Personal Details:
User ID 22188055
Candidate's Name PRIYANSH GUPTA
Candidate's First Name PRIYANSH
Candidate's Middle Name
Candidate's Last Name GUPTA
Date of Birth 21/Jan/2002
Country India
Email ID [email protected]
Alternate Email ID
Mobile No 91 9026865877
Other Personal Details:
Father's/Guardian's Name VINOD KUMAR GUPTA
Mother's/Guardian's Name SHOBHA GUPTA
Spouse's Name
Candidate Gender Male 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 Second Covid
Date Vaccination Date
Communication Address :
Address Line1 147 AZAD GANJ , SIPRI BAZAR , JHANSI
Address Line2
Address Line3
Country India Other Country
State/Union Uttar Pradesh State/Union
Territory Territory
District Jhansi Other District
Town/City Jhansi Pincode 284003
Communication Address :
Emergency 9889695087 Relationship with mother
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education
Other Board Name
Month/Year of Completion June / 2017
Maximum Marks 500
Total Marks Obtained 456 Aggregate 91.2
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 Science
12th/Equivalent Other Discipline Month/Year of Course
Commencement /
Month/Year of Completion Aggregate Marks or
May / 2019
Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 373
subjects) 500 (Inclusive of all
subjects)
Aggregate Percentage (%) 74.6
First Bachelor's Degree Details:
Are you in the final year of Bachelor's Degree? Yes
Have you completed Bachelor's Degree?
Total Duration of Degree 4 Year Current Semester Semester-7
Type of Private University Other Type of
University/Institution University/Institution
State/Union Territory of Uttar Pradesh Other State/Union Territory
University of University
University/Institute Name Uttar Pradesh Technical Other University/Institute
Name
Name of College/Institution SR GROUP OF Degree Name BTECH
INSTITUTIONS JHANSI
Other Degree Name Discipline Computer Science
Graduation Stream Engineering Does the 'Other Discipline'
closely relate to
'Engineering/Technology'?
Other Discipline Name
Month/Year of Course August / 2019 Probable Month/Year of June / 2023
Commencement Course Completion
Aggregate Marks or Promotion/Pass without Marks? Aggregate Marks
Aggregate Marks (%) 84.73
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
Delhi
Bengaluru
IIM Ahmedabad PGP- Delhi
Selected
FABM
Bengaluru
IIM Ahmedabad ePGD-ABA Selected Interviews will be organized only
through virtual mode
IIM Ahmedabad PhD Selected Ahmedabad
Delhi
Selected
IIM Amritsar MBA
Bengaluru
Delhi
Selected
IIM Amritsar PhD Bengaluru
IIM Amritsar EMBA Selected Delhi
Bengaluru
Delhi
IIM Amritsar Selected
MBA-Business Analytics Bengaluru
Delhi
Selected
IIM Amritsar MBA-HRM Bengaluru
Delhi
Selected
IIM Bangalore PGP Bengaluru
IIM Bangalore PGPEM Selected Bengaluru
IIM Bangalore PhD Selected Bengaluru
Delhi
Selected
IIM Bangalore PGPBA Bengaluru
Delhi
Selected
IIM Bodh Gaya PGP
Bengaluru
IIM Bodh Gaya PhD (FPM) Selected Bodh Gaya
Delhi
Selected
IIM Calcutta MBA Bengaluru
IIM Calcutta PhD Selected Kolkata
IIM Indore PGP Selected Delhi
Bengaluru
IIM Indore PGP-HRM Selected Delhi
Bengaluru
IIM Indore MSDSM Selected Indore
IIM Indore FPM Selected Indore
Delhi (NCR)
IIM Jammu MBA Selected
Bengaluru
IIM Jammu PhD Selected Jammu
IIM Kashipur MBA Delhi
Selected
Bengaluru
IIM Kashipur EMBA Kashipur
Selected
Dehradun
IIM Kashipur EMBAA Selected Kashipur
IIM Kashipur PhD Selected Kashipur
Delhi
IIM Kashipur MBA Selected
(Analytics) Bengaluru
IIM Kozhikode PGP Delhi
Selected
Bengaluru
IIM Kozhikode PGP-F Selected Delhi
Bengaluru
IIM Kozhikode PGP-LSM Delhi
Selected
Bengaluru
Delhi
IIM Kozhikode PGP-BL Selected
Bengaluru
IIM Kozhikode EPGP Kochi Selected Kozhikode
Kochi
IIM Kozhikode PhD Selected Kozhikode
IIM Lucknow PGP Delhi (NCR)
Selected
Bengaluru
IIM Lucknow PGP-ABM Selected Delhi (NCR)
Bengaluru
IIM Lucknow PGPWE Selected Delhi (NCR)
IIM Lucknow PGP-SM Selected Delhi (NCR)
Bengaluru
IIM Lucknow PhD Selected Lucknow
IIM Nagpur MBA Selected Delhi
Bengaluru
IIM Nagpur MBA Selected Nagpur
(Executive) Pune
Selected Nagpur
IIM Nagpur PhD
(Executive)
IIM Nagpur PhD Selected Nagpur
IIM Raipur PGP Selected Delhi
Bengaluru
IIM Raipur FPM/PhD Selected Raipur
IIM Raipur EFPM Selected Raipur
IIM Ranchi PGP Selected Delhi
Bengaluru
IIM Ranchi PGP (Business Selected Delhi
Analytics) Bengaluru
IIM Ranchi PGP-HRM Selected Delhi
Bengaluru
IIM Ranchi PhD Selected Ranchi
IIM Ranchi EPhD Selected Ranchi
IIM Rohtak PGP Selected Delhi
Bengaluru
IIM Rohtak EPGDSM Selected Rohtak
IIM Rohtak PhD Selected Rohtak
IIM Sambalpur MBA Delhi
Selected
Bengaluru
IIM Sambalpur Executive Selected Delhi
MBA Bengaluru
IIM Sambalpur PhD Selected Delhi
Bengaluru
IIM Sambalpur Executive Selected Delhi
PhD
IIM Shillong PGP Delhi
Selected
Bengaluru
IIM Shillong PGPEX Selected Delhi
Bengaluru
Selected Shillong
IIM Shillong MBA (WE)
Guwahati
IIM Shillong PhD Delhi
Selected
Bengaluru
IIM Shillong PhDWP Selected Shillong
Guwahati
IIM Sirmaur MBA Selected Delhi (NCR)
Bengaluru
IIM Sirmaur MBA (T&HM) Selected Delhi
Bengaluru
IIM Sirmaur ExMBA Selected Sirmaur
IIM Sirmaur PhD Selected Delhi
Sirmaur
Delhi
IIM Tiruchirappalli PGPM Selected
Bengaluru
IIM Tiruchirappalli PGPM- Selected Delhi
HR Bengaluru
IIM Tiruchirappalli PGPBM Selected Chennai
IIM Tiruchirappalli DPM Selected
IIM Tiruchirappalli E-DPM Selected
Delhi
IIM Udaipur MBA Selected
Bengaluru
IIM Udaipur MBA-DEM Selected Udaipur
IIM Udaipur MBA-GSCM Selected Udaipur
IIM Udaipur PGDBAWE Selected Udaipur
IIM Udaipur PhD Selected Udaipur
IIM Visakhapatnam PGP Selected Delhi
Bengaluru
IIM Visakhapatnam PhD Selected Visakhapatnam
IIM Visakhapatnam PGPEx Selected Visakhapatnam
IIM Visakhapatnam Selected Visakhapatnam
PGPDGM
Test City Preferences:
Preferred Test State- Uttar Pradesh - Jhansi Preferred Test State- Madhya Pradesh - Gwalior
City 1 City 2
Madhya Pradesh - Bhopal Preferred Test State- Madhya Pradesh - Indore
Preferred Test State-
City 3 City 4
Uttar Pradesh - Kanpur New Delhi - New Delhi
Preferred Test State- Preferred Test State-
City 5 City 6
Payment Details :
Transaction Number 15847633259 Payment mode: online
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.
