Personal Details:
User ID 20253592
Candidate's Name MADHURIMA DATTA
Date of Birth 18/Nov/1998
Country India
Email ID [email protected]
Mobile No 9583217500
Other Personal Details:
Father's/Guardian's Name TAPAS DATTA
Mother's/Guardian's Name CHAINA DATTA
Spouse's Name
Candidate Gender Female Category General
Nationality Do you require
Indian wheelchair support
at the test centre?
State/Union Territory of Serial/Entry/Certifi
Category cate Number of
Category
Caste/Tribe Name Aadhaar Card 579052815296
Number
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 Ananya Apartment B1 2nd Floor ,Hill View East ,Asansol
Address Line2 Asansol
Address Line3
Country India Pincode 713304
State/Union West Bengal
State
Territory
Town/City Asansol District
Alternate Email [email protected] District Bardhaman
Address
Emergency Contact Details :
Relationship FATHER Emergency Mobile 9470597055
with Candidate Number
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Indian Certificate of Secondary Education
Month/Year of Completion May / 2015
Maximum Marks 600
Total Marks Obtained 566 Aggregate 94.33
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 Science
Month/Year of Course / Month/Year of May / 2017
Commencement Completion
Maximum Marks 600 Total Marks 526
Aggregate Percentage 87.67
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
Aggregate Marks 93.70 Discipline Computer Science
Type of Deemed University Degree Name BTECH
University/Institution
State/Union Territory of Odisha University/Institute Kalinga Insitute of Industrial Technology
University Name
Month/Year of Course (Month/Year of / 2021
Commencement
June / 2017 Course Completion) /
June
(Probable Month/Year
of Course Completion)
Name of College/Institution :- Kalinga Institute of Industrial Technology
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
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) /
Other Professional Degree Details:
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 Month/Year of Course /
Aggregate Marks Commencement
Month/Year of / Probable Month/Year of /
Completion Completion
Work Experience (If any) :
Industry Type Break in Experience (In
Start Date End Date
Experience days)
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, 2020)
Programmes:
Programme Name Selected/Not Interview City
Kolkata
IIM Ahmedabad PGP Selected
Ahmedabad
IIM Ahmedabad PGP- Kolkata
FABM Selected
Ahmedabad
IIM Ahmedabad ePGP
Not Selected
IIM Ahmedabad PhD Selected Ahmedabad
Kolkata
IIM Amritsar MBA Selected
Delhi
IIM Amritsar PhD Not Selected
IIM Amritsar EMBA
Not Selected
Kolkata
IIM Amritsar MBA-
Selected
Business Analytics Delhi
IIM Amritsar MBA-HRM Not Selected
Kolkata
IIM Bangalore PGP Selected
Bengaluru
IIM Bangalore PGPEM Not Selected
IIM Bangalore PhD Not Selected
Kolkata
IIM Bangalore PGPBA Selected
Bengaluru
Kolkata
IIM Bodh Gaya PGP Selected
Patna
IIM Bodh Gaya PhD (FPM) Not Selected
Kolkata
IIM Calcutta MBA Selected
Delhi
IIM Calcutta PhD Selected Kolkata
Kolkata
IIM Indore PGP Selected
Indore
Kolkata
IIM Indore PGP-HRM Selected
Indore
IIM Indore FPM Not Selected
Kolkata
IIM Jammu PGP Selected
Delhi (NCR)
IIM Jammu PhD Not Selected
Kolkata
IIM Kashipur MBA Selected
Delhi
IIM Kashipur MBA (WX) Not Selected
IIM Kashipur PhD Not Selected
IIM Kashipur MBA Not Selected
(Analytics)
IIM Kashipur EFPM Not Selected
Kolkata
IIM Kozhikode PGP Selected
Kozhikode
Kolkata
IIM Kozhikode PGP-F Selected
Bengaluru
Kolkata
IIM Kozhikode PGP-LSM Selected
Bengaluru
Kolkata
IIM Kozhikode PGP-BL Selected
Bengaluru
IIM Kozhikode PhD Not Selected
IIM Kozhikode PhD (PT) Not Selected
Kolkata
IIM Lucknow PGP Selected
Lucknow
IIM Lucknow PGP-ABM Not Selected
IIM Lucknow PGP-SM Not Selected
IIM Lucknow FPM Not Selected
IIM Nagpur PhD Not Selected
Kolkata
IIM Nagpur PGP Selected
Nagpur
Kolkata
IIM Raipur PGP Selected
Delhi
IIM Raipur FPM/PhD Not Selected
IIM Raipur EFPM Not Selected
Kolkata
IIM Ranchi PGP Selected
Delhi
IIM Ranchi PGP (Business Kolkata
Analytics) Selected
Delhi
Ranchi
IIM Ranchi PGP-HRM Selected
Delhi
IIM Ranchi PhD Not Selected
IIM Ranchi EPhD Not Selected
Kolkata
IIM Rohtak PGP Selected
Delhi
IIM Rohtak EPGPX Not Selected
IIM Rohtak EPGDSM Not Selected
IIM Rohtak PhD Not Selected
IIM Rohtak Part-time FPM Not Selected
Kolkata
IIM Sambalpur MBA Selected
Delhi
IIM Sambalpur PhD Not Selected
IIM Sambalpur E PhD Not Selected
Kolkata
IIM Shillong PGP Selected
Delhi
IIM Shillong PGPEX Not Selected
IIM Shillong PGPWE Not Selected
IIM Shillong PhD
Not Selected
Not Selected
IIM Shillong PhDWP
Kolkata
IIM Sirmaur MBA Selected
Bengaluru
IIM Sirmaur MBA Not Selected
(TandHM)
IIM Sirmaur PhD Not Selected
Kolkata
IIM Tiruchirappalli PGPM Selected
Bengaluru
IIM Tiruchirappalli PGPM- Selected
Kolkata
HR Bengaluru
IIM Tiruchirappalli PGPBM Selected Chennai
IIM Tiruchirappalli FPM Not Selected
IIM Tiruchirappalli E-FPM Not Selected
Kolkata
IIM Udaipur MBA Selected
Delhi
IIM Udaipur PhD Not Selected
Kolkata
IIM Visakhapatnam PGP Selected
Visakhapatnam
IIM Visakhapatnam PhD Not Selected
IIM Visakhapatnam PGPEx Not Selected
IIM Visakhapatnam Selected
Visakhapatnam
PGPDGM
Test City Preferences:
Preferred Test City 1 Asansol Preferred Test City 2 Durgapur
Preferred Test City 3 Dhanbad Preferred Test City 4 Burdwan
Preferred Test City 5 Kolkata Preferred Test City 6 Hooghly
Payment Details :
Amount 2000 Payment Mode online
Payment Status S Payment Transaction No. SIC49251820541
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 2020 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 2020 application & scores. I understand that all disputes will be subject to the territorial
jurisdiction of city of Indore only.
