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Mr. CHAITHANYA CHANDRA RAVULU

Online Application Form

NMAT ID : 55028132

Personal Details
Salutation

Mr.

Candidate`s Middle Name Date of Birth Father`s Name (should exactly match the HSC / SSC Mark Sheet)

: : : :

N/A

Candidate`s First Name / Given Name (should exactly match the HSC / SSC Mark Sheet) Candidate`s Last Name (should exactly match the HSC / SSC Mark Sheet) Age as on 31-12-2011

C HAITHANYA C HANDR A

: :

R AVULU

07-Apr-1990 SUBBA R AO R AVULU

21

Mother`s Name (in full) : TIR UMALA DEVI R AVULU Photo Identity Proof (Carry the same for NMAT-2012, else you will not be permitted for the Test) Academic Background Nature of Work Experience Category

Gender

Male

Passport

Signature Proof (Carry the same for NMAT-2012, else you will not be permitted for the Test) If others, please specify No. of Months of Work Experience Are You a Differently Abled Candidate(Person with Disability)?

: : : :

Passport

: : :

Engine e ring

N/A Up to 6 m onths No

Te chnical GEN (Ge ne ral)

Present Address for Correspondence

Address Line 1 Address Line 3 City Phone Number (eg.912287654321) Primary E-mail

: FLAT

408 SR INILAYA APAR TMENTS

Address Line 2 State

: O PP

ANDHR A LO YO LA C O LLEGE Prade sh

: VENKATESHW AR A NAGAR , VIJAYAW ADA : Vijayawada : : :

: Andra

Alternate E-mail Is Your Present Address same as Permanent Address?

Pin Code / Zip Code Mobile 9440797347 Number Re-type rsrao8@gm ail.com Primary Email Re-type chaitanyachandrar@k arunya.e du.in Alternate Email

: 520008 : 9059650301 : rsrao8@gm ail.com : chaitanyachandrar@k arunya.e du.in

: Ye s
FLAT 408 SR INILAYA APAR TMENTS VENKATESHW AR A NAGAR , VIJAYAW ADA Vijayawada O PP ANDHR A LO YO LA C O LLEGE Andra Prade sh 520008

Permanent Address (if different from above)

Address Line 1 Address Line 3 City

: : :

Address Line 2 State Pin Code / Zip Code

: : :

Education Details

Education Details
X/SSC Percentage State (select where you completed your X/SSC from)

: :

83 Andra Prade sh

X/SSC Board

State Board

XII/HSC/Diploma Details
XII/HSC/Diploma

: : :
83

XII/HSC

XII/HSC Details
XII/HSC Percentage State (select where you completed your XII/HSC from) XII/HSC Board

State Board

Andra Prade sh

Graduation Details
Graduation Status

: : : :

Passe d

Specialization

C om pute r Scie nce and Engine e ring

Bachelor`s Degree Name Bachelor`s Degree Percentage (If Appeared, please enter your previous year percentage) University Master`s Degree Percentage

: : : :

BE

84

College Name Master`s Degree Name

Karunya Unive rsity N/A

Karunya Unive rsity N/A

Program Details
Program Name

: : : : : : :

MBA (Full Tim e ) and PGDM

MBA (FT) and PGDM Preferences

MBA (FT) Preference 1 MBA (FT) Preference 2 MBA (FT) Preference 3 PGDM Preference 1 PGDM Preference 2
MBA(C ore ) MBA(Bank ing Manage m e nt) MBA(C apital Mark e ts) PGDM (Be ngaluru) N/A

NMIMS Details
How did you get to know about NMAT2012?
NMIMS W e bsite

If Newspaper, which one?

N/A

Payment Details
S.No. 1 NAME OF THE INSTITUTE NMAT 2012 Application Fee Payment Status Paid Payment Mode C redit C ard Payment Date RR Number Amount Transaction Charges (Rs.) To ID (Rs.) Paid 2000 2000

Sep 18 2011 126200215248 5027899