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MAT Feb-2019 Registration Form: Personal Particulars

This document is a registration form for the MAT exam on February 23, 2019. It contains information about the applicant such as name, date of birth, address, contact details, photo ID, educational qualifications, payment details, preferred test city, and management institute choices. The applicant, Nikita Chanduka, has opted for the computer-based test in Bhubaneswar or Kolkata on February 23, 2019 and has listed her top five management institute choices.

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Nikita Chanduka
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135 views2 pages

MAT Feb-2019 Registration Form: Personal Particulars

This document is a registration form for the MAT exam on February 23, 2019. It contains information about the applicant such as name, date of birth, address, contact details, photo ID, educational qualifications, payment details, preferred test city, and management institute choices. The applicant, Nikita Chanduka, has opted for the computer-based test in Bhubaneswar or Kolkata on February 23, 2019 and has listed her top five management institute choices.

Uploaded by

Nikita Chanduka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MAT Feb-2019 Registration Form

Registration No.

* Opted Test Mode Computer Based Test (CBT)

* Test Date 23 February 2019 (Saturday)

* Test Timing In single/different time slots at specific test venues; subject to candidates registration

* Test Centre City for Computer Based Test City Choice 1. ORISSA : BHUBANESWAR
Test (CBT) Test City Choice 2. WEST BENGAL : KOLKATA

Personal Particulars
* Name of the Candidate Ms. Nikita Chanduka

* Father's Name Dilip Kumar Chanduka * Mother's Name Sangita Chanduka

* Date of Birth 05-Apr-1998 * E-mail ID [email protected]

* Gender Female * Category General

* Nationality Indian

* Address for Communication FLAT NO 101, GAYATREE ENCLAVE ,


GAYATREE NAGAR, BOMIKHAL,
BEHIND EKAMRA TALKIES,
BHUBANESWAR, Odisha, 751010

Contact Number (Telephone no.) with STD * Mobile No.+91- 7978299974


Code

* Are you a Person with Disabilities (PWD)? NO

* Photo ID to be produced at test centre Aadhar Card * Photo-ID No. 466772152845

Qualification & Experience Details


* Qualification Name * Percentage of Marks * Status of Qualification * Stream/Discipline

10+2 80 % Passed NA

B.COM - Appeared - Result Awaited Commerce

Experience in Months

* Have you earlier appeared in GMAT - NO CAT - NO XAT - NO

Payment Details
Transaction Reference No. Payment Date Receipt No/ PG Ref.No. Amount

4128931826 08/02/2019 18:12:41 PHMP7195975770 1550.00

Declaration
I here by affirm that the particulars filled by me in this form are true and correct. I have read and understood the terms and
conditions of the test and agree to abide by those.
Registration No. 835596

Signature of Candidate

You are NOT required to send Registration Form/any documents/receipt to AIMA. Candidate can view/download the MAT
Prospectus from AIMA website. No separate Prospectus/CD will be dispatched.
MAT Feb-2019 Registration Form (Part II)
Options for Management Institute Choice
Registration No. 835596

Name of Candidate Ms. Nikita Chanduka

Date of Birth 05-Apr-1998

Management Institute Choice Code :


* Choice 1 5639-Christ University : Bengaluru

* Choice 2 5625-Xavier Institute of Management & Entrepreneurship : Bengaluru

* Choice 3 5601-IFIM Business School : Bengaluru

* Choice 4 2234-Jaipuria Institute of Management : Lucknow

* Choice 5 2111-Birla Institute of Management Technology : Greater Noida

You may Change/Modify the MI Choice Option filled by you, by logging in at the website https://mat.aima.in/feb19 upto 23 February 2019.

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