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Cat Form

This document contains personal details of Nikita Chanduka, including name, date of birth, contact information, education qualifications, and programs applied to at various IIMs. Key details include: - Name: Nikita Chanduka - Date of birth: 05/Apr/1998 - Currently pursuing a BCOM degree from Ramadevi Women's University - Has applied and been selected for various PGP, FPM, and other programs at multiple IIM institutions.

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Nikita Chanduka
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0% found this document useful (0 votes)
461 views7 pages

Cat Form

This document contains personal details of Nikita Chanduka, including name, date of birth, contact information, education qualifications, and programs applied to at various IIMs. Key details include: - Name: Nikita Chanduka - Date of birth: 05/Apr/1998 - Currently pursuing a BCOM degree from Ramadevi Women's University - Has applied and been selected for various PGP, FPM, and other programs at multiple IIM institutions.

Uploaded by

Nikita Chanduka
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
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Personal Details

User ID 8015612
NIKITA CHANDUKA
Candidate's Name

Date of Birth 05/Apr/1998

Country India

Email ID [email protected]

Mobile Number 7978299974

Other Personal Details


Father's/Husband's/Guardian's DILIP KUMAR CHANDUKA
Name
SANGITA CHANDUKA
Mother Name

Category: General State/Union Territory of Caste/Tribe:

Serial/Entry Number of Caste/Tribe: Gender: Female

Nationality: Indian Other Nationality:

Caste/Tribe Name: Aadhaar Card Number: 466772152845

Do you belong to Persons with Disabilities (PwD) category as per RPwD Act 2016: No

PwD Category:

Do you require wheelchair support at the test centre?: Would you be using a scribe for the Test?:

Communication Address
Flat no 101, Gayatree Nagar, Gayatree enclave, bomikhal
Address Line1

Address Line2 beside Ekamara talkies

Address Line3

Country: India Other Country:

State: Odisha Other State:

District: Khordha Other District:

Town/City: Bhubaneswar Pincode: 751010

Alternate Email Address :


Emergency Contact Details

Emergency Mobile Number: 9337071004 Relationship with Candidate: Father

SSC/10th/Equivalent Details

SSC/10th/Equivalent Board Central Board of Secondary Education


Name

Other Board Name

Month/Year of Completion: March 2014 Maximum Marks (Inclusive of all subjects): 500

Total Marks Obtained (Inclusive of all subjects): 390 Aggregate Percentage (%) :78

HSC/12th/Equivalent/Diploma Course Details

Course Type HSC

University/Board/Other

Authority Name

Central Board of Secondary Education


HSC Board Name

HSC Other Board Name

Duration of Diploma Course (In Year): HSC Discipline: Commerce

HSC Other Discipline

Month/Year of Course Commencement: Month/Year of Completion: March 2016

Maximum Marks (Inclusive of all subjects): 500


Total Marks Obtained (Inclusive of all subjects): 400
Aggregate Percentage (%): 80

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 Aggregate Marks (%): 66.49

State University
Type of University/Institution

Other Type of

University/Institution

Odisha
State/Union Territory of

University
Others
University/Institute Name

Ramadevi Women's University


Other University/Institute Name

Ramadevi Women's University


Name of College/Institution

BCOM
Degree Name

Other Degree Name

Commerce
Discipline

Does the 'Other Discipline' closely relate to 'Engineering/Technology'?:

Other Discipline:

Month/Year of Course Commencement : June 2016

Probable Month/Year OR Month/Year of Completion: April 2019

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: Aggregate Marks (%):

Type of University/Institution

Other Type of

University/Institution

State/Union Territory of

University

University/Institute Name

Other University/Institute Name

Name of College/Institution

Degree Name

Other Degree Name


Discipline

Does the 'Other Discipline' closely relate to 'Engineering/Technology'?:

Other Discipline:

Month/Year of Course Commencement:

Probable Month/Year OR Month/Year 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: Aggregate Marks (%):

Type of University/Institution

Other Type of

University/Institution

State/Union Territory of

University

University/Institute Name

Other University/Institute Name

Name of College/Institution

Degree Name

Other Degree Name

Discipline

Does the 'Other Discipline' closely relate to 'Engineering/Technology'?:

Other Discipline:

Month/Year of Course Commencement:

Probable Month/Year OR Month/Year of Completion

Other Professional Degree Details

Have you completed any professional degree such as CA/CS/ICWA?: No

Degree CA ICWA CS

Degree Completion Status

Name Of Professional Degree


Professional Inter Marks (%): Professional Final Marks (%):

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

Work Experience
Industry Type Work Experience Industry Type Work Experience

Automobiles/Auto-ancillaries Banking/Financial Services

Durables Engineering/Industrial
Fast Moving Consumer Information Technology
Goods (FMCG)
Pharmaceuticals/Healthcare Retail

Others Telecommunications

Total Work Experience (In months as on July 31 2018):

Programmes

Programme Names Interview City Selected/Not

IIM Ahmedabad PGP Kolkata Selected

IIM Ahmedabad PGP Bangalore Selected

IIM Ahmedabad PGP-FABM Kolkata Selected

IIM Ahmedabad ePGP Kolkata Selected

IIM Ahmedabad ePGP Bangalore Selected

IIM Ahmedabad FPM Ahmedabad Selected

IIM Amritsar PGP Kolkata Selected

IIM Bangalore PGP Kolkata Selected

IIM Bangalore PGPEM Bangalore Selected

IIM Bangalore PGPPM Bangalore Selected

IIM Bangalore FPM Bangalore Selected

IIM Bodh Gaya PGP Kolkata Selected

IIM Calcutta PGP Kolkata Selected

IIM Calcutta FPM Kolkata Selected

IIM Indore PGP Kolkata Selected

IIM Indore PGP-HRM Kolkata Selected

IIM Indore FPM Indore Selected

IIM Jammu PGP Kolkata Selected

IIM Kashipur PGP Kolkata Selected

IIM Kashipur EPGP Selected


Kashipur
IIM Kashipur FPM Kashipur Selected

IIM Kashipur EFPM Kashipur Selected


IIM Kozhikode PGP Kolkata Selected

IIM Kozhikode EPGP IIMK Kolkata Selected

IIM Kozhikode EPGP IIMK


Kochi Selected
Kochi Campus

IIM Kozhikode FPM Kozhikode Selected

IIM Lucknow PGP Kolkata Selected

IIM Lucknow PGP-ABM Kolkata Selected

IIM Lucknow PGP-SM Kolkata Selected

IIM Lucknow FPM Lucknow Selected

IIM Nagpur PGP Kolkata Selected

IIM Raipur PGP Kolkata Selected

IIM Raipur FPM Raipur Selected

IIM Raipur EFPM Raipur Selected

IIM Ranchi PGP Kolkata Selected

IIM Ranchi PGP-HRM Selected


Kolkata

IIM Ranchi PhD


Ranchi Selected

IIM Ranchi EPhD Ranchi Selected

IIM Rohtak PGP Kolkata Selected

IIM Rohtak EPGPX Rohtak Selected

IIM Rohtak FPM Rohtak Selected

IIM Rohtak EFPM Rohtak Selected

IIM Sambalpur PGP Kolkata Selected

RGIIM Shillong PGP Kolkata Selected

RGIIM Shillong PGPEX Kolkata Selected

RGIIM Shillong FPM Shillong Selected

IIM Sirmaur PGP Kolkata Selected

IIM Tiruchirappalli PGP Kolkata Selected

IIM Tiruchirappalli PGPBM Chennai Selected

IIM Tiruchirappalli FPM Trichy Selected

IIM Udaipur PGP Kolkata Selected

IIM Udaipur FPM Udaipur Selected

IIM Visakhapatnam PGP Kolkata Selected

IIM Visakhapatnam FPM Visakhapatnam Selected


Test City Preferences

Preferred Test City 1: Bhubaneswar Preferred Test City 2: Kolkata

Preferred Test City 3: Bengaluru Preferred Test City 4: Mumbai

Payment Details

Payment Mode: online Amount: 1900

Payment Status: S Payment Transaction Number: 2018083111121280011016870423515557

Order ID: 801561220180831153850

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
2018 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 2018 application and scores. I understand
that all disputes will be subject to the territorial jurisdiction of city of Kolkata only.

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