Instructions: 

NOTE : Your Application has been submitted successfully. Your Payment is

successful.

Applicant Details

User ID Candidate's Name Candidate's First

23319095 SHRUTI SANJAY Name
GEHLOT SHRUTI
Candidate's Middle Candidate's Last
Name Name
SANJAY GEHLOT
Date of Birth Country Email ID
02/Jun/2002 India shrutigehlot2629@g
mail.com
Alternate Email ID Mobile Number
shrutigehlot0001@g 91 9898155808
mail.com

Other Personal Details

Father's/Guardian's Mother's/Guardian's
Name Name
SANJAY GEHLOT CHITRA GEHLOT
Candidate Gender Category Certificate issue
Female NC-OBC date
30/12/2022
Nationality State/Union Serial/Entry Number
Indian Territory of of the Caste
Category 73
Gujarat Caste/Tribe Name
Valand
Do you belong to
Persons with
Disabilities (PwD)
category as per
RPwD Act 2016?
No

Communication Address

Address Line 1 Address Line 2 Country

79, Shubh Sonal I.o.c road, India
society Chandkheda
State/Union District Town/City
Territory Ahmedabad Chandkheda
Gujarat
Pincode
380019

Emergency Contact Details

Emergency Mobile Relationship with

Number Candidate
9924301464 Father

SSC/10th/Equivalent Details

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

Board Name Completion (Inclusive of all
Central Board of June 2017 subjects)
Secondary Education 475
Total Marks Aggregate
Obtained (Inclusive Percentage (%)
of all subjects) 84
399

HSC/12th/Equivalent/Diploma Course Details

Course Type 12th/Equivalent Discipline

12th/Equivalent Board Name Science
Central Board of Month/Year of
Secondary Education
Completion
May 2019
Maximum Marks Total Marks Aggregate
(Inclusive of all Obtained (Inclusive Percentage (%)
subjects) of all subjects) 74.2
500 371

Bachelor's Degree Details

Are you in the final Have you completed Total Duration of

year of Bachelor's Bachelor's Degree? Degree
Degree? Yes 3 Year
No
Type of State/Union University/Institute
University/Institutio Territory of Name
n University Others
Private University Gujarat
Other Name of Degree Name
University/Institute College/Institution BCA
Name G.L.S
G.L.S University
Discipline Graduation Stream Month/Year of
Computer Non Engineering Course
Applications
Commencement
July 2019
Month/Year of Marks % awarded Do you have or are
Completion by you undergoing dual
May 2022 University/institute or 5 year integrated
82 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

Work Experience (If any)

Work Work Gap in Work

Experienc Experienc work Experience (In
Industry Type
e Start e End experien days as on 31st
Date Date ce July 2023)

Automobiles/Auto- 01/04/202 31/07/20

0 487
ancillaries 2 23

Total Work
Experience (In days 487
as on 31st July 2023)

Total Work
16
Experience (In Month
Month(s)
and days as on July
07 Day(s)
31, 2023)

Programmes

Programme Names Interview City

Ahmedabad
IIM Ahmedabad PGP
Mumbai

Ahmedabad
IIM Ahmedabad PGP-FABM
Mumbai

Mumbai
IIM Amritsar MBA
Bengaluru

Mumbai
IIM Amritsar MBA-Business Analytics
Bengaluru

Mumbai
IIM Amritsar MBA-Human Resource Management
Bengaluru

Mumbai
IIM Bangalore PGP
Bengaluru

IIM Bangalore PGPEM Bengaluru

 Mumbai
IIM Bangalore PGPBA
Bengaluru

Mumbai
IIM Bodh Gaya MBA
Bengaluru

Mumbai
IIM Bodh Gaya MBA-DBM
Bengaluru

Mumbai
IIM Calcutta MBA
Bengaluru

Mumbai
IIM Indore PGP
Bengaluru

Mumbai
IIM Indore PGP-HRM
Bengaluru

IIM Indore FPM Indore

Mumbai
IIM Jammu MBA
Chandigarh

Mumbai
IIM Jammu MBA-HAHM
Chandigarh

Mumbai
IIM Kashipur MBA
Bengaluru

Mumbai
IIM Kashipur MBA (Analytics)
Bengaluru

Mumbai
IIM Kozhikode PGP
Bengaluru

Mumbai
IIM Kozhikode PGP-F
Bengaluru

Mumbai
IIM Kozhikode PGP-BL
Bengaluru

Mumbai
IIM Lucknow MBA
Bengaluru

Mumbai
IIM Lucknow MBA-ABM
Bengaluru

Mumbai
IIM Lucknow MBA-SM
Bengaluru

Mumbai
IIM Lucknow MBA-EandI
Bengaluru
 Mumbai
IIM Nagpur MBA
Nagpur

Mumbai
IIM Raipur PGP
Bengaluru

IIM Raipur FPM/PhD Raipur

Mumbai
IIM Ranchi MBA
Bengaluru

Mumbai
IIM Ranchi MBA (Business Analytics)
Bengaluru

Mumbai
IIM Ranchi MBA-HRM
Bengaluru

Mumbai
IIM Rohtak PGP
Bengaluru

Mumbai
IIM Sambalpur MBA
Bengaluru

Mumbai
IIM Shillong PGP
Bengaluru

Mumbai
IIM Sirmaur MBA
Bengaluru

Bengaluru
IIM Sirmaur MBA (Tourism Management)
Delhi

Mumbai
IIM Tiruchirappalli PGPM
Bengaluru

Mumbai
IIM Tiruchirappalli PGPM-HR
Bengaluru

Mumbai
IIM Udaipur MBA
Bengaluru

IIM Udaipur MBA-DEM Udaipur

IIM Udaipur MBA-GSCM Udaipur

Mumbai
IIM Visakhapatnam PGP
Bengaluru

IIM Visakhapatnam PGPDGM Visakhapatnam

Test State-City Preferences

Preferred Test Preferred Test Preferred Test

State-City 1 State-City 2 State-City 3
Gujarat - Ahmedabad Gujarat - Gujarat - Mehsana
Gandhinagar
Preferred Test Preferred Test Preferred Test
State-City 4 State-City 5 State-City 6
Gujarat - Anand Gujarat - Vadodara Gujarat - Rajkot

Payment Details

Amount Payment Mode Payment Status

2400 online S
Payment
Transaction
Number
3541113464039

Candidate Documents/Images Upload Details

Photo Signature

Document View / Download

To view your copy of NC-OBC/SC/ST/EWS certificate Click here.

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.