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Candidate Personal and Academic Details

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abhijit Jena
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0% found this document useful (0 votes)
40 views13 pages

Candidate Personal and Academic Details

Uploaded by

abhijit Jena
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Personal Details:

User ID 24335768

Candidate's Name ABHIJIT BIJAY JENA

Candidate's First Name ABHIJIT

Candidate's Middle Name BIJAY


Candidate's Last Name JENA
(Surname)
Date of Birth 11/Feb/2002

Country India

Email ID abhijitbijayjena2000@[Link]

Alternate Email ID bijayjena2000@[Link]

Mobile Number 8658202812

Other Personal Details:


BIJAY KUMAR JENA
Father's/Guardian's Name
NIRUPAMA SWAIN
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 :
MIG II, 13/47
Address Line 1

B.D.A. Colony
Address Line 2
Chandrasekhar Pur
Address Line 3

India
Country : Other Country :
Odisha Other State/Union
State/Union Territory :
Territory :
Bhubaneswar
District : Other District :
Bhubaneswar
Town/City : Pincode : 751016

Emergency Contact Details :


Emergency Mobile Number : 9124183801 Relationship with Candidate : Father

Permanent Address
Is Permanent Address same as correspondence Address? Yes
MIG II, 13/47
Address Line 1

B.D.A. Colony
Address Line 2

Chandrasekhar Pur
Address Line 3

India
Country : Other Country :

State/Union Odisha Other State/Union


Territory : Territory :
Bhubaneswar
District : Other District :
Bhubaneswar
Town/City : Pincode : 751016

SSC/10th/Equivalent Details :
Central Board of Secondary Education
SSC/10th/Equivalent Board
Name

Other Board Name

Month/Year of Completion : April 2017 Maximum Marks (Inclusive of all subjects): 500

Total Marks Obtained


475 Aggregate Percentage (%) : 95
(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)
Science
Discipline

Other Discipline Name

Month/Year of Course Commencement : Month/Year of Completion : April 2019

Aggregate Marks or Promotion/Pass


Maximum Marks (Inclusive of all subjects) : 500
without Marks?

Total Marks Obtained (Inclusive of all subjects) : 448 Aggregate Percentage (%) : 89.6

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 : 4 Year Current Semester :

IITs
Type of University/ Other Type of University/
Institution : Institution :
Maharashtra
State/Union Territory Other State/Union
of University : Territory of University :
Indian Institute of Technology Bombay
University/Institute Name

Other University/Institute Name

Indian Institute of Technology Bombay


Name of College/Institution

BS/BSC
Degree Name
:

Other Degree Name

Chemistry
Discipline

Other Discipline Name


Non Engineering
Graduation Stream

Month/Year of Course Probable Month/Year of


July 2019 May 2023
Commencement : Course Completion :
Marks % awarded by University/Institute : 82.5
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? Yes

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? Yes

Master's Degree Completion Status : Completed

Total Duration of Degree : 1 Year Current Semester :


IITs
Type of University/ Institution

Other Type of
University/Institution
State/Union Territory of Maharashtra
University
Other State/Union Territory of
University
Indian Institute of Technology Bombay
University/Institute Name

Other University/Institute Name


Indian Institute of Technology Bombay
Name of College/ Institution

MS/MSC
Degree Name

Other Degree Name

Chemistry
Discipline

Other Discipline Name

Month/Year of Commencement July 2023 Aggregate Marks (%) : 81.6

Aggregate Marks or Promotion/


Probable Month/Year of Completion : May 2024
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 Chemistry Research

01/08/2023 06/05/2024 31 249

Others

Others

Total Work Experience (In days as on 31st July 2024) 249

Total Work Experience (In Month and days as on July 31, 2024) 08 Month(s) 09 Day(s)

Programme Name Selected/Not Interview City


Kolkata
IIM Ahmedabad PGP Selected
Bengaluru

Kolkata
Selected
IIM Ahmedabad PGP- FABM
Ahmedabad

IIM Ahmedabad ePGD-ABA Not Selected

Ahmedabad
IIM Ahmedabad Doctoral Programme in Selected
Management

Kolkata
Selected
IIM Amritsar MBA
Bengaluru

Not Selected
IIM Amritsar Executive MBA

Kolkata
Selected
IIM Amritsar MBA-Business Analytics
Bengaluru

Kolkata
IIM Amritsar MBA-Human Resource
Selected
Management
Bengaluru

Kolkata
IIM Amritsar [Link]. In Data Science(MSDSM) Selected
jointly offered with IIT Ropar Bengaluru
IIM Amritsar PhD Not Selected

Kolkata
Selected
IIM Bangalore PGP Bengaluru

Bengaluru
Selected
IIM Bangalore PGPEM

Bengaluru
Selected
IIM Bangalore PGPBA

IIM Bangalore PhD Not Selected

Kolkata
IIM Bodh Gaya MBA Selected
Bengaluru

Kolkata
IIM Bodh Gaya MBA (Digital Business
Management) Selected
Bengaluru

Kolkata
IIM Bodh Gaya MBA (Hospital and Healthcare
Selected
Management)
Bengaluru

IIM Bodh Gaya PhD Not Selected

Kolkata
IIM Calcutta MBA
Selected
Bengaluru

IIM Calcutta Doctoral Programme


Not Selected
(PhD)

Kolkata
IIM Indore PGP Selected
Bengaluru

Kolkata
IIM Indore PGP-HRM Selected
Bengaluru

Indore
IIM Indore MSDSM Selected

IIM Indore Doctoral Programme in


Not Selected
Management

Kolkata
IIM Jammu MBA Selected
Bengaluru
Kolkata
IIM Jammu MBA (Hospital Administration &
Selected
Healthcare Management)
Bengaluru

Not Selected
IIM Jammu Executive MBA

IIM Jammu Ph.D Not Selected

IIM Jammu Ph.D (Working Professionals) Not Selected

Kolkata
Selected
IIM Kashipur MBA
Bengaluru

Kolkata
IIM Kashipur MBA (Analytics) Selected
Bengaluru

IIM Kashipur EMBA Not Selected

IIM Kashipur EMBAA Not Selected

IIM Kashipur PhD Not Selected

Kolkata
Selected
IIM Kozhikode PGP
Bengaluru

Kolkata
Selected
IIM Kozhikode PGP-F
Bengaluru

Kolkata
Selected
IIM Kozhikode PGP-LSM
Bengaluru

IIM Kozhikode Executive Post Graduate


Programme in Management through Interactive Not Selected
Learning (EPGP-IL)

Kolkata
IIM Kozhikode PGP-BL Selected
Bengaluru

IIM Kozhikode EPGP Kochi Not Selected

Not Selected
IIM Kozhikode Ph.D
IIM Kozhikode Fellow Programmes in Not Selected
Management PhD (PT)

Kolkata
IIM Lucknow MBA Selected
Bengaluru

Kolkata
IIM Lucknow MBA-ABM Selected
Bengaluru

Kolkata
IIM Lucknow MBA-SM Selected
Bengaluru

IIM Lucknow PGPWE Not Selected

IIM Lucknow PhD Not Selected

Kolkata
IIM Mumbai MBA Selected
Bengaluru

Kolkata
IIM Mumbai MBA OSCM Selected
Bengaluru

Kolkata
IIM Mumbai MBA SM Selected
Bengaluru

IIM Mumbai Ph.D & Ph.D (Executive) Not Selected

IIM Nagpur MBA Selected Online

IIM Nagpur E-MBA


Not Selected

IIM Nagpur Ph.D. Not Selected

IIM Nagpur E-PhD Not Selected


Kolkata
IIM Raipur MBA
Selected
Bengaluru

IIM Raipur PhD Not Selected

IIM Raipur PhD (Practice Track) Not Selected

Kolkata
IIM Ranchi MBA Selected
Bengaluru

Kolkata
IIM Ranchi MBA (Business Analytics) Selected
Bengaluru

Kolkata
IIM Ranchi MBA-HRM Selected
Bengaluru

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

Kolkata

IIM Rohtak PGP Selected


Bengaluru

IIM Rohtak PGPX Not Selected

IIM Rohtak EPGDSM Not Selected

IIM Rohtak PhD Not Selected

Kolkata
IIM Sambalpur MBA Selected
Bengaluru
IIM Sambalpur Executive MBA Not Selected

IIM Sambalpur MBA for Working Professional Not Selected

IIM Sambalpur PhD Not Selected

IIM Sambalpur Executive PhD Not Selected

Kolkata
IIM Shillong PGP Selected
Bengaluru

Not Selected
IIM Shillong PGPEX

IIM Shillong PGP (WE) Not Selected

IIM Shillong Doctoral Program Not Selected

IIM Shillong Doctoral Program (WP) Not Selected

Kolkata
Selected
IIM Sirmaur MBA
Bengaluru

Kolkata

IIM Sirmaur MBA (Tourism Management) Selected


Bengaluru

Kolkata
IIM Sirmaur MBA (Travel, Tourism and Selected
Hospitality) Bengaluru
IIM Sirmaur ExMBA (Digital Transformation & Not Selected
Analytics)

Bengaluru
Selected
IIM Sirmaur MBA (Family Business)
Delhi

Not Selected
IIM Sirmaur PhD

Not Selected
IIM Sirmaur PhD(Executive)

Kolkata
Selected
IIM Tiruchirappalli PGPM (MBA)
Bengaluru

Kolkata

IIM Tiruchirappalli PGPM-HR (MBA-HR) Selected


Bengaluru

IIM Tiruchirappalli PGPBM (MBA for Working Not Selected


Executives in Chennai)

Not Selected
IIM Tiruchirappalli PhD

IIM Tiruchirappalli Executive PhD Not Selected

Kolkata

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)
Not Selected
IIM Udaipur Executive MBA (Online)

Not Selected
IIM Udaipur PhD

Kolkata

IIM Visakhapatnam PGP Selected


Bengaluru

IIM Visakhapatnam EMBA Not Selected

Visakhapatnam
IIM Visakhapatnam PGPMCI Selected

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam Executive PhD Not Selected

Test State-City Preferences:


Odisha - Bhubaneswar Odisha - Cuttack
Preferred Test State- City 1 : Preferred Test State- City 2 :

Odisha - Balasore Odisha - Dhenkanal


Preferred Test State- City 3 : Preferred Test State- City 4 :
Odisha - Berhampur
Preferred Test State- City 5 :

Payment Details :
Amount : 2500 Payment Mode : online

Payment Status : S Payment Transaction Number : 20942517718

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.

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