Applicant Details

User ID Candidate's Name Candidate's First

24287750 TUSHAR KANT ROUT Name
TUSHAR
Candidate's Middle Candidate's Last
Name Name (Surname)
KANT ROUT
Date of Birth Country Email ID
13/Mar/2001 India routkanttushar92@g
mail.com
Mobile Number
91 8908883399

Other Personal Details

Father's/Guardian's Mother's/Guardian'
Name s Name
KABI CHANDRA ROUT SUNITA ROUT
Candidate's Gender Category Nationality
Male General Indian
Do you belong to
Persons with
Disabilities (PwD)
category as per
RPwD Act 2016?
No

Communication Address

Address Line 1 Country State/Union

CHITRAKONDA, India Territory
MALKANGIRI, ODISHA Odisha
District Town/City Pincode
Malkangiri CHITRAKONDA 764052

Emergency Contact Details

Emergency Mobile
Number
9937182099

Permanent Address

Is Permanent Address Line 1 Country

Address same as CHITRAKONDA, India
correspondence MALKANGIRI, ODISHA
Address?
Yes
State/Union District Town/City
Territory Malkangiri CHITRAKONDA
Odisha
Pincode
764052

SSC/10th/Equivalent Details

SSC/10th/Equivalent Month/Year of Maximum Marks

Board Name Completion (Inclusive of all
Orissa Board of May 2018 subjects)
Secondary Education 600
Total Marks Aggregate
Obtained (Inclusive Percentage (%)
of all subjects) 63.17
379

HSC/12th/Equivalent/Diploma Course Details

Course Type 12th/Equivalent Discipline

12th/Equivalent Board Name Science
Orissa Council of Month/Year of
Higher Secondary Completion
Education
January 2021
Aggregate Marks or Maximum Marks Total Marks
Promotion/Pass (Inclusive of all Obtained (Inclusive
without Marks? subjects) of all subjects)
Aggregate Marks 600 327
Aggregate
Percentage (%)
54.5

Bachelor's Degree Details

Are you in the final Have you completed Total Duration of

year of Bachelor's Bachelor's Degree? Degree
Degree? Yes 3 Year
No
Type of State/Union University/Institute
University/Institutio Territory of Name
n University Utkal University of
State University Odisha Culture
Name of Degree Name Discipline
College/Institution BS/BSC Zoology
MAHARISHI (DEGREE)
COLLEGE OF
NATURAL LAW,
BHUBANESWAR
Graduation Stream Month/Year of Month/Year of
Non Engineering Course Completion
Commencement February 2024
February 2021
Marks % awarded Do you have or are
by you undergoing dual
University/institute or 5 year integrated
74.60 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

Interview
Programme Names
City

Kolkata
IIM Ahmedabad PGP Ahmedaba
d

Kolkata
IIM Ahmedabad PGP-FABM
Delhi

Ahmedaba
IIM Ahmedabad ePGD-ABA
d

Ahmedaba
IIM Ahmedabad Doctoral Programme in Management
d

Kolkata
IIM Amritsar MBA
Delhi

Kolkata
IIM Amritsar PhD
Delhi

Kolkata
IIM Amritsar Executive MBA
Delhi

Kolkata
IIM Amritsar MBA-Business Analytics
Delhi

Kolkata
IIM Amritsar MBA-Human Resource Management
Delhi

IIM Amritsar M.Sc. in Data Science (MSDSM) jointly Kolkata

offered with IIT Ropar Delhi

Kolkata
IIM Bangalore PGP
Delhi

IIM Bangalore PGPEM Bengaluru

IIM Bangalore PhD Bengaluru

IIM Bangalore PGPBA Bengaluru

Kolkata
IIM Bodh Gaya MBA
Delhi

IIM Bodh Gaya PhD Bodh Gaya

Kolkata
IIM Bodh Gaya MBA (Digital Business Management)
Delhi

IIM Bodh Gaya MBA (Hospital and Healthcare Kolkata

Management) Delhi

Kolkata
IIM Calcutta MBA
Delhi

IIM Calcutta Doctoral Programme (PhD) Kolkata

Kolkata
IIM Indore PGP
Delhi

Kolkata
IIM Indore PGP-HRM
Delhi

IIM Indore MSDSM Indore

IIM Indore Doctoral Programme in Management Indore

Kolkata
IIM Jammu MBA
Delhi (NCR)

IIM Jammu Ph.D Delhi (NCR)

IIM Jammu MBA (Hospital Administration & Healthcare Kolkata

Management) Delhi (NCR)

Delhi (NCR)
IIM Jammu Ph.D (Working Professionals)
Jammu

Delhi (NCR)
IIM Jammu Executive MBA
Jammu

Kolkata
IIM Kashipur MBA
Delhi

Dehradun
IIM Kashipur EMBA
Kashipur

IIM Kashipur EMBAA Kashipur

IIM Kashipur PhD Kashipur

Kolkata
IIM Kashipur MBA (Analytics)
Delhi

Kolkata
IIM Kozhikode PGP
Delhi
 Kolkata
IIM Kozhikode PGP-F
Delhi

Kolkata
IIM Kozhikode PGP-LSM
Delhi

Kolkata
IIM Kozhikode PGP-BL
Delhi

Kochi
IIM Kozhikode EPGP Kochi Thiruvanan
thapuram

IIM Kozhikode Ph.D Kozhikode

IIM Kozhikode Fellow Programmes in Management PhD

Online
(PT)

IIM Kozhikode Executive Post Graduate Programme in

Online
Management through Interactive Learning (EPGP-IL)

Kolkata
IIM Lucknow MBA
Delhi (NCR)

Kolkata
IIM Lucknow MBA-ABM
Delhi (NCR)

IIM Lucknow PGPWE Delhi (NCR)

Kolkata
IIM Lucknow MBA-SM
Delhi (NCR)

IIM Lucknow PhD Lucknow

Kolkata
IIM Mumbai MBA
Delhi

Kolkata
IIM Mumbai MBA OSCM
Delhi

Kolkata
IIM Mumbai MBA SM
Delhi

IIM Mumbai Ph.D & Ph.D (Executive) Mumbai

IIM Nagpur MBA Online

IIM Nagpur E-MBA Online

IIM Nagpur E-PhD Online

IIM Nagpur Ph.D. Online

Kolkata
IIM Raipur MBA
Delhi

IIM Raipur PhD Raipur

IIM Raipur PhD (Practice Track) Raipur

 Bengaluru
IIM Ranchi MBA
Mumbai

Kolkata
IIM Ranchi MBA (Business Analytics)
Delhi

Kolkata
IIM Ranchi MBA-HRM
Delhi

IIM Ranchi PhD Ranchi

IIM Ranchi EPhD Ranchi

Kolkata
IIM Rohtak PGP
Delhi

IIM Rohtak PGPx Rohtak

IIM Rohtak EPGDSM Rohtak

IIM Rohtak PhD Rohtak

Kolkata
IIM Sambalpur MBA
Delhi

Sambalpur
IIM Sambalpur Executive MBA
Kolkata

Sambalpur
IIM Sambalpur PhD
Kolkata

Sambalpur
IIM Sambalpur Executive PhD
Kolkata

Kolkata
IIM Sambalpur MBA for Working Professional
Delhi

Kolkata
IIM Shillong PGP
Delhi

Delhi
IIM Shillong PGPEX
Bengaluru

IIM Shillong PGP (WE) Online

Kolkata
IIM Shillong Doctoral Program
Delhi

IIM Shillong Doctoral Program (WP) Online

Kolkata
IIM Sirmaur MBA
Delhi (NCR)

Kolkata
IIM Sirmaur MBA (Tourism Management)
Delhi (NCR)
 Kolkata
IIM Sirmaur MBA (Travel, Tourism and Hospitality)
Delhi (NCR)

Kolkata
IIM Sirmaur ExMBA (Digital Transformation & Analytics)
Delhi (NCR)

IIM Sirmaur ExMBA Kolkata

IIM Sirmaur PhD Jaipur

Jaipur
IIM Sirmaur PhD(Executive)
Sirmaur

Kolkata
IIM Tiruchirappalli PGPM (MBA)
Delhi

Kolkata
IIM Tiruchirappalli PGPM-HR (MBA-HR)
Delhi

IIM Tiruchirappalli PGPBM (MBA for Working Executives

Chennai
in Chennai)

IIM Tiruchirappalli PhD Trichy

IIM Tiruchirappalli Executive PhD Trichy

Kolkata
IIM Udaipur MBA
Delhi

Online/Udai
IIM Udaipur MBA-DEM (Digital Enterprise Management)
pur

IIM Udaipur MBA-GSCM (Global Supply Chain Online/Udai

Management) pur

Online/Udai
IIM Udaipur Executive MBA (Online)
pur

IIM Udaipur PhD Udaipur

Kolkata
IIM Visakhapatnam PGP Visakhapat
nam

Visakhapat
IIM Visakhapatnam PhD
nam

Visakhapat
IIM Visakhapatnam EMBA
nam

Visakhapat
IIM Visakhapatnam PGPMCI
nam

Visakhapat
IIM Visakhapatnam Executive PhD
nam

Test State-City Preferences

Preferred Test Preferred Test Preferred Test

State-City 1 State-City 2 State-City 3
Odisha - Cuttack Odisha - Berhampur
Odisha - Preferred Test Preferred Test
Bhubaneswar State-City 4 State-City 5
Odisha - Rourkela Odisha - Sambalpur

Payment Details

Amount Payment Mode Payment Status

2500 online S
Payment
Transaction
Number
7773761500737

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 is
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 fulfil the CAT 2024 eligibility
criteria and undertake to produce original documents whenever necessary.
I understand that the exam cannot be rescheduled under any
circumstances. 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 2024 application and scores.
I understand that all disputes will be subject to the territorial jurisdiction the
city of Kolkata only.