Personal Details:
User ID 22294856
Candidate's Name ASTIKA
Candidate's First Name ASTIKA
Candidate's Middle Name
Candidate's Last Name
Date of Birth 29/Mar/2000
Country India
Email ID [email protected]
Alternate Email ID
Mobile No 91 8368236116
Other Personal Details:
Father's/Guardian's Name SHREE RAM KAUSHIK
Mother's/Guardian's Name KALYANI DEVI
Spouse's Name
Candidate Gender Female Category General
Country Indian Other Country
State/Union Territory of Serial/Entry
Category Number of the
Caste
Caste/Tribe Name
Do you belong to Persons No Is the disability
with Disabilities (PwD) measurable?
category as per RPwD Act
2016?
Percentage of Disability PwD UDID
Number
PwD Category
Do you require wheelchair Would you be
support at the test centre? using a scribe for
the Test?
First Covid Vaccination 19/06/2021 Second Covid 19/07/2021
Date Vaccination Date
Communication Address :
Address Line1 adwait kunj ramkrishna nagar, near l.p shahi college, kankarbagh
Address Line2
Address Line3
Country India Other Country
State/Union Bihar State/Union
Territory Territory
District Patna Other District
Town/City patna Pincode 800027
Communication Address :
Emergency 9102303807 Relationship with father
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education
Other Board Name
Month/Year of Completion May / 2016
Maximum Marks 600
Total Marks Obtained 580 Aggregate 96.67
Percentage (%)
HSC/12th/Equivalent/Diploma Course Details:
Course Type 12th/Equivalent
University/Board/Other Authority
Name
12th/Equivalent Board Name Central Board of Secondary Education
12th/Equivalent Other Board
Name
Duration of Diploma Course (In
Year)
Discipline Commerce
12th/Equivalent Other Discipline Month/Year of Course
Commencement /
Month/Year of Completion Aggregate Marks or
June / 2018
Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 400
subjects) 500 (Inclusive of all
subjects)
Aggregate Percentage (%) 80
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
Type of Central University Other Type of
University/Institution University/Institution
State/Union Territory of Delhi Other State/Union Territory
University of University
University/Institute Name Delhi Other University/Institute
Name
Name of College/Institution bhagini nivedita college Degree Name BCOM
Other Degree Name Discipline Commerce
Graduation Stream Non Engineering Does the 'Other Discipline'
closely relate to
'Engineering/Technology'?
Other Discipline Name
Month/Year of Course July / 2018 Probable Month/Year of June / 2021
Commencement Course Completion
Aggregate Marks or Promotion/Pass without Marks?
Aggregate Marks (%) 63
Do you have or are you undergoing dual or 5 year integrated course? No
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 Bachelor's Degree?
Total Duration of Degree Current Semester
Type of Other Type of
University/Institution University/Institution
State/Union Territory of Other State/Union Territory
University of University
University/Institute Other University/Institute
Name Name
Name of Degree Name
College/Institution
Other Degree Name Discipline
Graduation Stream Does the 'Other Discipline'
closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of Course /
Commencement
Month/Year of Aggregate Marks or
/
Completion Promotion/Pass without
Marks?
Aggregate Marks (%)
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 University/Institute Name
of University
Other University/ Name of College/
Institute Name Institution
Degree Name Other Degree Name
Discipline Does the 'Other Discipline'
closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of /
Commencement
Probable Month/Year of Completion Aggregate Marks or
/
Promotion/Pass without
Marks?
Aggregate Marks (%)
Other Professional Degree Details:
Are you a Fellow of the Institute of Actuaries of India (FIAI) ? No
FIAI Final Aggregate Month/Year of /
Marks (%) Commencement
Month/Year of Do you want to enter any No
Completion / professional degree details
such as CA/CS/ICWA?
Degree Completion Degree Completion Status
Status
Degree Completion Specify Other Professional
Status Degree
Professional Inter Professional Final Marks
Marks (%) (%)
Professional Final Aggregate Marks Month/Year of Course /
(%) Commencement
Month/Year of / Probable Month/Year of /
Completion Completion
Work Experience (If any):
Industry Type Work Experience Work Experience Gap in work Work Experience
Start Date End Date experience (In days as on 31st
July 2022)
Automobiles/Auto-
ancillaries
Banking/Financial Services
Durables
Engineering/Industrial
Fast Moving Consumer
Goods (FMCG)
Information Technology
Pharmaceuticals/Healthcare
Retail
Telecommunications
Others
Total Work Experience (In days as on 31st July 2022)
Programmes:
Programme Name Selected/Not Interview City
IIM Ahmedabad PGP Selected
Kolkata
Delhi
IIM Ahmedabad PGP-
Not Selected
FABM
IIM Ahmedabad ePGD-ABA Not Selected
IIM Ahmedabad PhD Not Selected
Not Selected
IIM Amritsar MBA
Not Selected
IIM Amritsar PhD
IIM Amritsar EMBA Not Selected
IIM Amritsar Not Selected
MBA-Business Analytics
Not Selected
IIM Amritsar MBA-HRM
Kolkata
Selected
IIM Bangalore PGP Delhi
IIM Bangalore PGPEM Selected Bengaluru
IIM Bangalore PhD Selected Bengaluru
Kolkata
Selected
IIM Bangalore PGPBA Delhi
Not Selected
IIM Bodh Gaya PGP
IIM Bodh Gaya PhD (FPM) Not Selected
Not Selected
IIM Calcutta MBA
IIM Calcutta PhD Selected Kolkata
IIM Indore PGP Not Selected
IIM Indore PGP-HRM Not Selected
IIM Indore MSDSM Not Selected
IIM Indore FPM Not Selected
IIM Jammu MBA Not Selected
IIM Jammu PhD Not Selected
IIM Kashipur MBA Not Selected
IIM Kashipur EMBA Not Selected
IIM Kashipur EMBAA Not Selected
IIM Kashipur PhD Not Selected
IIM Kashipur MBA Not Selected
(Analytics)
IIM Kozhikode PGP Not Selected
IIM Kozhikode PGP-F Not Selected
IIM Kozhikode PGP-LSM Not Selected
IIM Kozhikode PGP-BL Not Selected
IIM Kozhikode EPGP Kochi Not Selected
IIM Kozhikode PhD Not Selected
IIM Lucknow PGP Delhi (NCR)
Selected
Kolkata
IIM Lucknow PGP-ABM Selected Delhi (NCR)
Kolkata
IIM Lucknow PGPWE Not Selected
IIM Lucknow PGP-SM Selected Delhi (NCR)
Kolkata
IIM Lucknow PhD Not Selected
IIM Nagpur MBA Not Selected
IIM Nagpur MBA Not Selected
(Executive)
Not Selected
IIM Nagpur PhD
(Executive)
IIM Nagpur PhD Not Selected
IIM Raipur PGP Not Selected
IIM Raipur FPM/PhD Not Selected
IIM Raipur EFPM Not Selected
IIM Ranchi PGP Not Selected
IIM Ranchi PGP (Business Not Selected
Analytics)
IIM Ranchi PGP-HRM Not Selected
IIM Ranchi PhD Not Selected
IIM Ranchi EPhD Not Selected
IIM Rohtak PGP Not Selected
IIM Rohtak EPGDSM Not Selected
IIM Rohtak PhD Not Selected
IIM Sambalpur MBA Not Selected
IIM Sambalpur Executive Not Selected
MBA
IIM Sambalpur PhD Not Selected
IIM Sambalpur Executive Not Selected
PhD
IIM Shillong PGP Not Selected
IIM Shillong PGPEX Not Selected
IIM Shillong MBA (WE) Not Selected
IIM Shillong PhD Not Selected
IIM Shillong PhDWP Not Selected
IIM Sirmaur MBA Not Selected
IIM Sirmaur MBA (T&HM) Not Selected
IIM Sirmaur ExMBA Not Selected
IIM Sirmaur PhD Not Selected
IIM Tiruchirappalli PGPM Not Selected
IIM Tiruchirappalli PGPM- Not Selected
HR
IIM Tiruchirappalli PGPBM Not Selected
IIM Tiruchirappalli DPM Not Selected
IIM Tiruchirappalli E-DPM 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
IIM Visakhapatnam PGP Not Selected
IIM Visakhapatnam PhD Not Selected
IIM Visakhapatnam PGPEx Not Selected
IIM Visakhapatnam Not Selected
PGPDGM
Test City Preferences:
Preferred Test State- Bihar - Patna Preferred Test State- Bihar - Gaya
City 1 City 2
Bihar - Muzaffarpur Preferred Test State- Bihar - Bhagalpur
Preferred Test State-
City 3 City 4
New Delhi - New Delhi West Bengal - Kolkata
Preferred Test State- Preferred Test State-
City 5 City 6
Payment Details :
Transaction Number 111648054869 Payment mode: Unified Payments
Applicable Registration 2300 Payment Status S
Fee (Rs)
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 2022 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 2022
application & scores. I understand that all disputes will be subject to the territorial jurisdiction of city
of Bangalore only.