IIFT's MBA (2024-26)

Programmes
Application Form

Category: OBC(Non Disability Status: NO Programme / Campus / City Preference

Creamy) Programme Applied:Both: MBA (International
Business) & MBA (Business Analytics)
Campus Preference: Delhi
City for GD/PI: Mumbai

443376
*Application No.

*CAT Application No. 23026942

Have you appeared for
* NO
GMAT?
Personal Particulars
*Name GANESH CHANDRAKANT TAKKALAKI
*Mother's Name Manjula *Father's Name Chandrakant
*Date of Birth 15-Oct-2000 *Category OBC(Non Creamy)
Note: The application is based on your self declaration as belonging to the category applied for and the requisite
certification for the same. If, at any later date, it is found that any or all of the declarations made by you in the application
form is/are false/untrue/suppressed/ due to error(s) of omission/fraudulence, etc., your candidature would automatically
be cancelled leading further to forfeiture of fee.
*Gender Male *Nationality INDIAN
*Are you person with disablity (PwD)? NO
*Address for room no 08, Ganesh Bhavan chawl, Group no 5A
Communication near Shivsena Shakha , Vikhroli East
Vikhroli
Maharashtra-400083
Email-ID ganesh.takkalaki@gmail.com Alternate Email-ID
*Mobile No.: 8879406833 Alternate Mobile No.

Qualification Details:
Main Percentage/
Qualification Qualification/ Board/ Marking Exam Year of
Subjects/ CGPA/ Division
Level Degree Name University Scheme Status Passing
Specialization Grade
Science English
10th Maharashtra Hindi Marathi
10th Percentage - 2017 90.20 First
Standard* State Board Mathematics
Social Sciences
10+2 Standard Maharashtra
10+2 Science Percentage - 2019 69.08 First
* State Board
Mumbai Mathematics,
Graduation* B.Sc. CGPA Passed 2023 9.72 First
University Statistics
Have you studied Mathematics as a subject in 10+2? YES
Have you studied Mathematics/Statistics as a subject in Graduation? YES
Experience Details, if any

Do you have work experience? NO

Mode of Payment: --> Credit/Debit Card/Net Banking

Transaction No. /PG
* 102019 / 113077384388 *Payment Date 11/14/2023 7:40:38 PM
Reference No.

*Application Fee 3000/- (Application Fee)

I certify that, I have read and understood the information given in IIFT's MBA (2024-26) Prospectus. I certify that the information
provided in this online application form is accurate and complete to the best of my knowledge. I declare that I have read and
understood the conditions of eligibility for the programme/ discipline/ course for which I seek admission. In the event of any
information provided by me found incorrect, or misleading, or incomplete, my application shall be liable to cancellation by the
Institute at any time and I shall not be entitled to any refund of the fee paid by me to the Institute.

You are NOT required to send Application Form/any documents/receipt to IIFT.

Signature of Applicant
(Application submitted on Tuesday, November 14, 2023 19:42)

(Please Print the form for further reference)