Personal Details:

User ID 23135825

Candidate's Name AYUSH KUMAR

Candidate's First Name AYUSH

Candidate's Middle Name

Candidate's Last Name KUMAR

Date of Birth 08/May/2003

Country India

Email ID [email protected]

Alternate Email ID [email protected]

Mobile No 91 6386610768

Other Personal Details:

Father's/Guardian's Name NARENDRA MOHAN JAISWAL

Mother's/Guardian's Name PARVESH KUMARI

Spouse's Name

Candidate Gender Male Category NC-OBC

Nationality Indian Other Nationality

State/Union Territory of Uttar Pradesh Serial/Entry 71

Category Number of the
Caste
Caste/Tribe Name KALWAR

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 Second Covid
Date Vaccination Date
Communication Address :
Address Line1 GARHI NAGRAM, KATRA NAGRAM

Address Line2
Address Line3
Country India Other Country
State/Union Uttar Pradesh Other State/Union
Territory Territory
District Lucknow Other District
Town/City NAGRAM Pincode 227308

Emergency Contact Details :

Emergency 9919384626 Relationship with FATHER
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name U.P Board of High School and Intermediate Education

Other Board Name

Month/Year of Completion April 2019

Maximum Marks (Inclusive of all subjects): 600

Total Marks Obtained 490 Aggregate 81.67

(Inclusive of all subjects) Percentage (%)
HSC/12th/Equivalent/Diploma Course Details:
Course Type 12th/Equivalent

University/Board/Other Authority
Name
12th/Equivalent Board Name U.P Board of High School and Intermediate 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 July 2021 Aggregate Marks or Aggregate Marks

Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 420
subjects) 600 (Inclusive of all subjects)

Aggregate Percentage (%) 70

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-4

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 Lucknow Other University/Institute

Name
Name of College/Institution CITY ACADEMY Degree Name Others
DEGREE COLLEGE

Other Degree Name BCOM HONS. Discipline Commerce

Graduation Stream Non Engineering

Other Discipline Name

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

Commencement Course Completion

Aggregate Marks or Promotion/Pass without Marks?
Aggregate Marks (%) 77.5

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
Ahmedabad
Selected
IIM Ahmedabad PGP
Delhi

Ahmedabad
IIM Ahmedabad PGP- Selected
FABM Delhi
IIM Ahmedabad ePGD-ABA Not Selected

IIM Ahmedabad Doctoral Not Selected

Programme in Management
Delhi
Selected
IIM Amritsar MBA
Mumbai

IIM Amritsar PhD Not Selected

IIM Amritsar Executive Not Selected

MBA

Delhi
IIM Amritsar Selected
MBA-Business Analytics Mumbai

Delhi
IIM Amritsar MBA-Human Selected
Mumbai
Resource Management

IIM Amritsar M.Sc. In Data

Not Selected
Science(MSDSM) jointly
offered with IIT Ropar

Bengaluru
IIM Bangalore PGP Selected
Delhi

IIM Bangalore PGPEM Not Selected

Not Selected
IIM Bangalore PhD
Bengaluru

IIM Bangalore PGPBA Selected

Delhi

Patna
Selected
IIM Bodh Gaya MBA
Delhi

IIM Bodh Gaya PhD Not Selected

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

IIM Bodh Gaya MBA (Hospital Not Selected

and Healthcare Management)

Delhi
Selected
IIM Calcutta MBA
Kolkata

IIM Calcutta Doctoral Programme Not Selected

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

IIM Indore FPM Not Selected

Delhi (NCR)
IIM Jammu MBA Selected
Jammu

IIM Jammu PhD Not Selected

IIM Jammu MBA(Hospital

Not Selected
Administration & Healthcare
Management)

IIM Jammu Ph.D(Working Not Selected

Professionals)

Not Selected
IIM Jammu Executive MBA

Delhi
Selected
IIM Kashipur MBA Mumbai

Not Selected
IIM Kashipur EMBA

IIM Kashipur EMBAA Not Selected

IIM Kashipur PhD Not Selected

IIM Kashipur MBA Selected Delhi

(Analytics) Mumbai

Selected Delhi
IIM Kozhikode PGP
Kozhikode

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

IIM Kozhikode EPGP Kochi Not Selected

Not Selected
IIM Kozhikode PhD
IIM Kozhikode Fellow
Programmes in Management
Not Selected

PhD (PT)
IIM Kozhikode Executive Post
Graduate Programme in Not Selected
Management through Interactive
Learning (EPGP-IL)
Lucknow
IIM Lucknow MBA Selected
Delhi (NCR)
Lucknow
IIM Lucknow MBA-ABM Selected
Delhi (NCR)

IIM Lucknow PGPWE Not Selected

Lucknow
IIM Lucknow MBA-SM
Selected
Delhi (NCR)
 IIM Lucknow PhD Not Selected

Not Selected
IIM Lucknow MBA-EandI
Selected Delhi
IIM Nagpur MBA
Mumbai

IIM Nagpur MBA Not Selected

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

Delhi
IIM Raipur PGP Selected
Mumbai

IIM Raipur FPM/PhD Not Selected

IIM Raipur EFPM Not Selected

Selected Delhi
IIM Ranchi MBA
Mumbai

IIM Ranchi MBA Selected Delhi

(Business Analytics) Mumbai

Delhi
IIM Ranchi MBA-HRM Selected
Mumbai

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

Selected Delhi
IIM Rohtak PGP
Mumbai

IIM Rohtak PGPX Not Selected

Not Selected
IIM Rohtak EPGDSM
IIM Rohtak PhD Not Selected
Delhi
IIM Sambalpur MBA Selected
Mumbai

IIM Sambalpur Executive Not Selected

MBA
IIM Sambalpur PhD Not Selected

IIM Sambalpur Executive Not Selected

PhD

IIM Sambalpur MBA for Not Selected

Working Professional
Delhi
Selected
IIM Shillong PGP
Mumbai

Not Selected
IIM Shillong PGPEX

IIM Shillong PGP (WE) Not Selected

IIM Shillong Doctoral Program Not Selected

IIM Shillong Doctoral Not Selected

Program (WP)
Selected Delhi (NCR)
IIM Sirmaur MBA
Mumbai

IIM SirmaurMBA (Tourism Not Selected

Management)
IIM Sirmaur ExMBA Not Selected

IIM Sirmaur PhD Not Selected

IIM Sirmaur PhD(Executive) Not Selected

Delhi
IIM Tiruchirappalli PGPM Selected
Mumbai

IIM Tiruchirappalli PGPM- Selected Delhi

HR Mumbai

IIM Tiruchirappalli PhD

Not Selected

IIM Tiruchirappalli Executive Not Selected

PhD
Delhi
IIM Udaipur MBA Selected
Mumbai

IIM Udaipur MBA-DEM Not Selected

IIM Udaipur MBA-GSCM Not Selected

IIM Udaipur PGDBAWE Not Selected

IIM Udaipur PhD Not Selected

Selected Delhi
IIM Visakhapatnam PGP
Mumbai

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam EMBA Not Selected

IIM Visakhapatnam Not Selected

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 - Prayagraj Preferred Test State- Uttar Pradesh - Varanasi

City 3 City 4

Preferred Test State-

Uttar Pradesh - Greater Noida -
Noida
Preferred Test State- Uttar Pradesh - Mathura

City 5 City 6
Payment Details :
Transaction Number 3391749731019 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.