Reg MAI Kegstraton orm vse-ane AIMA Ly REGISTRATION FORM Dec-2014 istration/Form No. Ha *622900* Photograph Affix your signed photograph here = Ghoice of Test TAKING Offline (Paper Based Test) (within the box) = Test Centre city Choice I. 801-BIHAR: PATNA Pye Choice 11. 712-WEST BENGAL: DURGAPUR aa Personal Particulars = Name of Candidate Mr. RAJAN KUMAR RA + Date of Birth 05-Mar-1992 * Gender Male = Nationality Indian * category osc = Address for 1ST FLOOR,AMBIKA Communication BHAWAN BEHIND PANKA) CINEMA CHAPRA “city CHAPRA * Pin Code 841301 Email-ID RAHULRAIS658@GMAIL.COM Contact No. Mobile No. 9472222277 Qualifications & Experience Details, * Status of Degree APPEARED percentage at 10+2 64 * percentage at Degree = Skream/Discipline in conmerce Experience in Months Have you earlier omar: « cats wat appeared in M if Paymen’ --> Net Banking or Debi ri ri «Transaction No./Receipt * Payment Date 20-11-2014 No. 44142753231139 * Amount Paid INR 1200.00/- Declaration I hereby 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/Form No. 622900 Place Date Signature of Applicant (To be signed prior to despatch) Kindly save this page by using ‘SAVE AS' function given in the 'FILE' menu of this window before taking the print out. (Please Print the form for Further Reference)rane MAI Kegstraton orm vse-ane Important Instruction for Candidates Affix your passport size photograph (without attestation) in the space provided below. Endorse your signatures in the space provided below. Application form received without two photographs and signatures will be rejected Send the duly completed online Application to the address given below: Manager-CMS (MAT-Online), All India Management Association, Management House, 14 Institutional Area, Lodhi Road, New Delhi-110003. RENE Form No.: 622900 Photograph *622900* Affine your photograph here (within the box) Registration/Form No.: 622900 Name: RAJAN KUMAR RAJ Do not staple or pin : 07 Dec 2014 (Sunday) [Test Timings:1000 to 1230 Hrs Signature of Applicant (in the space provided) Note: 1, MAT Bulletin in Compact Disc - CD (Soft Copy) format will be sent to you by expeditious means on recelot of your duly completed Online Registration Form and the confirmation of your payment by the bank: 2. Peruse the bulletin to identify five institute where your MAT Score will be sent by AIMA automatically 3. Visit this site at http://apps,aima.in/MATDec14/Fill Partilaso upte the date of MAT to fill the Management Institutes Codes (MI Codes) of five chosen institutes where your Dec 2014 MAT score snould be sent,(Note: No additional fee is to be paid far filling these S choices.) 4. Check AIMA website link: http://apps.aima.in/matadmitcard.aspx on or after 29 November 2014 (Saturéay) for downloading Admit Card.