Personal Details:

User ID 22271916

Candidate's Name RIGIO TADITYA

Candidate's First Name RIGIO

Candidate's Middle Name

Candidate's Last Name TADITYA

Date of Birth 30/Sep/2002

Country India
Email ID rigiotaditya240@gmail.com

Alternate Email ID
Mobile No 91 6000319406

Other Personal Details:

Father's/Guardian's Name RIGIO TAKAR

Mother's/Guardian's Name RIGIO KIRGAM

Spouse's Name

Candidate Gender Male Category ST

Country Indian Other Country

State/Union Territory of Arunachal Pradesh Serial/Entry 4

Category Number of the
Caste
Caste/Tribe Name NYISHI

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 10/06/2021 Second Covid 07/09/2021
Date Vaccination Date
Communication Address :
Address Line1 GYAPIN

Address Line2 PIPSORANG

Address Line3 TALI

Country India Other Country

State/Union Arunachal Pradesh State/Union
Territory Territory
District Kurung Kumey Other District
Town/City TALI Pincode 791118

Communication Address :
Emergency 6913404839 Relationship with FATHER
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education

Other Board Name

Month/Year of Completion June / 2017

Maximum Marks 500

Total Marks Obtained 380 Aggregate 76

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 / 2019
Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 277
subjects) 500 (Inclusive of all
subjects)
Aggregate Percentage (%) 55.4

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

University/Institute Name Dibrugarh Other University/Institute

Name
Name of College/Institution DIBRUGARH Degree Name BBA
UNIVERSITY

Other Degree Name Discipline Management (Business

Graduation Stream
Other Discipline Name
Administration/Business
Management/Business
Studies/Management Studies)
Non Engineering Does the 'Other Discipline'
closely relate to
'Engineering/Technology'?

Month/Year of Course August / 2019 Probable Month/Year of Septemb / 2022

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

Aggregate Marks (%) 59

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

Kolkata

IIM Ahmedabad PGP-

Not Selected
FABM

IIM Ahmedabad ePGD-ABA Not Selected

IIM Ahmedabad PhD Not Selected

Not Selected
IIM Amritsar MBA

Not Selected
IIM Amritsar PhD
 IIM Amritsar EMBA Not Selected

IIM Amritsar Not Selected

MBA-Business Analytics

Not Selected
IIM Amritsar MBA-HRM

Bengaluru
Selected
IIM Bangalore PGP Kolkata

IIM Bangalore PGPEM Not Selected

IIM Bangalore PhD Not Selected

Not Selected
IIM Bangalore PGPBA

Not Selected
IIM Bodh Gaya PGP

IIM Bodh Gaya PhD (FPM) Not Selected

Kolkata
Selected
IIM Calcutta MBA Delhi

IIM Calcutta PhD Not Selected

IIM Indore PGP Not Selected

IIM Indore PGP-HRM Not Selected

IIM Indore MSDSM Not Selected

IIM Indore FPM Not Selected

IIM Jammu MBA Not Selected

IIM Jammu PhD Not Selected

IIM Kashipur MBA Not Selected

IIM Kashipur EMBA Not Selected

IIM Kashipur EMBAA Not Selected

IIM Kashipur PhD Not Selected

IIM Kashipur MBA Not Selected

(Analytics)
IIM Kozhikode PGP Not Selected

IIM Kozhikode PGP-F Not Selected

IIM Kozhikode PGP-LSM Not Selected

IIM Kozhikode PGP-BL Not Selected

IIM Kozhikode EPGP Kochi Not Selected

IIM Kozhikode PhD Not Selected

IIM Lucknow PGP Not Selected

IIM Lucknow PGP-ABM Not Selected

IIM Lucknow PGPWE Not Selected

IIM Lucknow PGP-SM Not Selected

IIM Lucknow PhD Not Selected

IIM Nagpur MBA Not Selected

IIM Nagpur MBA Not Selected

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

IIM Raipur PGP Not Selected

IIM Raipur FPM/PhD Not Selected

IIM Raipur EFPM Not Selected

IIM Ranchi PGP Not Selected

IIM Ranchi PGP (Business Not Selected

Analytics)
IIM Ranchi PGP-HRM Not Selected

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

IIM Rohtak PGP Not Selected

IIM Rohtak EPGDSM Not Selected

IIM Rohtak PhD Not Selected

IIM Sambalpur MBA Not Selected

IIM Sambalpur Executive Not Selected

MBA
IIM Sambalpur PhD Not Selected
 IIM Sambalpur Executive Not Selected
PhD
IIM Shillong PGP Not Selected

IIM Shillong PGPEX Not Selected

Selected Guwahati
IIM Shillong MBA (WE)
Shillong

IIM Shillong PhD Not Selected

IIM Shillong PhDWP Not Selected

IIM Sirmaur MBA Not Selected

IIM Sirmaur MBA (T&HM) Not Selected

IIM Sirmaur ExMBA Not Selected

IIM Sirmaur PhD Not Selected

IIM Tiruchirappalli PGPM Not Selected

IIM Tiruchirappalli PGPM- Not Selected

HR
IIM Tiruchirappalli PGPBM Not Selected

IIM Tiruchirappalli DPM Not Selected

IIM Tiruchirappalli E-DPM Not Selected

Delhi
IIM Udaipur MBA Selected
Kolkata

IIM Udaipur MBA-DEM Not Selected

IIM Udaipur MBA-GSCM Not Selected

IIM Udaipur PGDBAWE Not Selected

IIM Udaipur PhD Not Selected

IIM Visakhapatnam PGP Not Selected

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam PGPEx Not Selected

IIM Visakhapatnam Selected Visakhapatnam

PGPDGM
Test City Preferences:
Preferred Test State- Assam - Dibrugarh Preferred Test State- Assam - Jorhat

City 1 City 2
Assam - Guwahati Preferred Test State- Assam - Tezpur
Preferred Test State-
City 3 City 4
 Assam - Silchar Meghalaya - Shillong
Preferred Test State- Preferred Test State-
City 5 City 6
Payment Details :
Transaction Number 15848846264 Payment mode: online

Applicable Registration 1150 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.