Personal Details
Application Seq No 25089066
Candidate Name SAMYAK JAIN
Date of Birth 14/Mar/2005
Email Address samyakjain01005@[Link]
Confirm Email Address samyakjain01005@[Link]
Country Name India
Mobile No 7067788910
Application Status PaymentSuccess
Father/Guardian Name SOBHAGYA JAIN
Mother/Guardian Name MAMTA JAIN
Candidate Gender Male
Category General
Nationality Indian
masterFormId 90004
Registration Country Code 91
Do you belong to Persons with Disabilities (PwD) category
No
as per RPwD Act 2016
Address Line1 M 72 gayatri nagar sector A
Address Line2 near bafna park
Address Line3 agar road
Country India
State/Union Territory Madhya Pradesh
District Ujjain
Town/City ujjain
Pincode 456001
Emergency Mobile Number 7470839824
Relationship with candidate father
Tab1 Saved Saved
Candidate First Name SAMYAK
Candidate Last Name JAIN
Is permanent address same as Communication Address Yes
Permanent Address Line1 M 72 gayatri nagar sector A
Permanent Address Line2 near bafna park
Permanent Address Line3 agar road
Permanent Address Country India
Permanent State/Union Territory Madhya Pradesh
Permanent District Ujjain
Permanent Town/City ujjain
Permanent Pincode 456001
Form id 94621
Candidate Privacy Consent Agreed Yes
Academic Details
SSC/10th/Equivalent Aggregate Percentage 52
SSC/10th/Equivalent Total Marks Obtained (Inclusive of all
312
subjects)
SSC/10th/EquivalentMaximum Marks (Inclusive of all
600
subjects)
SSC/10th/Equivalent Board Name Central Board of Secondary Education
SSC/10th/Equivalent Month Of Completion August
SSC/10th/Equivalent Year Of Completion 2021
SSC Aggregate Marks/Pass without Marks Aggregate Marks
HSC/Diploma Course type 12th/Equivalent
HSC/Diploma Aggregate Percentage 64
HSC/Diploma Total Marks Obtained (Inclusive of all
320
subjects)
HSC//Diploma Maximum Marks (Inclusive of all subjects) 500
12th/Equivalent Board Name Central Board of Secondary Education
HSC/Diploma Month Of Completion May
HSC/Diploma Year Of Completion 2023
HSC Discipline Commerce
First Bachelors Degree - Are you in the final year of
Yes
Bachelors Degree
First Bachelors Degree - Total Duration of Degree 3 Year
First Bachelors Degree - Current Semester Semester-5
First Bachelors Degree - Aggregate Marks 74
First Bachelors Degree - Type of University/Institution State University
First Bachelors Degree - State/Union Territory of University Madhya Pradesh
First Bachelors Degree - University/Institute Name Devi Ahilya
First Bachelors Degree - Name of College/Institution lal bahadur shastri institute of technology and management
First Bachelors Degree - Degree Name BBA
Management (Business Administration/Business
First Bachelors Degree Discipline
Management/Business Studies/Management Studies)
First Bachelors Degree - Month Of Commencement July
First Bachelors Degree - Year Of Commencement 2023
First Bachelors Degree - Month Of Completion May
First Bachelors Degree - Year Of Completion 2026
Master Degree Do you want to enter Masters Degree
No
details
Do you want to enter any professional degree details such
No
as CA/CS/ICWA (CMA)
Tab2 Saved Saved
Do you have or are you undergoing dual or 5 year
No
integrated course
Are you a Fellow of the Institute of Actuaries of India (FIAI) No
First Bachelors Degree - Graduation Stream Commerce
Experience Details
Tab3 Saved Saved
Programme Details
Programme IIM Ahmedabad PGP Selected Status Selected
Programme IIM Ahmedabad PGP City1 Ahmedabad
Programme IIM Ahmedabad PGP City2 Mumbai
Programme IIM Ahmedabad PGP-FABM Selected Status Selected
Programme IIM Ahmedabad PGP-FABM City1 Ahmedabad
Programme IIM Ahmedabad PGP-FABM City2 Mumbai
Programme IIM Amritsar MBA Selected Status Selected
Programme IIM Amritsar MBA City1 Delhi
Programme IIM Amritsar MBA City2 Mumbai
Programme IIM Amritsar Executive MBA Selected Status Selected
Programme IIM Amritsar Executive MBA City1 Delhi
Programme IIM Amritsar Executive MBA City2 Mumbai
Programme IIM Amritsar MBA-Business Analytics Selected
Selected
Status
Programme IIM Amritsar MBA-Business Analytics City1 Delhi
Programme IIM Amritsar MBA-Business Analytics City2 Mumbai
Programme IIM Amritsar MBA-Human Resource
Selected
Management Selected Status
Programme IIM Amritsar MBA-Human Resource
Delhi
Management City1
Programme IIM Amritsar MBA-Human Resource
Mumbai
Management City2
Programme IIM Bangalore PGP Selected Status Selected
Programme IIM Bangalore PGPPM Selected Status Selected
Programme IIM Bangalore PGP City1 Delhi
Programme IIM Bangalore PGPPM City1 Bengaluru
Programme IIM Bangalore PGP City2 Mumbai
Programme IIM Bangalore PGPPM City2 Delhi
Programme IIM Bangalore PGPEM Selected Status Selected
Programme IIM Bangalore PGPEM City1 Bengaluru
Programme IIM Bangalore PGPBA Selected Status Selected
Programme IIM Bangalore PGPBA City1 Bengaluru
Programme IIM Bodh Gaya MBA Selected Status Selected
Programme IIM Bodh Gaya MBA City1 Bengaluru
Programme IIM Bodh Gaya MBA City2 Mumbai
Programme IIM Bodh Gaya Executive MBA (EMBA)
Selected
Selected Status
Programme IIM Bodh Gaya Executive MBA (EMBA) City1 Online
Programme IIM Calcutta MBA Selected Status Selected
Programme IIM Calcutta MBA City1 Delhi
Programme IIM Calcutta MBA City2 Mumbai
Programme IIM Indore PGP Selected Status Selected
Programme IIM Indore PGP City1 Indore
Programme IIM Indore PGP City2 Delhi
Programme IIM Indore PGP-HRM Selected Status Selected
Programme IIM Indore PGP-HRM City1 Indore
Programme IIM Indore PGP-HRM City2 Mumbai
Programme IIM Indore Doctoral Programme in
Selected
Management Selected Status
Programme IIM Indore Doctoral Programme in
Indore
Management City1
Programme IIM Jammu MBA Selected Status Selected
Programme IIM Jammu MBA City1 Mumbai
Programme IIM Jammu MBA City2 Delhi (NCR)
Programme IIM Jammu PhD Selected Status Selected
Programme IIM Jammu PhD City1 Delhi (NCR)
Programme IIM Jammu PhD City2 Chandigarh
Programme IIM Kashipur MBA Selected Status Selected
Programme IIM Kashipur MBA City1 Mumbai
Programme IIM Kashipur MBA City2 Lucknow
Programme IIM Kashipur Executive PhD Selected Status Selected
Programme IIM Kashipur Executive PhD City1 Kashipur
Programme IIM Kashipur MBA (Analytics) Selected Status Selected
Programme IIM Kashipur MBA (Analytics) City1 Online
Programme IIM Kozhikode PGP Selected Status Selected
Programme IIM Kozhikode PGP City1 Mumbai
Programme IIM Kozhikode PGP City2 Delhi
Programme IIM Kozhikode PGP-Finance Selected Status Selected
Programme IIM Kozhikode PGP-Finance City1 Mumbai
Programme IIM Kozhikode PGP-Finance City2 Delhi
Programme IIM Kozhikode PGP-LSM Selected Status Selected
Programme IIM Kozhikode PGP-LSM City1 Delhi
Programme IIM Kozhikode PGP-LSM City2 Mumbai
Programme IIM Kozhikode PGP-BL Selected Status Selected
Programme IIM Kozhikode PGP-BL City1 Kozhikode
Programme IIM Kozhikode PGP-BL City2 Bengaluru
Programme IIM Lucknow MBASelected Status Selected
Programme IIM Lucknow MBACity1 Lucknow
Programme IIM Lucknow MBACity2 Delhi (NCR)
Programme IIM Lucknow MBA-ABMSelected Status Selected
Programme IIM Lucknow MBA-ABMCity1 Lucknow
Programme IIM Lucknow MBA-ABMCity2 Mumbai
Programme IIM Lucknow MBA-SM Selected Status Selected
Programme IIM Lucknow MBA-SM City1 Delhi (NCR)
Programme IIM Lucknow MBA-SM City2 Bengaluru
Programme IIM Raipur MBA Selected Status Selected
Programme IIM Raipur MBA in Public Policy and
Selected
Governance Selected Status
Programme IIM Raipur MBA City1 Delhi
Programme IIM Raipur MBA in Public Policy and
Bilaspur
Governance City1
Programme IIM Raipur MBA City2 Mumbai
Programme IIM Raipur MBA in Public Policy and
Raipur
Governance City2
Programme IIM Ranchi MBA Selected Status Selected
Programme IIM Ranchi MBA City1 Delhi
Programme IIM Ranchi MBA City2 Mumbai
Programme IIM Ranchi MBA BusinessAnalytics Selected
Selected
Status
Programme IIM Ranchi MBA BusinessAnalytics City1 Bengaluru
Programme IIM Ranchi MBA BusinessAnalytics City2 Mumbai
Programme IIM Ranchi MBA HRM Selected Status Selected
Programme IIM Ranchi MBA HRM City1 Delhi
Programme IIM Ranchi MBA HRM City2 Mumbai
Programme IIM Rohtak PGP Selected Status Selected
Programme IIM Rohtak PGP City1 Delhi
Programme IIM Rohtak PGP City2 Mumbai
Programme IIM Rohtak PGPX Selected Status Selected
Programme IIM Rohtak PGPX City1 Rohtak
Programme IIM Sambalpur MBA Selected Status Selected
Programme IIM Sambalpur MBA City1 Delhi
Programme IIM Sambalpur MBA City2 Mumbai
Programme IIM Shillong PGP Selected Status Selected
Programme IIM Shillong PGP City1 Delhi
Programme IIM Shillong PGP City2 Mumbai
Programme IIM Shillong PGP (WE) Selected Status Selected
Programme IIM Shillong PGP (WE) City1 Online
Programme IIM Sirmaur MBA Selected Status Selected
Programme IIM Sirmaur MBA City1 Mumbai
Programme IIM Sirmaur MBA City2 Delhi (NCR)
Programme IIM Sirmaur MBA (Tourism Management)
Selected
Selected Status
Programme IIM Sirmaur MBA (Tourism Management) City1 Jaipur
Programme IIM Sirmaur MBA (Tourism Management) City2 Mumbai
Programme IIM Tiruchirappalli PGPM (MBA) Selected
Selected
Status
Programme IIM Tiruchirappalli PGPM (MBA) City1 Mumbai
Programme IIM Tiruchirappalli PGPM (MBA) City2 Delhi
Programme IIM Tiruchirappalli PGPM-HR (MBA-HR)
Selected
Selected Status
Programme IIM Tiruchirappalli PGPM-HR (MBA-HR) City1 Mumbai
Programme IIM Tiruchirappalli PGPM-HR (MBA-HR) City2 Delhi
Programme IIM Tiruchirappalli PGPBM (MBA for Working
Selected
Executives in Chennai) Selected Status
Programme IIM Tiruchirappalli PGPBM (MBA for Working
Chennai
Executives in Chennai) City1
Programme IIM Tiruchirappalli PGPBM (MBA for Working
Trichy
Executives in Chennai) City2
Programme IIM Udaipur MBA Selected Status Selected
Programme IIM Udaipur MBA City1 Mumbai
Programme IIM Udaipur MBA City2 Delhi
Programme IIM Visakhapatnam PGP Selected Status Selected
Programme IIM Visakhapatnam PGP City1 Mumbai
Programme IIM Visakhapatnam PGP City2 Delhi
Programme IIM Visakhapatnam PGPMCI Selected Status Selected
Programme IIM Visakhapatnam PGPMCI City1 Visakhapatnam
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Programme IIM Sambalpur Executive MBA Selected Status Selected
Programme IIM Sambalpur MBA BA Selected Status Selected
Programme IIM Sambalpur Executive MBA City1 Mumbai
Programme IIM Sambalpur MBA BA City1 Mumbai
Programme IIM Sambalpur Executive MBA City2 Delhi
Programme IIM Sambalpur MBA BA City2 Delhi
Programme IIM Indore MSDSM Selected Status Selected
Programme IIM Indore PGPMX Selected Status Selected
Programme IIM Indore MSDSM City1 Indore
Programme IIM Indore PGPMX City1 Mumbai
Programme IIM Lucknow PGPWE Selected Status Selected
Programme IIM Lucknow PGPWE City1 Delhi (NCR)
Programme IIM Nagpur MBA Selected Status Selected
Programme IIM Nagpur MBA City1 Lucknow
Programme IIM Nagpur MBA City2 Mumbai
Programme IIM Nagpur Executive MBA(Hybrid) Selected
Selected
Status
Programme IIM Nagpur Executive MBA(Hybrid) City1 Online
Programme IIM Ahmedabad ePGD-ABA Selected Status Selected
Programme IIM Ahmedabad ePGD-ABA City1 Ahmedabad
Programme IIM Bodh Gaya MBA (Digital Business
Selected
Management) Selected Status
Programme IIM Bodh Gaya MBA (Digital Business
Delhi
Management) City1
Programme IIM Bodh Gaya MBA (Digital Business
Mumbai
Management) City2
Programme IIM Bodh Gaya MBA (Hospital and Healthcare
Selected
Management) Selected Status
Programme IIM Bodh Gaya MBA (Hospital and Healthcare
Bengaluru
Management) City1
Programme IIM Bodh Gaya MBA (Hospital and Healthcare
Delhi
Management) City2
Programme IIM Jammu MBA (Healthcare) Selected Status Selected
Programme IIM Jammu MBA (Healthcare) City1 Mumbai
Programme IIM Jammu MBA (Healthcare) City2 Delhi (NCR)
Programme IIM Jammu Executive MBA Selected Status Selected
Programme IIM Jammu Executive MBA City1 Jammu
Programme IIM Jammu Executive MBA City2 Delhi (NCR)
Programme IIM Sambalpur MBA for Working Professional
Selected
Selected Status
Programme IIM Sambalpur MBA for Working Professional
Delhi
City1
Programme IIM Sambalpur MBA for Working Professional
Mumbai
City2
Programme IIM Mumbai MBA Selected Status Selected
Programme IIM Mumbai MBA City1 Mumbai
Programme IIM Mumbai MBA City2 Delhi
Programme IIM Mumbai MBA OSCM Selected Status Selected
Programme IIM Mumbai MBA OSCM City1 Mumbai
Programme IIM Mumbai MBA OSCM City2 Delhi
Programme IIM Mumbai MBA SM Selected Status Selected
Programme IIM Mumbai MBA SM City1 Delhi
Programme IIM Mumbai MBA SM City2 Mumbai
Programme IIM Sirmaur MBA (Travel Tourism and Selected
Hospitality) Selected Status
Programme IIM Sirmaur MBA (Travel Tourism and
Jaipur
Hospitality) City1
Programme IIM Sirmaur MBA (Travel Tourism and
Mumbai
Hospitality) City2
Payment Details
Payment Mode online
Amount 2600
Payment Status S
Payment Transaction Number 25033495805
Payment Receipt Number 876639082495
Payment Card type UPI
billing cust name SAMYAK JAIN
Order ID 2508906620250906032510
Amounts in the form 1300_2600
Choose your payment mode onlinePAY
Others
Form Submitted Submitted
Test City
Preferred Test State-City 1 Madhya Pradesh - Ujjain
Preferred Test State-City 2 Madhya Pradesh - Indore
Preferred Test State-City 3 Madhya Pradesh - Bhopal
Preferred Test State-City 4 Gujarat - Vadodara
Tab5 Saved Saved
Preferred Test State-City 5 Rajasthan - Jaipur
No of Test Cities 5
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 2025
eligibility criteria and undertake to produce original documents whenever necessary and 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 2025
application and scores. I understand that all disputes will be subject to the territorial jurisdiction the
city of Kozhikode only
