Personal Details:
User ID 23070355
Candidate's Name NAMAN MEHTA
Candidate's First Name NAMAN
Candidate's Middle Name DHARMESH
Candidate's Last Name MEHTA
Date of Birth 23/Feb/2003
Country India
Email ID [email protected]
Alternate Email ID
Mobile No 91 7559207483
Other Personal Details:
Father's/Guardian's Name DHARMESH
Mother's/Guardian's Name SONAL
Spouse's Name
Candidate Gender Male Category General
Nationality Indian Other Nationality
State/Union Territory of Serial/Entry
Category Number of the
Caste
Caste/Tribe Name
Do you belong to Persons No Is the disability
with Disabilities (PwD) measurable?
category as per RPwD Act
2016?
Percentage of Disability PwD UDID
Number
PwD Category
Do you require wheelchair Would you be
support at the test centre? using a scribe for
the Test?
First Covid Vaccination Second Covid
Date Vaccination Date
Communication Address :
Address Line1 402 JAGAT REGENCY, BHANDARA ROAD , LAKADGANJ , NEAR HARIHAR MANDIR
Address Line2
Address Line3
Country India Other Country
State/Union Maharashtra Other State/Union
Territory Territory
District Nagpur Other District
Town/City NAGPUR Pincode 440008
Emergency Contact Details :
Emergency 8329487386 Relationship with mother
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education
Other Board Name
Month/Year of Completion March 2019
Maximum Marks (Inclusive of all subjects): 500
Total Marks Obtained 357 Aggregate 71.40
(Inclusive of all subjects) Percentage (%)
HSC/12th/Equivalent/Diploma Course Details:
Course Type 12th/Equivalent
University/Board/Other Authority
Name
12th/Equivalent Board Name Central Board of Secondary Education
12th/Equivalent Other Board
Name
Duration of Diploma Course (In
Year)
Discipline Commerce
12th/Equivalent Other Discipline Month/Year of Course
Commencement
Month/Year of Completion March 2021 Aggregate Marks or Aggregate Marks
Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 384
subjects) 500 (Inclusive of all subjects)
Aggregate Percentage (%) 76.80
I declare that I have not been awarded
any marks due to Covid-19 and if this
information found to be incorrect,
CAT 2023 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
Type of State University Other Type of
University/Institution University/Institution
State/Union Territory of Maharashtra Other State/Union Territory
University of University
University/Institute Name Rashtrasant Tukadoji Other University/Institute
Maharaj Nagpur
Name
Name of College/Institution VMV College of Degree Name BCOM
Commerce
Other Degree Name Discipline Commerce
Graduation Stream Non Engineering
Other Discipline Name
Month/Year of Course August 2021 Probable Month/Year of August 2024
Commencement Course Completion
Aggregate Marks or Promotion/Pass without Marks?
Aggregate Marks (%) 85
I declare that I have not been awarded any marks due to Covid-19 and if this
information found to be incorrect, CAT 2023 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
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 Other Type of
University/Institution University/Institution
State/Union Territory of Other State/Union Territory
University of University
University/Institute Other University/Institute
Name Name
Name of College/ Degree Name
Institution
Other Degree Name Discipline
Other Discipline Name
Graduation Stream: Month/Year of Course
Commencement
Probable Month/Year Aggregate Marks or
of Completion: Promotion/Pass without
Marks?
Aggregate Marks (%)
I declare that I have not been awarded any marks due to Covid-19 and if this
information found to be incorrect, CAT 2023 holds right to cancel my application.
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 University/Institute Name
of University
Other Name of College/
University/ Institution
Institute Name
Degree Name Other Degree Name
Discipline
Other Discipline Name Month/Year of
Commencement
Probable Month/Year of Completion Aggregate Marks or
Promotion/Pass without
Marks?
Aggregate Marks (%)
I declare that I have not been awarded any marks due to Covid-19 and if this information found
to be incorrect, CAT 2023 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 Month/Year of
Marks (%) Commencement
Month/Year of Do you want to enter any Yes
Completion professional degree details
such as CA/CS/ICWA?
Degree Completion CA Degree Completion Status
Status
Degree Completion Specify Other Professional
Status Degree
Professional Inter 60 Professional Final Marks
Marks (%) (%)
Professional Final Aggregate Marks Month/Year of Course December 2022
(%) Commencement
Month/Year of Probable Month/Year of December
Completion Completion
Work Experience (If any):
Industry Type Work Experience Work Experience Gap in work Work Experience
Start Date End Date experience (In days as on
31st July 2023)
Automobiles/Auto-
ancillaries
01/03/2022 15/02/2023 25 327
Banking/Financial Services
Durables
Engineering/Industrial
Fast Moving Consumer
Goods (FMCG)
Information Technology
Pharmaceuticals/Healthcare
Retail
Telecommunications
Others 01/05/2021 31/07/2023 100 722
Manufacturing of Sweet Products
1049
Total Work Experience (In days as on 31st July 2023)
Total Work Experience(In Month and days as on July 31, 2023) 34 Month(s) 29 Day(s)
Programmes:
Programme Name Selected/Not Interview City
Mumbai
Selected
IIM Ahmedabad PGP
Delhi
IIM Ahmedabad PGP- Not Selected
FABM
IIM Ahmedabad ePGD-ABA Selected Ahmedabad
IIM Ahmedabad Doctoral Not Selected
Programme in Management
Mumbai
Selected
IIM Amritsar MBA
Delhi
IIM Amritsar PhD Not Selected
Mumbai
IIM Amritsar Executive Selected
MBA Delhi
Mumbai
IIM Amritsar Selected
MBA-Business Analytics Delhi
Mumbai
IIM Amritsar MBA-Human Selected
Delhi
Resource Management
IIM Amritsar M.Sc. In Data
Not Selected
Science(MSDSM) jointly
offered with IIT Ropar
Mumbai
IIM Bangalore PGP Selected
Delhi
IIM Bangalore PGPEM Selected Bengaluru
Not Selected
IIM Bangalore PhD
Mumbai
IIM Bangalore PGPBA Selected
Delhi
Mumbai
Selected
IIM Bodh Gaya MBA
Delhi
IIM Bodh Gaya PhD Not Selected
Mumbai
IIM Bodh Gaya MBA (Digital Selected
Business Management) Delhi
IIM Bodh Gaya MBA (Hospital Not Selected
and Healthcare Management)
Mumbai
Selected
IIM Calcutta MBA
Delhi
IIM Calcutta Doctoral Programme Not Selected
(PhD)
Selected Mumbai
IIM Indore PGP
Delhi
Delhi
IIM Indore PGP-HRM Selected
Mumbai
IIM Indore MSDSM Not Selected
IIM Indore FPM Not Selected
Delhi (NCR)
IIM Jammu MBA Selected
Chandigarh
IIM Jammu PhD Not Selected
IIM Jammu MBA(Hospital
Not Selected
Administration & Healthcare
Management)
IIM Jammu Ph.D(Working Not Selected
Professionals)
Delhi (NCR)
Selected
IIM Jammu Executive MBA
Chandigarh
Mumbai
Selected
IIM Kashipur MBA Delhi
Selected Kashipur
IIM Kashipur EMBA
Dehradun
IIM Kashipur EMBAA Selected Kashipur
IIM Kashipur PhD Not Selected
IIM Kashipur MBA Selected Mumbai
(Analytics) Delhi
Selected Mumbai
IIM Kozhikode PGP
Delhi
Selected Mumbai
IIM Kozhikode PGP-F
Delhi
IIM Kozhikode PGP-LSM Not Selected
Delhi
IIM Kozhikode PGP-BL Selected
Mumbai
Selected Kochi
IIM Kozhikode EPGP Kochi
Kozhikode
Not Selected
IIM Kozhikode PhD
IIM Kozhikode Fellow
Programmes in Management
Not Selected
PhD (PT)
IIM Kozhikode Executive Post
Graduate Programme in Not Selected
Management through Interactive
Learning (EPGP-IL)
Lucknow
IIM Lucknow MBA Selected
Mumbai
IIM Lucknow MBA-ABM Not Selected
IIM Lucknow PGPWE Not Selected
IIM Lucknow MBA-SM
Not Selected
IIM Lucknow PhD Not Selected
Mumbai
Selected
IIM Lucknow MBA-EandI Delhi (NCR)
Selected Nagpur
IIM Nagpur MBA
Mumbai
IIM Nagpur MBA Selected Nagpur
(Executive) Pune
IIM Nagpur PhD Not Selected
(Executive)
IIM Nagpur PhD Not Selected
Mumbai
IIM Raipur PGP Selected
Delhi
IIM Raipur FPM/PhD Not Selected
IIM Raipur EFPM Not Selected
Selected Delhi
IIM Ranchi MBA
Mumbai
IIM Ranchi MBA Selected Mumbai
(Business Analytics) Delhi
Mumbai
IIM Ranchi MBA-HRM Selected
Chennai
IIM Ranchi PhD Not Selected
IIM Ranchi EPhD Not Selected
Selected Mumbai
IIM Rohtak PGP
Delhi
IIM Rohtak PGPX Selected Rohtak
Not Selected
IIM Rohtak EPGDSM
IIM Rohtak PhD Not Selected
Mumbai
IIM Sambalpur MBA Selected
Delhi
IIM Sambalpur Executive Selected Mumbai
MBA Delhi
IIM Sambalpur PhD Selected
IIM Sambalpur Executive Not Selected
PhD
Mumbai
IIM Sambalpur MBA for Selected
Working Professional Delhi
Delhi
Selected
IIM Shillong PGP
Mumbai
Selected Delhi
IIM Shillong PGPEX Mumbai
IIM Shillong PGP (WE) Not Selected
IIM Shillong Doctoral Program Not Selected
IIM Shillong Doctoral Not Selected
Program (WP)
Selected Delhi (NCR)
IIM Sirmaur MBA
Mumbai
IIM SirmaurMBA (Tourism Not Selected
Management)
IIM Sirmaur ExMBA Selected Sirmaur
IIM Sirmaur PhD Not Selected
IIM Sirmaur PhD(Executive) Not Selected
Mumbai
IIM Tiruchirappalli PGPM Selected
Delhi
IIM Tiruchirappalli PGPM- Selected Mumbai
HR Delhi
IIM Tiruchirappalli PhD
Not Selected
IIM Tiruchirappalli Executive Not Selected
PhD
Delhi
IIM Udaipur MBA Selected
Mumbai
IIM Udaipur MBA-DEM Selected Udaipur
IIM Udaipur MBA-GSCM Not Selected
IIM Udaipur PGDBAWE Not Selected
IIM Udaipur PhD Not Selected
Selected Mumbai
IIM Visakhapatnam PGP
Delhi
IIM Visakhapatnam PhD Not Selected
IIM Visakhapatnam EMBA Selected Visakhapatnam
IIM Visakhapatnam Selected Visakhapatnam
PGPDGM
Test State-City Preferences:
Maharashtra - Nagpur Maharashtra - Mumbai
Preferred Test State- Preferred Test State-
City 1 City 2
Preferred Test State-
New Delhi - New Delhi Preferred Test State- Uttar Pradesh - Kanpur
City 3 City 4
Preferred Test State-
Chandigarh - Chandigarh
Preferred Test State- Maharashtra - Pune
City 5 City 6
Payment Details :
Transaction Number 3962201303222 Payment Mode online
Applicable Registration 2400 Payment Status S
Fee (Rs)
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 2023 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 2023 application & scores. I understand that all disputes will be subject
to the territorial jurisdiction of city of Lucknow only.
