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CAT Form

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Instructions: 

NOTE : Your Application has been submitted successfully. Your Payment is


successful.

Applicant Details

User ID Candidate's Name Candidate's First


23185856 SHRUTI PRIYA Name
SHRUTI
Candidate's Last
Name
PRIYA
Date of Birth Country Email ID
31/Dec/2002 India [email protected]
om
Alternate Email ID Mobile Number
shrutipriya.win@gmail. 91 8340260897
com

Other Personal Details

Father's/Guardian's Mother's/Guardian's
Name Name
SHIV SHANKAR VERMA RESHMA PRASAD
Candidate Gender Category Nationality
Female General Indian
Do you belong to First Covid Second Covid
Persons with Vaccination Date Vaccination Date
Disabilities (PwD) 07/06/2021 30/08/2021
category as per
RPwD Act 2016?
No

Communication Address

Address Line 1 Address Line 2 Address Line 3


Road number 3, New Road number 3, New Road number 3, New
Anand Nagar, Ranchi Anand Nagar, Ranchi Anand Nagar, Ranchi
GPO, Ranchi, GPO, Ranchi, GPO, Ranchi,
Jharkhand, 834001 Jharkhand- 843001 Jharkhand- 834001
Country State/Union Territory District
India Jharkhand Ranchi
Town/City Pincode
Ranchi 834001
Emergency Contact Details

Emergency Mobile Relationship with


Number Candidate
9508845644 Sister

SSC/10th/Equivalent Details

SSC/10th/Equivalent Other Board Name Month/Year of


Board Name BBOSE Completion
Other Boards June 2019
Maximum Marks Total Marks Aggregate
(Inclusive of all Obtained (Inclusive Percentage (%)
subjects) of all subjects) 65.6
500 328

HSC/12th/Equivalent/Diploma Course Details

Course Type 12th/Equivalent Discipline


12th/Equivalent Board Name Arts
Jharkhand Academic Month/Year of
Council Completion
June 2021
Aggregate Marks or Maximum Marks Total Marks
Promotion/Pass (Inclusive of all Obtained (Inclusive
without Marks? subjects) of all subjects)
Aggregate Marks 500 347
Aggregate
Percentage (%)
69.4

Bachelor's Degree Details

Are you in the final Total Duration of Current Semester


year of Bachelor's Degree Semester-5
Degree? 3 Year
Yes
Type of Other Type of State/Union Territory
University/Institutio University/Institutio of University
n n Jharkhand
Others Ranchi Women's
College
University/Institute Name of Degree Name
Name College/Institution BBA
Ranchi Ranchi Women's
College
Discipline Graduation Stream Month/Year of
Commerce Non Engineering Course
Commencement
July 2021
Probable Month/Year Aggregate Marks (%) Do you have or are
of Completion 69 you undergoing dual
May 2024 or 5 year integrated
course?
No
Master's Degree Details

Do you want to enter


Master's Degree
details?
No

Other Professional Degree Details

Are you a Fellow of


the Institute of
Actuaries of India
(FIAI) ?
No
Do you want to enter
any professional
degree details such
as CA/CS/ICWA?
No

Programmes

Programme Names Interview City

Delhi
IIM Ahmedabad PGP
Kolkata

Delhi
IIM Ahmedabad PGP-FABM
Kolkata

IIM Ahmedabad ePGD-ABA Ahmedabad

Delhi
IIM Amritsar MBA
Kolkata

Delhi
IIM Amritsar MBA-Business Analytics
Kolkata

Delhi
IIM Amritsar MBA-Human Resource Management
Kolkata

Delhi
IIM Bangalore PGP
Kolkata

IIM Bangalore PGPEM Bengaluru

Delhi
IIM Bangalore PGPBA
Kolkata

Patna
IIM Bodh Gaya MBA
Delhi

Delhi
IIM Bodh Gaya MBA-HHM
Kolkata
Delhi
IIM Calcutta MBA
Kolkata

Delhi
IIM Indore PGP
Kolkata

Delhi
IIM Indore PGP-HRM
Kolkata

IIM Indore MSDSM Indore

IIM Indore FPM Indore

Delhi (NCR)
IIM Jammu MBA
Kolkata

Delhi (NCR)
IIM Jammu MBA-HAHM
Kolkata

Delhi
IIM Kashipur MBA
Kolkata

Kashipur
IIM Kashipur EMBA
Dehradun

IIM Kashipur EMBAA Kashipur

Delhi
IIM Kashipur MBA (Analytics)
Kolkata

Delhi
IIM Kozhikode PGP
Kolkata

Delhi
IIM Kozhikode PGP-F
Kolkata

Delhi
IIM Kozhikode PGP-LSM
Kolkata

Delhi
IIM Kozhikode PGP-BL
Kolkata

Kochi
IIM Kozhikode EPGP Kochi
Kozhikode

Delhi (NCR)
IIM Lucknow MBA
Lucknow

Delhi (NCR)
IIM Lucknow MBA-ABM
Lucknow

IIM Lucknow PGPWE Delhi (NCR)


Delhi (NCR)
IIM Lucknow MBA-SM
Lucknow

Delhi (NCR)
IIM Lucknow MBA-EandI
Lucknow

Delhi
IIM Nagpur MBA
Kolkata

Delhi
IIM Raipur PGP
Kolkata

IIM Raipur FPM/PhD Raipur

IIM Raipur EFPM Raipur

Delhi
IIM Ranchi MBA
Kolkata

Delhi
IIM Ranchi MBA (Business Analytics)
Kolkata

Delhi
IIM Ranchi MBA-HRM
Kolkata

Delhi
IIM Rohtak PGP
Kolkata

IIM Rohtak PGPX Rohtak

IIM Rohtak EPGDSM Rohtak

Delhi
IIM Sambalpur MBA
Kolkata

Delhi
IIM Shillong PGP
Kolkata

Delhi
IIM Shillong PGPEX
Kolkata

IIM Shillong PGP (WE) Online

Delhi (NCR)
IIM Sirmaur MBA
Kolkata

Delhi
IIM Sirmaur MBA (Tourism Management)
Bengaluru

IIM Sirmaur ExMBA Sirmaur

Delhi
IIM Tiruchirappalli PGPM
Kolkata
Delhi
IIM Tiruchirappalli PGPM-HR
Kolkata

Delhi
IIM Udaipur MBA
Kolkata

IIM Udaipur MBA-DEM Udaipur

IIM Udaipur MBA-GSCM Udaipur

IIM Udaipur PGDBAWE Udaipur

Delhi
IIM Visakhapatnam PGP
Kolkata

IIM Visakhapatnam EMBA Visakhapatnam

IIM Visakhapatnam PGPDGM Visakhapatnam

Test State-City Preferences

Preferred Test State- Preferred Test State- Preferred Test State-


City 1 City 2 City 3
Jharkhand - Ranchi Jharkhand - Dhanbad Jharkhand -
Jamshedpur
Preferred Test State- Preferred Test State- Preferred Test State-
City 4 City 5 City 6
Bihar - Patna Bihar - Darbhanga Jharkhand -
Hazaribagh

Payment Details

Amount Payment Mode Payment Status


2400 online S
Payment Transaction
Number
ZIC51386214880

Candidate Documents/Images Upload Details

Photo Signature

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.

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