Personal Details:
User ID 24115073
Candidate's Name ANSH JAIN
Candidate's First Name ANSH
Candidate's Middle Name
Candidate's Last Name JAIN
(Surname)
Date of Birth 03/Dec/2002
Country India
Email ID [email protected]
Mobile Number 9958878284
Other Personal Details:
MOHIT JAIN
Father's/Guardian's Name
PRIYANKA JAIN
Mother's/Guardian's Name
Spouse's Name
Candidate Gender : Male Category : General
Certificate issue date
Nationality : Indian Other Nationality :
State/Union Territory of Category : Serial/Entry Number of the Caste :
Caste/Community Name
Do you belong to Persons with Disabilities (PwD) category as per RPwD Act 2016? No
Is the disability measurable? Percentage of Disability :
PwD UDID Number
PwD Category
Do you require wheelchair support at the test centre?
Would you be using a scribe for the Test?
Communication Address :
73,Panchsheel park rajendra nagar, Ghaziabad, uttar pradesh
Address Line 1
Address Line 2
Address Line 3
India
Country : Other Country :
Uttar Pradesh Other State/Union
State/Union Territory :
Territory :
Ghaziabad
District : Other District :
Rajendra nagar
Town/City : Pincode : 201005
Emergency Contact Details :
Emergency Mobile Number : 9412715115 Relationship with Candidate : mother
Permanent Address
Is Permanent Address same as correspondence Address? Yes
73,Panchsheel park rajendra nagar, Ghaziabad, uttar pradesh
Address Line 1
Address Line 2
Address Line 3
India
Country : Other Country :
State/Union Uttar Pradesh Other State/Union
Territory : Territory :
Ghaziabad
District : Other District :
Rajendra nagar
Town/City : Pincode : 201005
SSC/10th/Equivalent Details :
Central Board of Secondary Education
SSC/10th/Equivalent Board
Name
Other Board Name
Month/Year of Completion : March 2019 Maximum Marks (Inclusive of all subjects): 600
Total Marks Obtained
518 Aggregate Percentage (%) : 86.33
(Inclusive of all subjects) :
I declare that I have not been awarded any marks due to Covid-19 and if this information found to be incorrect, CAT 2024
holds right to cancel my application. :
HSC/12th/Equivalent/Diploma Course Details:
12th/Equivalent
Course Type
Central Board of Secondary Education
12th/Equivalent Board Name
12th/Equivalent Other
Board Name
University/Board/
Other Authority Name
Duration of Diploma Course
(In Year)
Commerce
Discipline
Other Discipline Name
Month/Year of Course Commencement : Month/Year of Completion : March 2021
Aggregate Marks or Promotion/Pass
Aggregate Marks Maximum Marks (Inclusive of all subjects) : 600
without Marks?
Total Marks Obtained (Inclusive of all subjects) : 496 Aggregate Percentage (%) : 82.67
I declare that I have not been awarded any marks due to Covid-19 and if this information found to be incorrect, CAT 2024
holds right to cancel my application. :
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 :
State University
Type of University/ Other Type of University/
Institution : Institution :
Delhi
State/Union Territory Other State/Union
of University : Territory of University :
Guru Gobind Singh Indraprastha
University/Institute Name
Other University/Institute Name
Maharaja Agrasen Institute of Management Studies
Name of College/Institution
BCOM
Degree Name
:
Other Degree Name
Management (Business Administration/Business Management/Business Studies/Management Studies)
Discipline
Other Discipline Name
Non Engineering
Graduation Stream
Month/Year of Course Probable Month/Year of
December 2021 July 2024
Commencement : Course Completion :
Marks % awarded by University/Institute : 77.1
I declare that I have not been awarded any marks due to Covid-19 and if this information found to be incorrect, CAT 2024
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 (for example BCom + LLB or BE + BPharm) :
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 University/Institution
Other Type of
University/Institution
State/Union Territory of
University
Other State/Union Territory of
University
University/Institute Name
Other University/Institute Name
Name of College/ Institution
Degree Name
Other Degree Name
Discipline
Other Discipline Name
Month/Year of Course
Graduation Stream :
Commencement :
Probable Month/Year
Marks % awarded by University/Institute :
of Completion :
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 of
University
University/Institute Name
Other University/Institute Name
Name of College/ Institution
Degree Name
Other Degree Name
Discipline
Other Discipline Name
Month/Year of Commencement Aggregate Marks (%) :
Aggregate Marks or Promotion/
Probable Month/Year of Completion :
Pass without Marks?
I declare that I have not been awarded any marks due to Covid-19 and if this information found to be incorrect, CAT 2024
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 Marks (%) : Month/Year of Commencement :
Month/Year of Commencement :
Do you want to enter any professional degree details such as CA/CS/ICWA/CMA? No
Degree Completion Status : Degree Completion Status :
Degree Completion Status :
Name of professional degree :
Professional Inter Marks (%) : Professional Final Marks (%) :
Month/Year of Course
Professional Final Aggregate Marks (%) :
Commencement :
Probable Month/Year
Month/Year of Completion :
of Completion :
Work Experience (If any):
Work Experience
Work Experience Work Experience End Gap in work
Industry Type (In days as on 31st
Start Date Date experience
July 2024)
Automobiles/Auto- ancillaries
Banking/Financial Services
Durables
Engineering/Industrial
Fast Moving Consumer
Goods (FMCG)
Information Technology
Pharmaceuticals/Healthcare
Retail
Telecommunications
Others
Others
Others
Total Work Experience (In days as on 31st July 2024)
Total Work Experience (In Month and days as on July 31, 2024)
Programme Name Selected/Not Interview City
Delhi
IIM Ahmedabad PGP Selected
Hyderabad
Delhi
Selected
IIM Ahmedabad PGP- FABM
Hyderabad
Ahmedabad
IIM Ahmedabad ePGD-ABA Selected
Ahmedabad
IIM Ahmedabad Doctoral Programme in Selected
Management
Delhi
Selected
IIM Amritsar MBA
Bengaluru
Delhi
Selected
IIM Amritsar Executive MBA Bengaluru
Delhi
Selected
IIM Amritsar MBA-Business Analytics
Bengaluru
Delhi
IIM Amritsar MBA-Human Resource
Selected
Management
Bengaluru
Delhi
IIM Amritsar M.Sc. In Data Science(MSDSM) Selected
jointly offered with IIT Ropar Bengaluru
Delhi
IIM Amritsar PhD Selected
Bengaluru
Delhi
Selected
IIM Bangalore PGP Hyderabad
Bengaluru
Selected
IIM Bangalore PGPEM
Bengaluru
Selected
IIM Bangalore PGPBA
Bengaluru
IIM Bangalore PhD Selected
Delhi
IIM Bodh Gaya MBA Selected
Bengaluru
Delhi
IIM Bodh Gaya MBA (Digital Business
Management) Selected
Bengaluru
Delhi
IIM Bodh Gaya MBA (Hospital and Healthcare
Selected
Management)
Bengaluru
Bodh Gaya
IIM Bodh Gaya PhD Selected
Delhi
IIM Calcutta MBA
Selected
Hyderabad
Kolkata
IIM Calcutta Doctoral Programme
Selected
(PhD)
Delhi
IIM Indore PGP Selected
Indore
Delhi
IIM Indore PGP-HRM Selected
Hyderabad
Indore
IIM Indore MSDSM Selected
Indore
IIM Indore Doctoral Programme in
Selected
Management
Delhi (NCR)
IIM Jammu MBA Selected
Chandigarh
Delhi (NCR)
IIM Jammu MBA (Hospital Administration &
Selected
Healthcare Management)
Chandigarh
Jammu
Selected
IIM Jammu Executive MBA
Chandigarh
Delhi (NCR)
IIM Jammu Ph.D Selected
Chandigarh
Delhi (NCR)
IIM Jammu Ph.D (Working Professionals) Selected
Chandigarh
Delhi
Selected
IIM Kashipur MBA
Bengaluru
Kolkata
IIM Kashipur MBA (Analytics) Selected
Bengaluru
Dehradun
IIM Kashipur EMBA Selected
Kashipur
Kashipur
IIM Kashipur EMBAA Selected
Kashipur
IIM Kashipur PhD Selected
Delhi
Selected
IIM Kozhikode PGP
Hyderabad
Delhi
Selected
IIM Kozhikode PGP-F
Hyderabad
Delhi
Selected
IIM Kozhikode PGP-LSM
Hyderabad
IIM Kozhikode Executive Post Graduate
Programme in Management through Interactive Selected Online
Learning (EPGP-IL)
Delhi
IIM Kozhikode PGP-BL Selected
Bengaluru
Kozhikode
IIM Kozhikode EPGP Kochi Selected
Kochi
Kozhikode
Selected
IIM Kozhikode Ph.D
IIM Kozhikode Fellow Programmes in Selected Online
Management PhD (PT)
Delhi (NCR)
IIM Lucknow MBA Selected
Hyderabad
Delhi (NCR)
IIM Lucknow MBA-ABM Selected
Hyderabad
Delhi (NCR)
IIM Lucknow MBA-SM Selected
Kolkata
Delhi (NCR)
IIM Lucknow PGPWE Selected
Lucknow
IIM Lucknow PhD Selected
Delhi
IIM Mumbai MBA Selected
Bengaluru
Delhi
IIM Mumbai MBA OSCM Selected
Bengaluru
Delhi
IIM Mumbai MBA SM Selected
Bengaluru
IIM Mumbai Ph.D & Ph.D (Executive) Selected Mumbai
IIM Nagpur MBA Selected Online
IIM Nagpur E-MBA
Selected Online
IIM Nagpur Ph.D. Selected Online
IIM Nagpur E-PhD Selected Online
Delhi
IIM Raipur MBA
Selected
Bengaluru
Raipur
IIM Raipur PhD Selected
Raipur
IIM Raipur PhD (Practice Track) Selected
Delhi
IIM Ranchi MBA Selected
Bengaluru
Delhi
IIM Ranchi MBA (Business Analytics) Selected
Bengaluru
Delhi
IIM Ranchi MBA-HRM Selected
Bengaluru
Ranchi
IIM Ranchi PhD Selected
Ranchi
IIM Ranchi EPhD Selected
Delhi
IIM Rohtak PGP Selected
Hyderabad
IIM Rohtak PGPX Selected Rohtak
Rohtak
IIM Rohtak EPGDSM Selected
Rohtak
IIM Rohtak PhD Selected
Delhi
IIM Sambalpur MBA Selected
Bengaluru
Delhi
IIM Sambalpur Executive MBA Selected
Hyderabad
Delhi
IIM Sambalpur MBA for Working Professional Selected
Kolkata
Delhi
IIM Sambalpur PhD Selected
Hyderabad
Delhi
IIM Sambalpur Executive PhD Selected
Hyderabad
Delhi
IIM Shillong PGP Selected
Hyderabad
Delhi
Selected
IIM Shillong PGPEX
Bengaluru
Online
IIM Shillong PGP (WE) Selected
Delhi
IIM Shillong Doctoral Program Selected
Hyderabad
Online
IIM Shillong Doctoral Program (WP) Selected
Delhi (NCR)
Selected
IIM Sirmaur MBA
Bengaluru
Delhi (NCR)
IIM Sirmaur MBA (Tourism Management) Selected
Bengaluru
Delhi (NCR)
IIM Sirmaur MBA (Travel, Tourism and Selected
Hospitality) Bengaluru
Delhi (NCR)
IIM Sirmaur ExMBA (Digital Transformation & Selected
Analytics) Bengaluru
Delhi
Selected
IIM Sirmaur MBA (Family Business)
Bengaluru
Jaipur
Selected
IIM Sirmaur PhD
Sirmaur
Jaipur
Selected
IIM Sirmaur PhD(Executive)
Sirmaur
Delhi
Selected
IIM Tiruchirappalli PGPM (MBA)
Bengaluru
Delhi
IIM Tiruchirappalli PGPM-HR (MBA-HR) Selected
Bengaluru
Chennai
IIM Tiruchirappalli PGPBM (MBA for Working Selected
Executives in Chennai)
Trichy
Selected
IIM Tiruchirappalli PhD
Trichy
IIM Tiruchirappalli Executive PhD Selected
Delhi
IIM Udaipur MBA Selected
Bengaluru
Online/Udaipur
IIM Udaipur MBA-DEM (Digital Enterprise Selected
Management)
Online/Udaipur
IIM Udaipur MBA-GSCM (Global Supply Chain Selected
Management)
Online/Udaipur
Selected
IIM Udaipur Executive MBA (Online)
Udaipur
Selected
IIM Udaipur PhD
Delhi
IIM Visakhapatnam PGP Selected
Hyderabad
Visakhapatnam
IIM Visakhapatnam EMBA Selected
Visakhapatnam
IIM Visakhapatnam PGPMCI Selected
Visakhapatnam
IIM Visakhapatnam PhD Selected
IIM Visakhapatnam Executive PhD Selected Visakhapatnam
Test State-City Preferences:
Delhi - Delhi - New Delhi Uttar Pradesh - Ghaziabad
Preferred Test State- City 1 : Preferred Test State- City 2 :
Uttar Pradesh - NOIDA - Greater Uttar Pradesh - Meerut
Preferred Test State- City 3 : NOIDA Preferred Test State- City 4 :
Haryana - Gurugram
Preferred Test State- City 5 :
Payment Details :
Amount : 2500 Payment Mode : online
Payment Status : S Payment Transaction Number : 3020277761623
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 2024 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 2024 application & scores.
I understand that all disputes will be subject to the territorial jurisdiction of city of Kolkata only.
