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Candidate Personal Information Form

Uploaded by

yasshh090
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

Topics covered

  • Mobile Number,
  • PwD Category,
  • Date of Birth,
  • Application Declaration,
  • Father's Name,
  • Payment Details,
  • Candidate Name,
  • Test Preferences,
  • HSC Details,
  • Work Experience
0% found this document useful (0 votes)
49 views13 pages

Candidate Personal Information Form

Uploaded by

yasshh090
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

Topics covered

  • Mobile Number,
  • PwD Category,
  • Date of Birth,
  • Application Declaration,
  • Father's Name,
  • Payment Details,
  • Candidate Name,
  • Test Preferences,
  • HSC Details,
  • Work Experience

Personal Details:

User ID 24155340

Candidate's Name JADHAV YASH RAJESH

Candidate's First Name YASH

Candidate's Middle Name RAJESH


Candidate's Last Name JADHAV
(Surname)
Date of Birth 12/Mar/2004

Country India

Email ID yasshh090@[Link]

Alternate Email ID yashj7715@[Link]

Mobile Number 8433968848

Other Personal Details:


RAJESH SADANAND JADHAV
Father's/Guardian's Name
ANITA RAJESH JADHAV
Mother's/Guardian's Name

Spouse's Name

Candidate Gender : Male Category : SC

Certificate issue date

Nationality : Indian Other Nationality :

State/Union Territory of Category : Maharashtra Serial/Entry Number of the Caste : 37

Caste/Community Name Mahar

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 :
B-107, Jai Durga Complex, Cabin Cross Road, Bhayandar East
Address Line 1

Address Line 2
Address Line 3

India
Country : Other Country :
Maharashtra Other State/Union
State/Union Territory :
Territory :
Thane
District : Other District :
Bhayandar
Town/City : Pincode : 401105

Emergency Contact Details :


Emergency Mobile Number : 9867981592 Relationship with Candidate : Father

Permanent Address
Is Permanent Address same as correspondence Address? Yes
B-107, Jai Durga Complex, Cabin Cross Road, Bhayandar East
Address Line 1

Address Line 2

Address Line 3

India
Country : Other Country :

State/Union Maharashtra Other State/Union


Territory : Territory :
Thane
District : Other District :
Bhayandar
Town/City : Pincode : 401105

SSC/10th/Equivalent Details :
Maharashtra State Board of Secondary and Higher Secondary Education
SSC/10th/Equivalent Board
Name

Other Board Name

Month/Year of Completion : March 2020 Maximum Marks (Inclusive of all subjects): 600

Total Marks Obtained


510 Aggregate Percentage (%) : 85
(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
Maharashtra State Board of Secondary and Higher Secondary Education
12th/Equivalent Board Name

12th/Equivalent Other
Board Name
University/Board/
Other Authority Name
Duration of Diploma Course
(In Year)
Commerce
Discipline

Other Discipline Name

Month/Year of Course Commencement : Month/Year of Completion : March 2022

Aggregate Marks or Promotion/Pass


Maximum Marks (Inclusive of all subjects) : 600
without Marks?

Total Marks Obtained (Inclusive of all subjects) : 472 Aggregate Percentage (%) : 78.67

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? Yes

Have you completed Bachelor's Degree?

Total Duration of Degree : 3 Year Current Semester : Semester-5

State University
Type of University/ Other Type of University/
Institution : Institution :
Maharashtra
State/Union Territory Other State/Union
of University : Territory of University :
Mumbai University
University/Institute Name

Other University/Institute Name

Sheila Raheja School of Business Management and Research


Name of College/Institution

BMS (Management Studies)


Degree Name
:

Other Degree Name

Management (Business Administration/Business Management/Business Studies/Management Studies)


Discipline

Other Discipline Name


Non Engineering
Graduation Stream

Month/Year of Course Probable Month/Year of


August 2022 April 2025
Commencement : Course Completion :
Marks % awarded by University/Institute : 71.79
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? No

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? 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 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 Commencement Aggregate Marks (%) :

Aggregate Marks or Promotion/


Probable Month/Year of Completion :
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

Others

Others

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

Total Work Experience (In Month and days as on July 31, 2024)

Programme Name Selected/Not Interview City


Mumbai
IIM Ahmedabad PGP Selected
Ahmedabad

Not Selected
IIM Ahmedabad PGP- FABM

IIM Ahmedabad ePGD-ABA Not Selected

IIM Ahmedabad Doctoral Programme in Not Selected


Management

Mumbai
Selected
IIM Amritsar MBA
Bengaluru

Not Selected
IIM Amritsar Executive MBA

Not Selected
IIM Amritsar MBA-Business Analytics

IIM Amritsar MBA-Human Resource


Not Selected
Management

IIM Amritsar [Link]. In Data Science(MSDSM) Not Selected


jointly offered with IIT Ropar
IIM Amritsar PhD Not Selected

Mumbai
Selected
IIM Bangalore PGP Bengaluru

Not Selected
IIM Bangalore PGPEM

Not Selected
IIM Bangalore PGPBA

IIM Bangalore PhD Not Selected

Mumbai
IIM Bodh Gaya MBA Selected
Bengaluru

IIM Bodh Gaya MBA (Digital Business


Management) Not Selected

IIM Bodh Gaya MBA (Hospital and Healthcare


Not Selected
Management)

IIM Bodh Gaya PhD Not Selected

Mumbai
IIM Calcutta MBA
Selected
Bengaluru

IIM Calcutta Doctoral Programme


Not Selected
(PhD)

Mumbai
IIM Indore PGP Selected
Bengaluru

IIM Indore PGP-HRM Not Selected

IIM Indore MSDSM Not Selected

IIM Indore Doctoral Programme in


Not Selected
Management

Mumbai
IIM Jammu MBA Selected
Bengaluru
IIM Jammu MBA (Hospital Administration &
Not Selected
Healthcare Management)

Not Selected
IIM Jammu Executive MBA

IIM Jammu Ph.D Not Selected

IIM Jammu Ph.D (Working Professionals) Not Selected

Mumbai
Selected
IIM Kashipur MBA
Bengaluru

IIM Kashipur MBA (Analytics) Not Selected

IIM Kashipur EMBA Not Selected

IIM Kashipur EMBAA Not Selected

IIM Kashipur PhD Not Selected

Mumbai
Selected
IIM Kozhikode PGP
Bengaluru

Not Selected
IIM Kozhikode PGP-F

Not Selected
IIM Kozhikode PGP-LSM

IIM Kozhikode Executive Post Graduate


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

IIM Kozhikode PGP-BL Not Selected

IIM Kozhikode EPGP Kochi Not Selected

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

Mumbai
IIM Lucknow MBA Selected
Bengaluru

IIM Lucknow MBA-ABM Not Selected

IIM Lucknow MBA-SM Not Selected

IIM Lucknow PGPWE Not Selected

IIM Lucknow PhD Not Selected

Mumbai
IIM Mumbai MBA Selected
Bengaluru

IIM Mumbai MBA OSCM Not Selected

IIM Mumbai MBA SM Not Selected

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


Mumbai
IIM Raipur MBA
Selected
Bengaluru

IIM Raipur PhD Not Selected

IIM Raipur PhD (Practice Track) Not Selected

Mumbai
IIM Ranchi MBA Selected
Bengaluru

IIM Ranchi MBA (Business Analytics) Not Selected

IIM Ranchi MBA-HRM Not Selected

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

Mumbai

IIM Rohtak PGP Selected


Bengaluru

IIM Rohtak PGPX Not Selected

IIM Rohtak EPGDSM Not Selected

IIM Rohtak PhD Not Selected

Mumbai
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

Mumbai
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

Mumbai
Selected
IIM Sirmaur MBA
Bengaluru

IIM Sirmaur MBA (Tourism Management) Not Selected

IIM Sirmaur MBA (Travel, Tourism and Not Selected


Hospitality)
IIM Sirmaur ExMBA (Digital Transformation & Not Selected
Analytics)

Not Selected
IIM Sirmaur MBA (Family Business)

Not Selected
IIM Sirmaur PhD

Not Selected
IIM Sirmaur PhD(Executive)

Mumbai
Selected
IIM Tiruchirappalli PGPM (MBA)
Bengaluru

IIM Tiruchirappalli PGPM-HR (MBA-HR) Not Selected

IIM Tiruchirappalli PGPBM (MBA for Working Not Selected


Executives in Chennai)

Not Selected
IIM Tiruchirappalli PhD

IIM Tiruchirappalli Executive PhD Not Selected

Mumbai

IIM Udaipur MBA Selected


Bengaluru

IIM Udaipur MBA-DEM (Digital Enterprise Not Selected


Management)

IIM Udaipur MBA-GSCM (Global Supply Chain Not Selected


Management)
Not Selected
IIM Udaipur Executive MBA (Online)

Not Selected
IIM Udaipur PhD

Mumbai

IIM Visakhapatnam PGP Selected


Bengaluru

IIM Visakhapatnam EMBA Not Selected

IIM Visakhapatnam PGPMCI Not Selected

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam Executive PhD Not Selected

Test State-City Preferences:


Maharashtra - Mumbai Maharashtra - Vasai
Preferred Test State- City 1 : Preferred Test State- City 2 :

Maharashtra - Thane Maharashtra - Navi Mumbai


Preferred Test State- City 3 : Preferred Test State- City 4 :
Maharashtra - Palghar - Boisar
Preferred Test State- City 5 :

Payment Details :
Amount : 1250 Payment Mode : online

Payment Status : S Payment Transaction Number : 0697856841056

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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