Personal Details:

User ID 22222298

Candidate's Name SINGH AKANKSHA JEEVAN

Candidate's First Name AKANKSHA

Candidate's Middle Name

Candidate's Last Name SINGH

Date of Birth 17/Oct/1999

Country India
Email ID [email protected]

Alternate Email ID
Mobile No 91 8779826562

Other Personal Details:

Father's/Guardian's Name JEEVAN SINGH

Mother's/Guardian's Name RITU SINGH

Spouse's Name

Candidate Gender Female Category General

Country Indian Other Country

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 14/08/2021 Second Covid 12/09/2021
Date Vaccination Date
Communication Address :
Address Line1 B-12, B-WING ANGEL CHS GODREJ HILL, BARAVE, KALYAN WEST, THANE, MAHARASHTRA, 421301

Address Line2
Address Line3
Country India Other Country
State/Union Maharashtra State/Union
Territory Territory
District Thane Other District
Town/City Kalyan Pincode 421301

Communication Address :
Emergency 8779493041 Relationship with Mother
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Maharashtra State Board of Secondary and Higher Secondary Education

Other Board Name

Month/Year of Completion March / 2015

Maximum Marks 500

Total Marks Obtained 454 Aggregate 90.80

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 Science

12th/Equivalent Other Discipline Month/Year of Course

Commencement /

Month/Year of Completion Aggregate Marks or

March / 2017
Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 363
subjects) 500 (Inclusive of all
subjects)
Aggregate Percentage (%) 72.60

First Bachelor's Degree Details:

Are you in the final year of Bachelor's Degree? No

Have you completed Bachelor's Degree? Yes

Total Duration of Degree 4 Year Current Semester

Type of Private University Other Type of
University/Institution University/Institution
State/Union Territory of Tamil Nadu Other State/Union Territory
University of University

University/Institute Name S.R.M. Institute of Other University/Institute

Science & Technology
Name
Name of College/Institution S.R.M Institute of Degree Name BTECH
Science And Technology

Other Degree Name Discipline Engineering/Technology

Graduation Stream Engineering Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name

Month/Year of Course July / 2017 Probable Month/Year of May / 2021

Commencement Course Completion
Aggregate Marks or Promotion/Pass without Marks?
Aggregate Marks (%) 88.79

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 Degree Name

College/Institution

Other Degree Name Discipline

Graduation Stream Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of Course /
Commencement
Month/Year of Aggregate Marks or
/
Completion Promotion/Pass without
Marks?
Aggregate Marks (%)
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 University/ Name of College/

Institute Name Institution

Degree Name Other Degree Name

Discipline Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of /
Commencement
Probable Month/Year of Completion Aggregate Marks or
/
Promotion/Pass without
Marks?
Aggregate Marks (%)
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 2022)
Automobiles/Auto-
ancillaries
Banking/Financial Services

Durables

Engineering/Industrial

Fast Moving Consumer

Goods (FMCG)

Information Technology 14/07/2021 31/07/2022 0 383

Pharmaceuticals/Healthcare

Retail

Telecommunications

Others

Total Work Experience (In days as on 31st July 2022) 383

Programmes:

Programme Name Selected/Not Interview City

IIM Ahmedabad PGP Selected
Mumbai

Delhi

IIM Ahmedabad PGP- Mumbai

Selected
FABM
Delhi

IIM Ahmedabad ePGD-ABA Selected Interviews will be organized only

through virtual mode

IIM Ahmedabad PhD Not Selected

Mumbai
Selected
IIM Amritsar MBA
Delhi

Not Selected
IIM Amritsar PhD
 IIM Amritsar EMBA Selected Mumbai

Delhi

Mumbai
IIM Amritsar Selected
MBA-Business Analytics Delhi

Mumbai
Selected
IIM Amritsar MBA-HRM Delhi

Mumbai
Selected
IIM Bangalore PGP Delhi

IIM Bangalore PGPEM Selected Bengaluru

IIM Bangalore PhD Not Selected

Mumbai
Selected
IIM Bangalore PGPBA Delhi

Mumbai
Selected
IIM Bodh Gaya PGP
Delhi

IIM Bodh Gaya PhD (FPM) Not Selected

Mumbai
Selected
IIM Calcutta MBA Delhi

IIM Calcutta PhD Not Selected

IIM Indore PGP Selected Mumbai

Delhi

IIM Indore PGP-HRM Selected Mumbai

Delhi

IIM Indore MSDSM Selected Indore

IIM Indore FPM Selected Indore

Mumbai
IIM Jammu MBA Selected
Delhi (NCR)

IIM Jammu PhD Not Selected

IIM Kashipur MBA Mumbai

Selected
Delhi

IIM Kashipur EMBA Not Selected

IIM Kashipur EMBAA Not Selected

IIM Kashipur PhD Not Selected

Mumbai
IIM Kashipur MBA Selected
(Analytics) Delhi

IIM Kozhikode PGP Mumbai

Selected
Delhi

IIM Kozhikode PGP-F Selected Mumbai

Delhi
IIM Kozhikode PGP-LSM Mumbai
Selected
Delhi
Mumbai
IIM Kozhikode PGP-BL Selected
Delhi

IIM Kozhikode EPGP Kochi Not Selected

IIM Kozhikode PhD Not Selected

IIM Lucknow PGP Mumbai

Selected
Delhi (NCR)

IIM Lucknow PGP-ABM Selected Mumbai

Delhi (NCR)

IIM Lucknow PGPWE Selected Delhi (NCR)

IIM Lucknow PGP-SM Selected Mumbai

Delhi (NCR)

IIM Lucknow PhD Not Selected

IIM Nagpur MBA Selected Mumbai

Delhi

IIM Nagpur MBA Selected Pune

(Executive) Nagpur
Not Selected
IIM Nagpur PhD
(Executive)
IIM Nagpur PhD Not Selected

IIM Raipur PGP Selected Mumbai

Delhi

IIM Raipur FPM/PhD Not Selected

IIM Raipur EFPM Not Selected

IIM Ranchi PGP Selected Mumbai

Delhi

IIM Ranchi PGP (Business Selected Mumbai

Analytics) Delhi

IIM Ranchi PGP-HRM Selected Mumbai

Delhi

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

IIM Rohtak PGP Selected Mumbai

Delhi

IIM Rohtak EPGDSM Selected Rohtak

IIM Rohtak PhD Not Selected

IIM Sambalpur MBA Mumbai

Selected
Delhi

IIM Sambalpur Executive Selected Mumbai

MBA Delhi

IIM Sambalpur PhD Selected

 IIM Sambalpur Executive Not Selected
PhD
IIM Shillong PGP Mumbai
Selected
Delhi

IIM Shillong PGPEX Selected Mumbai

Delhi

Selected Guwahati
IIM Shillong MBA (WE)
Shillong

IIM Shillong PhD Not Selected

IIM Shillong PhDWP Not Selected

IIM Sirmaur MBA Selected Mumbai

Delhi (NCR)

IIM Sirmaur MBA (T&HM) Selected Delhi

Bengaluru

IIM Sirmaur ExMBA Selected Sirmaur

IIM Sirmaur PhD Not Selected

Mumbai
IIM Tiruchirappalli PGPM Selected
Delhi

IIM Tiruchirappalli PGPM- Selected Mumbai

HR Delhi

IIM Tiruchirappalli PGPBM Selected Chennai

IIM Tiruchirappalli DPM Not Selected

IIM Tiruchirappalli E-DPM Not Selected

Mumbai
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 Not Selected

IIM Visakhapatnam PGP Selected Mumbai

Delhi

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam PGPEx Selected Visakhapatnam

IIM Visakhapatnam Selected Visakhapatnam

PGPDGM
Test City Preferences:
Preferred Test State- Maharashtra - Bhiwandi Preferred Test State- Maharashtra - Thane

City 1 City 2
Maharashtra - Mumbai Preferred Test State- Maharashtra - Navi Mumbai
Preferred Test State-
City 3 City 4
 Maharashtra - Vasai Maharashtra - Palghar
Preferred Test State- Preferred Test State-
City 5 City 6
Payment Details :
Transaction Number 15838364772 Payment mode: online

Applicable Registration 2300 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 2022 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 2022
application & scores. I understand that all disputes will be subject to the territorial jurisdiction of city
of Bangalore only.