Personal Details:

User ID 24169983

Candidate's Name SHAH KRISH SANJIVBHAI

Candidate's First Name KRISH

Candidate's Middle Name SANJIV

Candidate's Last Name SHAH
(Surname)
Date of Birth 28/Dec/2004

Country India

Email ID [email protected]

Alternate Email ID [email protected]

Mobile Number 8799529960

Other Personal Details:

SANJIV
Father's/Guardian's Name
MANISHA
Mother's/Guardian's Name

Spouse's Name

Candidate Gender : Male Category : EWS

Certificate issue date 20/08/2024

Nationality : Indian Other Nationality :

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

Caste/Community Name General

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 :
20,Jawahar society
Address Line 1

Near new junction Surendranagar

Address Line 2
Address Line 3

India
Country : Other Country :
Gujarat Other State/Union
State/Union Territory :
Territory :
Surendranagar
District : Other District :
Surendranagar
Town/City : Pincode : 363001

Emergency Contact Details :

Emergency Mobile Number : 8320534276 Relationship with Candidate : Candidate's Father

Permanent Address
Is Permanent Address same as correspondence Address? Yes
20,Jawahar society
Address Line 1

Near new junction Surendranagar

Address Line 2

Address Line 3

India
Country : Other Country :

State/Union Gujarat Other State/Union

Territory : Territory :
Surendranagar
District : Other District :
Surendranagar
Town/City : Pincode : 363001

SSC/10th/Equivalent Details :
Gujarat Secondary and Higher Education Board
SSC/10th/Equivalent Board
Name

Other Board Name

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

Total Marks Obtained

435 Aggregate Percentage (%) : 72.50
(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
Gujarat Secondary and Higher Education Board
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) : 700
without Marks?

Total Marks Obtained (Inclusive of all subjects) : 582 Aggregate Percentage (%) : 83.14

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

Private University
Type of University/ Other Type of University/
Institution : Institution :
Gujarat
State/Union Territory Other State/Union
of University : Territory of University :
Others
University/Institute Name

Gujarat Law Society

Other University/Institute Name

Gujarat Law Society

Name of College/Institution

BBA
Degree Name
:

Other Degree Name

Commerce
Discipline

Other Discipline Name

Non Engineering
Graduation Stream

Month/Year of Course Probable Month/Year of

July 2022 April 2025
Commencement : Course Completion :
Marks % awarded by University/Institute : 73.63
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) 0

Total Work Experience (In Month and days as on July 31, 2024) 00 Month(s) 00 Day(s)

Programme Name Selected/Not Interview City

Ahmedabad
IIM Ahmedabad PGP Selected
Mumbai

Ahmedabad
Selected
IIM Ahmedabad PGP- FABM
Mumbai

Ahmedabad
IIM Ahmedabad ePGD-ABA Selected

Ahmedabad
IIM Ahmedabad Doctoral Programme in Selected
Management

Mumbai
Selected
IIM Amritsar MBA
Delhi

Mumbai
Selected
IIM Amritsar Executive MBA Delhi

Mumbai
Selected
IIM Amritsar MBA-Business Analytics
Delhi

Mumbai
IIM Amritsar MBA-Human Resource
Selected
Management
Delhi

Mumbai
IIM Amritsar M.Sc. In Data Science(MSDSM) Selected
jointly offered with IIT Ropar Delhi
 Mumbai
IIM Amritsar PhD Selected
Delhi

Mumbai
Selected
IIM Bangalore PGP Delhi

Bengaluru
Selected
IIM Bangalore PGPEM

Bengaluru
Selected
IIM Bangalore PGPBA

Bengaluru
IIM Bangalore PhD Selected

Mumbai
IIM Bodh Gaya MBA Selected
Delhi

Mumbai
IIM Bodh Gaya MBA (Digital Business
Management) Selected
Delhi

Mumbai
IIM Bodh Gaya MBA (Hospital and Healthcare
Selected
Management)
Delhi

Bodh Gaya
IIM Bodh Gaya PhD Selected

Mumbai
IIM Calcutta MBA
Selected
Delhi

Kolkata
IIM Calcutta Doctoral Programme
Selected
(PhD)

Mumbai
IIM Indore PGP Selected
Delhi

Mumbai
IIM Indore PGP-HRM Selected
Delhi

Indore
IIM Indore MSDSM Selected

Indore
IIM Indore Doctoral Programme in
Selected
Management

Mumbai
IIM Jammu MBA Selected
Delhi (NCR)
 Mumbai
IIM Jammu MBA (Hospital Administration &
Selected
Healthcare Management)
Delhi (NCR)

Delhi (NCR)
Selected
IIM Jammu Executive MBA
Jammu

Delhi (NCR)
IIM Jammu Ph.D Selected
Jammu

Delhi (NCR)
IIM Jammu Ph.D (Working Professionals) Selected
Jammu

Mumbai
Selected
IIM Kashipur MBA
Delhi

Mumbai
IIM Kashipur MBA (Analytics) Selected
Delhi

Kashipur
IIM Kashipur EMBA Selected
Dehradun

Kashipur
IIM Kashipur EMBAA Selected

Kashipur
IIM Kashipur PhD Selected

Mumbai
Selected
IIM Kozhikode PGP
Delhi

Mumbai
Selected
IIM Kozhikode PGP-F
Delhi

Mumbai
Selected
IIM Kozhikode PGP-LSM
Delhi

IIM Kozhikode Executive Post Graduate

Programme in Management through Interactive Selected Online
Learning (EPGP-IL)

Mumbai
IIM Kozhikode PGP-BL Selected
Delhi

Kozhikode

IIM Kozhikode EPGP Kochi Selected

Kochi

Kozhikode
Selected
IIM Kozhikode Ph.D
IIM Kozhikode Fellow Programmes in Selected Online
Management PhD (PT)

Mumbai
IIM Lucknow MBA Selected
Delhi (NCR)

Mumbai
IIM Lucknow MBA-ABM Selected
Delhi (NCR)

Mumbai
IIM Lucknow MBA-SM Selected
Delhi (NCR)

Delhi (NCR)
IIM Lucknow PGPWE Selected

Lucknow
IIM Lucknow PhD Selected

Mumbai
IIM Mumbai MBA Selected
Delhi

Mumbai
IIM Mumbai MBA OSCM Selected
Delhi

Mumbai
IIM Mumbai MBA SM Selected
Delhi

IIM Mumbai Ph.D & Ph.D (Executive) Selected Mumbai

IIM Nagpur MBA Selected Online

IIM Nagpur E-MBA

Selected Online

IIM Nagpur Ph.D. Selected Online

IIM Nagpur E-PhD Selected Online

 Mumbai
IIM Raipur MBA
Selected
Delhi

Raipur
IIM Raipur PhD Selected

Raipur
IIM Raipur PhD (Practice Track) Selected

Mumbai
IIM Ranchi MBA Selected
Delhi

Mumbai
IIM Ranchi MBA (Business Analytics) Selected
Delhi

Mumbai
IIM Ranchi MBA-HRM Selected
Delhi

Ranchi
IIM Ranchi PhD Selected

Ranchi
IIM Ranchi EPhD Selected

Mumbai

IIM Rohtak PGP Selected

Delhi

IIM Rohtak PGPX Selected Rohtak

Rohtak
IIM Rohtak EPGDSM Selected

Rohtak
IIM Rohtak PhD Selected

Mumbai
IIM Sambalpur MBA Selected
Delhi
 Mumbai
IIM Sambalpur Executive MBA Selected
Delhi

Mumbai
IIM Sambalpur MBA for Working Professional Selected
Delhi

Mumbai

IIM Sambalpur PhD Selected

Delhi

Mumbai

IIM Sambalpur Executive PhD Selected

Delhi

Mumbai
IIM Shillong PGP Selected
Delhi

Mumbai
Selected
IIM Shillong PGPEX
Delhi

Online

IIM Shillong PGP (WE) Selected

Mumbai

IIM Shillong Doctoral Program Selected

Delhi

Online

IIM Shillong Doctoral Program (WP) Selected

Mumbai
Selected
IIM Sirmaur MBA
Delhi (NCR)

Mumbai

IIM Sirmaur MBA (Tourism Management) Selected

Delhi (NCR)

Mumbai
IIM Sirmaur MBA (Travel, Tourism and Selected
Hospitality) Delhi (NCR)
 Mumbai
IIM Sirmaur ExMBA (Digital Transformation & Selected
Analytics) Delhi (NCR)

Delhi
Selected
IIM Sirmaur MBA (Family Business)
Sirmaur

Sirmaur
Selected
IIM Sirmaur PhD
Jaipur

Sirmaur
Selected
IIM Sirmaur PhD(Executive)
Jaipur

Mumbai
Selected
IIM Tiruchirappalli PGPM (MBA)
Delhi

Mumbai

IIM Tiruchirappalli PGPM-HR (MBA-HR) Selected

Delhi

Chennai
IIM Tiruchirappalli PGPBM (MBA for Working Selected
Executives in Chennai)

Trichy

Selected
IIM Tiruchirappalli PhD

Trichy

IIM Tiruchirappalli Executive PhD Selected

Mumbai

IIM Udaipur MBA Selected

Delhi

Online/Udaipur

IIM Udaipur MBA-DEM (Digital Enterprise Selected

Management)

Online/Udaipur

IIM Udaipur MBA-GSCM (Global Supply Chain Selected

Management)
 Online/Udaipur
Selected
IIM Udaipur Executive MBA (Online)

Udaipur
Selected
IIM Udaipur PhD

Mumbai

IIM Visakhapatnam PGP Selected

Delhi

Visakhapatnam
IIM Visakhapatnam EMBA Selected

Visakhapatnam
IIM Visakhapatnam PGPMCI Selected

Visakhapatnam
IIM Visakhapatnam PhD Selected

IIM Visakhapatnam Executive PhD Selected Visakhapatnam

Test State-City Preferences:

Gujarat - Ahmedabad Gujarat - Gandhinagar
Preferred Test State- City 1 : Preferred Test State- City 2 :

Gujarat - Rajkot Gujarat - Anand

Preferred Test State- City 3 : Preferred Test State- City 4 :
Gujarat - Vadodara
Preferred Test State- City 5 :

Payment Details :
Amount : 2500 Payment Mode : online

Payment Status : S Payment Transaction Number : 9763601412619

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.