Personal Details:

User ID 23284177

Candidate's Name LOVE PURI

Candidate's First Name LOVE

Candidate's Middle Name

Candidate's Last Name PURI

Date of Birth 10/Nov/2003

Country India

Email ID lovepuri618@gmail.com

Alternate Email ID
Mobile No 91 9369580948

Other Personal Details:

Father's/Guardian's Name RAMJI PURI

Mother's/Guardian's Name POOJA PURI

Spouse's Name

Candidate Gender Male Category General

Nationality Indian Other Nationality

State/Union Territory of Serial/Entry

Category Number of the
Caste
Caste/Tribe Name
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 02/11/2021 Second Covid 26/01/2022
Date Vaccination Date
Communication Address :
Address Line1 225 , Hathipur

Address Line2 Near Dr Kakkar Chauraha

Address Line3 In Front Of Gopeshwar Nath Mandir

Country India Other Country

State/Union Uttar Pradesh Other State/Union
Territory Territory
District Kheri Other District
Town/City Lakhimpur Kheri Pincode 262701

Emergency Contact Details :

Emergency 7007912930 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 March 2019

Maximum Marks (Inclusive of all subjects): 500

Total Marks Obtained 313 Aggregate 62.6

(Inclusive of all subjects) 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 Commerce

12th/Equivalent Other Discipline Month/Year of Course

Commencement

Month/Year of Completion April 2021 Aggregate Marks or Aggregate Marks

Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 406
subjects) 500 (Inclusive of all subjects)

Aggregate Percentage (%) 81.2

I declare that I have not been awarded

any marks due to Covid-19 and if this
information found to be incorrect,
CAT 2023 holds right to cancel my
application.
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-5

Type of State University Other Type of

University/Institution University/Institution
State/Union Territory of Uttar Pradesh Other State/Union Territory
University of University

University/Institute Name Others Other University/Institute University Of Lucknow

Name
Name of College/Institution Lucknow Public College Degree Name BBA
Of Proferssional Studies

Other Degree Name Discipline Management (Business

Administration/Business
Management/Business
Studies/Management Studies)
Graduation Stream Non Engineering

Other Discipline Name

Month/Year of Course October 2021 Probable Month/Year of July 2024

Commencement Course Completion

Aggregate Marks or Promotion/Pass without Marks?
Aggregate Marks (%) 60

I declare that I have not been awarded any marks due to Covid-19 and if this
information found to be incorrect, CAT 2023 holds right to cancel my application.

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 College/ Degree Name

Institution

Other Degree Name Discipline

Other Discipline Name

 Graduation Stream: Month/Year of Course
Commencement
Probable Month/Year Aggregate Marks or
of Completion: Promotion/Pass without
Marks?
Aggregate Marks (%)

I declare that I have not been awarded any marks due to Covid-19 and if this
information found to be incorrect, CAT 2023 holds right to cancel my application.
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 Name of College/

University/ Institution
Institute Name
Degree Name Other Degree Name

Discipline

Other Discipline Name Month/Year of

Commencement
Probable Month/Year of Completion Aggregate Marks or
Promotion/Pass without
Marks?
Aggregate Marks (%)
I declare that I have not been awarded any marks due to Covid-19 and if this information found
to be incorrect, CAT 2023 holds right to cancel my application.
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 2023)
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 2023)

Total Work Experience(In Month and days as on July 31, 2023)
Programmes:
Programme Name Selected/Not Interview City
Delhi
Selected
IIM Ahmedabad PGP
Ahmedabad

Ahmedabad
IIM Ahmedabad PGP- Selected
FABM Delhi
IIM Ahmedabad ePGD-ABA Selected Ahmedabad

IIM Ahmedabad Doctoral Selected Ahmedabad

Programme in Management
Delhi
Selected
IIM Amritsar MBA
Bengaluru

Delhi

IIM Amritsar PhD Selected

Bengaluru

Mumbai
IIM Amritsar Executive Selected

MBA Delhi

Bengaluru
IIM Amritsar Selected
MBA-Business Analytics Kolkata

Kolkata
IIM Amritsar MBA-Human Selected
Mumbai
Resource Management
Delhi
IIM Amritsar M.Sc. In Data
Selected
Science(MSDSM) jointly
Mumbai
offered with IIT Ropar

Delhi
IIM Bangalore PGP Selected
Mumbai

IIM Bangalore PGPEM Selected Bengaluru

Selected Bengaluru
IIM Bangalore PhD
Kolkata

IIM Bangalore PGPBA Selected

Delhi

Patna
Selected
IIM Bodh Gaya MBA
Delhi

IIM Bodh Gaya PhD Selected Bodh Gaya

Patna
IIM Bodh Gaya MBA (Digital Selected
Business Management) Chennai

IIM Bodh Gaya MBA (Hospital Delhi

Selected
and Healthcare Management) Mumbai

Kolkata
Selected
IIM Calcutta MBA
Delhi

IIM Calcutta Doctoral Programme Selected Kolkata

(PhD)
Selected Delhi
IIM Indore PGP
Indore
Hyderabad
IIM Indore PGP-HRM Selected
Kolkata
 IIM Indore MSDSM Selected Indore

IIM Indore FPM Selected Indore

Delhi (NCR)
IIM Jammu MBA Selected
Bengaluru

IIM Jammu PhD Selected Jammu

IIM Jammu MBA(Hospital Bengaluru

Selected
Administration & Healthcare
Management) Mumbai

Chandigarh
IIM Jammu Ph.D(Working Selected
Professionals) Delhi (NCR)

Chandigarh
Selected
IIM Jammu Executive MBA
Jammu

Bengaluru
Selected
IIM Kashipur MBA Delhi

Selected Kashipur
IIM Kashipur EMBA
Dehradun

IIM Kashipur EMBAA Selected Kashipur

IIM Kashipur PhD Selected Kashipur

IIM Kashipur MBA Selected Chennai

(Analytics) Kashipur

Selected Kozhikode
IIM Kozhikode PGP
Mumbai

Selected Hyderabad
IIM Kozhikode PGP-F
Delhi
Delhi
IIM Kozhikode PGP-LSM Selected
Kozhikode
Kozhikode
IIM Kozhikode PGP-BL Selected
Delhi

Selected Kozhikode
IIM Kozhikode EPGP Kochi
Kochi
Selected Kozhikode
IIM Kozhikode PhD
IIM Kozhikode Fellow Online
Programmes in Management
Selected

PhD (PT)
IIM Kozhikode Executive Post
Graduate Programme in Selected Online
Management through Interactive
Learning (EPGP-IL)
Lucknow
IIM Lucknow MBA Selected
Delhi (NCR)
Lucknow
IIM Lucknow MBA-ABM Selected
Delhi (NCR)

IIM Lucknow PGPWE Selected Delhi (NCR)

Lucknow
IIM Lucknow MBA-SM
Selected
Delhi (NCR)
 IIM Lucknow PhD Selected Lucknow

Delhi (NCR)
Selected
IIM Lucknow MBA-EandI Lucknow
Selected Mumbai
IIM Nagpur MBA
Nagpur

IIM Nagpur MBA Selected Nagpur

(Executive) Pune

IIM Nagpur PhD Selected Nagpur

(Executive)
IIM Nagpur PhD Selected Nagpur

Delhi
IIM Raipur PGP Selected
Mumbai

IIM Raipur FPM/PhD Selected Raipur

IIM Raipur EFPM Selected Raipur

Selected Chennai
IIM Ranchi MBA
Delhi

IIM Ranchi MBA Selected Chennai

(Business Analytics) Delhi

Ranchi
IIM Ranchi MBA-HRM Selected
Chennai

IIM Ranchi PhD Selected Ranchi

IIM Ranchi EPhD Selected Ranchi

Selected Hyderabad
IIM Rohtak PGP
Mumbai

IIM Rohtak PGPX Selected Rohtak

Selected Rohtak
IIM Rohtak EPGDSM
IIM Rohtak PhD Selected Rohtak

Chennai
IIM Sambalpur MBA Selected
Bengaluru

IIM Sambalpur Executive Selected Delhi

MBA Bengaluru

IIM Sambalpur PhD Selected Delhi

Sambalpur

IIM Sambalpur Executive Selected Sambalpur

PhD
Kolkata
IIM Sambalpur MBA for Selected
Working Professional Hyderabad

Bengaluru
Selected
IIM Shillong PGP
Delhi

Selected Bengaluru
IIM Shillong PGPEX Kolkata

IIM Shillong PGP (WE) Selected Online

 Kolkata
IIM Shillong Doctoral Program Selected
Bengaluru

IIM Shillong Doctoral Selected

Delhi

Program (WP) Hyderabad

Selected Mumbai
IIM Sirmaur MBA
Bengaluru

IIM SirmaurMBA (Tourism Selected

Bengaluru
Management) Delhi

IIM Sirmaur ExMBA Selected Sirmaur

IIM Sirmaur PhD Selected Sirmaur

Sirmaur
IIM Sirmaur PhD(Executive) Selected
Delhi

Delhi
IIM Tiruchirappalli PGPM Selected
Kolkata

IIM Tiruchirappalli PGPM- Selected Chennai

HR Delhi

IIM Tiruchirappalli PhD

Selected Trichy

IIM Tiruchirappalli Executive Selected Trichy

PhD
Kolkata
IIM Udaipur MBA Selected
Delhi

IIM Udaipur MBA-DEM Selected Udaipur

IIM Udaipur MBA-GSCM Selected Udaipur

IIM Udaipur PGDBAWE Selected Udaipur

IIM Udaipur PhD Selected Udaipur

Selected Bengaluru
IIM Visakhapatnam PGP
Mumbai

IIM Visakhapatnam PhD Selected Visakhapatnam

IIM Visakhapatnam EMBA Selected Visakhapatnam

IIM Visakhapatnam Selected Visakhapatnam

PGPDGM
Test State-City Preferences:
Uttar Pradesh - Lucknow Uttar Pradesh - Kanpur
Preferred Test State- Preferred Test State-
City 1 City 2

Preferred Test State-

Uttar Pradesh - Bareilly Preferred Test State- Uttar Pradesh - Gorakhpur

City 3 City 4

Preferred Test State-

Uttar Pradesh - Mathura
Preferred Test State- Uttar Pradesh - Varanasi

City 5 City 6
Payment Details :
Transaction Number 6933765451917 Payment Mode online

Applicable Registration 2400 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 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.