9/5/2017 2017 CAT Form

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7098162 which can be used for all future
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Amount: 00001800.00
Payment Transaction No: JSBI5636505177
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Application Details
Note : Your Application has been submitted successfully.

Application Summary Download Application Form Candidate Query Form

Registration Details

User Id : 7098162

Name of Candidate : VIKASH YADAV

Date of Birth : 21/03/1992

Country : India

Email : vikashdv0@gmail.com

Mobile Number : 9805601568

Personal Details

Father Name : SHYAM NARAYAN YADAV

Mother Name : DHARMA YADAV

Gender : Male

Category : NC-OBC

State/Union Territory Caste belongs : Uttar Pradesh

Serial Number of Caste/Tribe : 1

Caste/Tribe Name : YADAV

Nationality : Indian

Aadhar Card Number : 769962309853

Do you belong to Persons with Disability(PwD) category as

per RPwD Act 2016 : No

Communication Address

Address Line1 : 2C NETAJI SUBASH ROAD SHANTINAGAR

Address Line2 : COLONY BLD 12 FLAT 202

Address Line3 : LILUAH HOWRAH

Country : India

State : WEST BENGAL

District : Howrah

Town/City : LILUAH

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Pincode : 711204

Alternate Mobile Number : 7077762408

SSC/10th Std/Equivalent Details

Aggregate Marks : 85.00

Total Marks Obtained : 510

Maximum Marks : 600

SSC/10th Std/Equivalent Board Name : Indian Certificate of Secondary Education

Month/Year of Completion : May 2008

HSC/12th/Equivalent/Diploma Course Details

Course Type : HSC

Aggregate Marks : 67.20

Total Marks Obtained : 336

Maximum Marks : 500

HSC Board Name : Central Board of Secondary Education

HSC Discipline : Science

Month/Year of Completion : May 2010

Your Bachelor's Degree

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

Have you completed Bachelor's Degree? : Yes

Total Duration of Degree : 4 Year

Aggregate Marks (%) : 69.3

Type of University/Institution : NITs

State/Union Territory of University : Himachal Pradesh

University/Institute Name : National Institute of Technology, Hamirpur

Name of College/Institution : National Institute of Technology

Degree Name : BTECH

Discipline : Engineering/Technology

Month/Year of Course Commencement : July 2011

Month/Year of Completion : May 2015

Master's Degree Details

Do you want to enter Master's Degree details? : No

Other Professional Degree Details

Are you pursuing or have completed any professional

degree, such as, CA/CS/ICWA? : No

Work Experience (If any)

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Engineering/Industrial : 25

Total Work Experience (In months as on 31st July 2017) : 25

Programmes

IIM Ahmedabad PGP City1 : Kolkata

IIM Ahmedabad PGP City2 : Delhi

IIM Ahmedabad EPGP City1 : Kolkata

IIM Ahmedabad EPGP City2 : Ahmedabad

IIM Ahmedabad PGP FABM : Kolkata

IIM Ahmedabad FPM : Ahmedabad

IIM Amritsar PGP : Kolkata

IIM Bangalore PGP : Kolkata

IIM Bangalore PGPEM : Bangalore

IIM Bangalore PGPPM : Delhi

IIM Bangalore FPM : Bangalore

IIM Bodh Gaya PGP : Kolkata

IIM Calcutta PGP PGDM : Kolkata

IIM Calcutta FPM : Kolkata

IIM Indore PGP : Kolkata

IIM Indore EPGP : Kolkata

IIM Indore FPM : Indore

IIM Indore PGP HRM : Kolkata

IIM Jammu PGP : Kolkata

IIM Kashipur PGP : Kolkata

IIM Kashipur EFPM : Kashipur

IIM Kashipur FPM : Kashipur

IIM Kashipur EPGP : Dehradun

IIM Kozhikode PGP : Kolkata

IIM Kozhikode FPM : Kozhikode

IIM Lucknow PGP : Kolkata

IIM Lucknow PGP ABM : Kolkata

IIM Lucknow PGPSM : Kolkata

IIM Lucknow FPM : Lucknow

IIM Nagpur PGP : Kolkata

IIM Raipur PGP : Kolkata

IIM Raipur PGPWE : Raipur

IIM Raipur EFPM : Raipur

IIM Raipur FPM : Raipur

IIM Ranchi PGDM : Kolkata

IIM Ranchi PGDHRM : Kolkata

IIM Ranchi FPM : Ranchi

IIM Rohtak PGP : Kolkata

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IIM Rohtak EPGP : Kolkata

IIM Rohtak FPM : Rohtak

IIM Rohtak EPGPX : Kolkata

IIM Sambalpur PGP : Kolkata

RGIIM Shillong PGP : Kolkata

RGIIM Shillong PGPEX : To be decided Later

RGIIM Shillong FPM : Shillong

IIM Sirmaur PGP : Kolkata

IIM Tiruchirappalli PGP : Kolkata

IIM Tiruchirappalli PGPBM : Chennai

IIM Tiruchirappalli FPM : Trichy

IIM Udaipur PGP : Kolkata

IIM Udaipur FPM : Udaipur

IIM Visakhapatnam PGP : Kolkata

Exam Centre City Preferences

Preferred City 1 : Bhubaneswar

Preferred City 2 : Cuttack

Preferred City 3 : Howrah

Preferred City 4 : Kolkata

Payment Details

Payment Mode : online

Amount : 1800.00

Payment Status : S

Uploaded Documents

To view SC/ST/NC-OBC Certificate Click here.

Declaration

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 2017 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 2017
application & scores. I understand that all disputes will be subject to the territorial jurisdiction of city of Lucknow only.

   
Candidate Signature

Version 13.01.01

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