur PhD Not Selected

IIM Raipur PGP Selected Delhi

Bengaluru

IIM Raipur FPM/PhD Not Selected

IIM Raipur EFPM Not Selected

IIM Ranchi PGP Selected Delhi

Bengaluru

IIM Ranchi PGP (Business Selected Delhi

Analytics) Bengaluru

IIM Ranchi PGP-HRM Selected Delhi

Ranchi

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

IIM Rohtak PGP Selected Delhi

Bengaluru

IIM Rohtak EPGDSM Not Selected

IIM Rohtak PhD Not Selected

IIM Sambalpur MBA Delhi

Selected
Bengaluru

IIM Sambalpur Executive Selected Delhi

MBA Bengaluru

IIM Sambalpur PhD Selected

 IIM Sambalpur Executive Not Selected
PhD
IIM Shillong PGP Delhi
Selected
Bengaluru

IIM Shillong PGPEX Selected Delhi

Bengaluru

Selected Shillong
IIM Shillong MBA (WE)
Guwahati

IIM Shillong PhD Not Selected

IIM Shillong PhDWP Not Selected

IIM Sirmaur MBA Selected Delhi (NCR)

Bengaluru

IIM Sirmaur MBA (T&HM) Selected Delhi

Bengaluru

IIM Sirmaur ExMBA Not Selected

IIM Sirmaur PhD Not Selected

Delhi
IIM Tiruchirappalli PGPM Selected
Bengaluru

IIM Tiruchirappalli PGPM- Selected Delhi

HR Bengaluru

IIM Tiruchirappalli PGPBM Not Selected

IIM Tiruchirappalli DPM Not Selected

IIM Tiruchirappalli E-DPM Not Selected

Delhi
IIM Udaipur MBA Selected
Bengaluru

IIM Udaipur MBA-DEM Selected Udaipur

IIM Udaipur MBA-GSCM Selected Udaipur

IIM Udaipur PGDBAWE Not Selected

IIM Udaipur PhD Not Selected

IIM Visakhapatnam PGP Selected Delhi

Bengaluru

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam PGPEx Not Selected

IIM Visakhapatnam Not Selected

PGPDGM
Test City Preferences:
Preferred Test State- Uttar Pradesh - Ghaziabad Preferred Test State- Uttar Pradesh - Greater Noida -
Noida
City 1 City 2
Uttar Pradesh - Meerut Preferred Test State- New Delhi - New Delhi
Preferred Test State-
City 3 City 4
 Uttar Pradesh - Muzaffarnagar Haryana - Faridabad -
Preferred Test State- Preferred Test State- Gurugram
City 5 City 6
Payment Details :
Transaction Number 111640034523 Payment mode: Debit Card

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.