You are on page 1of 6

Applicant Details

User ID Candidate's Name Candidate's First


23231517 MADHAV VASHISTHA Name
MADHAV
Candidate's Last
Name
VASHISTHA
Date of Birth Country Email ID
10/Jun/2004 India vashishthamadhav004
@gmail.com
Mobile Number
91 8433236164

Other Personal Details

Father's/Guardian Mother's/Guardia
's Name n's Name
AJAY VASHISTHA MEENAKSHI
Candidate Gender Category Nationality
Male General Indian
Do you belong to First Covid Second Covid
Persons with Vaccination Date Vaccination Date
Disabilities (PwD) 13/01/2022 07/03/2022
category as per
RPwD Act 2016?
No

Communication Address

Address Line 1 Address Line 2 Country


2/2390/19 GILL NEAR SADAR THANA India
COLONY
State/Union District Town/City
Territory Saharanpur SAHARANPUR
Uttar Pradesh
Pincode
247001

Emergency Contact Details


Emergency Mobile Relationship with
Number Candidate
9358316725 FATHER

SSC/10th/Equivalent Details

SSC/10th/Equivale Month/Year of Maximum Marks


nt Board Name Completion (Inclusive of all
Central Board of May 2019 subjects)
Secondary Education 600
Total Marks Aggregate
Obtained Percentage (%)
(Inclusive of all 67.67
subjects)
406

HSC/12th/Equivalent/Diploma Course Details

Course Type 12th/Equivalent Discipline


12th/Equivalent Board Name Commerce
Central Board of Month/Year of
Secondary Education
Completion
July 2021
Aggregate Marks Maximum Marks Total Marks
or Promotion/Pass (Inclusive of all Obtained
without Marks? subjects) (Inclusive of all
Aggregate Marks 500 subjects)
424
Aggregate
Percentage (%)
84.8

Bachelor's Degree Details


Are you in the Total Duration of Current Semester
final year of Degree Semester-5
Bachelor's 3 Year
Degree?
Yes
Type of State/Union University/Institu
University/Institu Territory of te Name
tion University Others
Private University Uttarakhand
Other Name of Degree Name
University/Institu College/Institutio BBA
te Name n
QUANTUM QUANTUM
UNIVERSITY UNIVERSITY
Discipline Graduation Month/Year of
Management Stream Course
(Business Non Engineering
Administration/Busine Commencement
ss August 2021
Management/Busines
s
Studies/Management
Studies)
Probable Aggregate Marks Do you have or
Month/Year of (%) are you
Completion 85 undergoing dual
June 2024 or 5 year
integrated
course?
No

Master's Degree Details

Do you want to
enter Master's
Degree details?
No

Other Professional Degree Details

Are you a Fellow


of the Institute of
Actuaries of India
(FIAI) ?
No
Do you want to
enter any
professional
degree details
such as
CA/CS/ICWA?
No

Programmes

Programme Names Interview City

Delhi
IIM Ahmedabad PGP
Ahmedabad

Delhi
IIM Amritsar MBA
Bengaluru

Delhi
IIM Amritsar MBA-Human Resource Management
Bengaluru

Delhi
IIM Bangalore PGP
Bengaluru

Delhi
IIM Bangalore PGPBA
Bengaluru

Delhi
IIM Bodh Gaya MBA
Patna

Delhi
IIM Calcutta MBA
Kolkata

Delhi
IIM Indore PGP
Indore

Delhi (NCR)
IIM Jammu MBA
Jammu

Delhi
IIM Kashipur MBA
Bengaluru

Delhi
IIM Kashipur MBA (Analytics)
Kashipur
IIM Lucknow MBA Delhi (NCR)

Lucknow

Delhi
IIM Nagpur MBA
Nagpur

Delhi
IIM Rohtak PGP
Bengaluru

Delhi
IIM Sambalpur MBA
Bengaluru

Delhi (NCR)
IIM Sirmaur MBA
Bengaluru

Delhi
IIM Udaipur MBA
Bengaluru

Delhi
IIM Visakhapatnam PGP
Visakhapatnam

Test State-City Preferences

Preferred Test Preferred Test Preferred Test


State-City 1 State-City 2 State-City 3
Uttar Pradesh - Uttarakhand - Uttarakhand -
Muzaffarnagar Dehradun Roorkee
Preferred Test Preferred Test Preferred Test
State-City 4 State-City 5 State-City 6
Uttar Pradesh - Uttar Pradesh - Uttar Pradesh -
Meerut Ghaziabad Greater Noida - Noida

Payment Details

Amount Payment Mode Payment Status


2400 online S
Payment
Transaction
Number
4645988777429

Candidate Documents/Images Upload Details


Photo Signature

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 2023 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 2023 application & scores.
I understand that all disputes will be subject to the territorial jurisdiction of
city of Lucknow only.

You might also like