Personal Details:
User ID 21049926
Candidate's Name ASHESH DAS
Candidate's Surname or ASHESH
First Name
Date of Birth 07/Nov/2000
Country India
Email ID [Link].39@[Link]
Mobile No 9975104622
Other Personal Details:
Father's/Guardian's Name LT. ARUP DAS
Mother's/Guardian's Name POMPA DAS
Spouse's Name
Candidate Gender Male Category SC
Nationality Do you require
Indian wheelchair support
at the test centre?
State/Union Territory of Odisha Serial/Entry/Certifi
Category cate Number of 060820160010034
Category
Caste/Tribe Name Patni
PwD Category Would you be
using a scribe for
the Test?
Do you belong to Persons with Disabilities (PwD) category as per RPwD Act 2016? No
Communication Address :
Address Line1 qtr no. C-45, RS colony, HIndalco industry
Address Line2 Hirakud , pin - 768016
Address Line3
Country India Pincode 768016
State/Union Odisha
State
Territory
Town/City hirakud District
Alternate Email District Sambalpur
Address
Emergency Contact Details :
Relationship Mother Emergency Mobile 9435567774
with Candidate Number
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education
Month/Year of Completion May / 2016
Maximum Marks 600
Total Marks Obtained 492 Aggregate 82
Percentage :
HSC/12th/Equivalent/Diploma Course Details:
Course Type HSC
University/Board/Other Authority
Name
12th/Equivalent Board Name Central Board of Secondary Education
Duration of Diploma Course
12th/Equivalent Discipline Arts
Month/Year of Course / Month/Year of March / 2018
Commencement Completion
Maximum Marks 500 Total Marks 337.5
Aggregate Percentage 67.5
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 3 Year Current Semester
Aggregate Marks 82 Discipline Economics
Type of Others Degree Name BA
University/Institution
State/Union Territory of Maharashtra University/Institute Others
University Name
Month/Year of Course (Month/Year of
Commencement June
/
2018
Course Completion) /
June
/ 2021
(Probable Month/Year
of Course Completion)
Do you have or are you undergoing dual or 5 year integrated course? No
Aggregate Marks or Promotion/Pass without Marks?
Name of College/Institution :- Maharashtra Institute of Technology Pune
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 Current Semester
Bachelor's Degree?
Total Duration of Degree Type of
University/Institution
Aggregate Marks (%) State/Union Territory of
University
Aggregate Marks or Promotion/Pass without Marks?
Degree Name University/Institute
Name
Discipline Name of
College/Institution
Month/Year of Course (Month/Year of Course
/
Commencement Completion) /(Probable
/ Month/Year of Course
Completion)
Master's Degree Details:
Do you want to enter No Master's Degree
Master's Degree details? Completion Status
Total Duration of Current Semester
Degree
Aggregate Marks (%) Type of
University/Institution
Degree Name State/Union Territory
of University
Discipline University/Institute
Name
Name of Month/Year of Course /
College/Institution Commencement
(Month/Year of Course Completion) /(Probable Month/Year of Course Completion) /
Aggregate Marks or Promotion/Pass without Marks?
Other Professional Degree Details:
Are you a Fellow of the Institute of Actuaries of India (FIAI) ? No
FIAI Final Aggregate Marks (%)
Month/Year of Course Commencement / Month/Year of Completion /
Have you completed any professional degree such as No
CA/CS/ICWA?
CA Degree Completion Status :
ICWA Degree Completion Status :
CS Degree Completion Status :
Name of professional Professional Inter Marks
degree
Professional Final Marks (%)
Professional Final Month/Year of Course /
Aggregate Marks Commencement
Month/Year of / Probable Month/Year of /
Completion Completion
Work Experience (If any) :
Industry Type Break in Work Experience (In
Start Date End Date days as on July 31, 2021)
Experience
Automobiles/
Auto-ancillaries
Banking/
Financial Servics
Durables
Engineering/
Industrial
Fast Moving
Consumer Goods
(FMCG)
Information
Technology
Pharmaceuticals/
Healthcare
Retail
Telecommunications
Others
Total Work Experience(In days as on July 31, 2021) 0
Programmes:
Programme Name Selected/Not Interview City
Kolkata
IIM Ahmedabad PGP Selected
Mumbai
IIM Ahmedabad PGP- Kolkata
FABM Selected
Mumbai
IIM Ahmedabad PhD Not Selected
Kolkata
IIM Amritsar MBA Selected
Mumbai
Not Selected
IIM Amritsar PhD
IIM Amritsar EMBA
Not Selected
Kolkata
IIM Amritsar MBA- Selected
Business Analytics Mumbai
IIM Amritsar MBA-HRM Not Selected
Kolkata
IIM Bangalore PGP Selected
Mumbai
IIM Bangalore PGPEM Not Selected
IIM Bangalore PhD Not Selected
Kolkata
IIM Bangalore PGPBA Selected
Mumbai
IIM Bodh Gaya PGP Not Selected
IIM Bodh Gaya PhD (FPM) Not Selected
Kolkata
IIM Calcutta MBA Selected
Mumbai
IIM Calcutta PhD Not Selected
Kolkata
IIM Indore PGP Selected
Mumbai
Kolkata
IIM Indore PGP-HRM Selected
Mumbai
IIM Indore FPM Selected Indore
IIM Jammu MBA Not Selected
IIM Jammu PhD Not Selected
IIM Kashipur MBA Not Selected
Not Selected
IIM Kashipur EMBA
IIM Kashipur PhD Not Selected
Kolkata
IIM Kashipur MBA
Selected
(Analytics) Mumbai
Kolkata
IIM Kozhikode PGP Selected
Mumbai
Kolkata
IIM Kozhikode PGP-F Selected
Mumbai
Kolkata
IIM Kozhikode PGP-LSM Selected
Mumbai
IIM Kozhikode PGP-BL Not Selected
IIM Kozhikode EPGP Not Selected
Kochi
IIM Kozhikode PhD Not Selected
IIM Kozhikode PhD (PT) Not Selected
Kolkata
IIM Lucknow PGP Selected
Mumbai
Kolkata
IIM Lucknow PGP-ABM Selected
Mumbai
Kolkata
IIM Lucknow PGP-SM Selected
Mumbai
IIM Lucknow PhD Not Selected
IIM Nagpur PGP
Kolkata
Selected
Mumbai
IIM Nagpur PhD Not Selected
Kolkata
IIM Raipur PGP Selected
Mumbai
IIM Raipur FPM/PhD Not Selected
IIM Raipur EFPM Selected Raipur
Kolkata
IIM Ranchi PGP Selected
Mumbai
IIM Ranchi PGP (Business
Analytics) Not Selected
IIM Ranchi PGP-HRM Not Selected
IIM Ranchi PhD Not Selected
IIM Ranchi EPhD Not Selected
Kolkata
IIM Rohtak PGP Selected
Mumbai
IIM Rohtak EPGPX Not Selected
IIM Rohtak EPGDSM Not Selected
IIM Rohtak PhD Not Selected
Kolkata
IIM Sambalpur MBA Selected
Mumbai
IIM Sambalpur
Executive MBA Not Selected
IIM Sambalpur PhD Not Selected
IIM Sambalpur Not Selected
Executive PhD
Kolkata
IIM Shillong PGP Selected
Mumbai
IIM Shillong PGPEX Not Selected
IIM Shillong PGPWE Selected Shillong
Guwahati
Not Selected
IIM Shillong PhD
Not Selected
IIM Shillong PhDWP
Kolkata
IIM Sirmaur MBA Selected
Mumbai
IIM Sirmaur MBA Not Selected
(TandHM)
IIM Sirmaur PhD Not Selected
Kolkata
IIM Tiruchirappalli PGPM Selected
Mumbai
IIM Tiruchirappalli PGPM- Not Selected
HR
IIM Tiruchirappalli PGPBM Selected Chennai
IIM Tiruchirappalli FPM Not Selected
IIM Tiruchirappalli E-FPM Not Selected
IIM Udaipur MBA Not Selected
IIM Udaipur MBA-DEM Not Selected
IIM Udaipur MBA-GSCM Not Selected
IIM Udaipur PGDBAWE Not Selected
IIM Udaipur PhD Not Selected
Kolkata
IIM Visakhapatnam PGP Selected
Mumbai
IIM Visakhapatnam PhD Not Selected
IIM Visakhapatnam PGPEx Not Selected
IIM Visakhapatnam Selected Visakhapatnam
PGPDGM
Test City Preferences:
Preferred Test City 1 Sambalpur Preferred Test City 2 Raipur
Preferred Test City 3 Bhubaneswar Preferred Test City 4 Kolkata
Preferred Test City 5 Pune Preferred Test City 6 Silchar
Payment Details :
Amount 1100 Payment Mode online
Payment Status S Payment Transaction No. 13861896750
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 2021 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 2021 application & scores. I understand that all disputes will be subject to
the territorial jurisdiction of city of Ahmedabad only.