11/19/2014

MAT-Dec14: Application Form

MAT Dec-2014
Application Form
609415
*Registration/Form No.

Choice of Test Taking

Option

Online (Computer Based Test)

*Test Date

Test Date will be comunicated through Admit

Card

*Test Centre City

Choice I. 408-MAHARASHTRA: MUMBAI

Choice II. 301-GUJARAT: AHMEDABAD

Personal Particulars

*Name of Candidate

Mr. SAURABH PAWAR

*Date of Birth

08-Jan-1993

*Gender

Male

*Nationality

Indian

*Category

OBC

*Pin Code

421301

Address for
Communication

E 32 SALAS CHS
OPPOSITE
JANATA BANK RAMBAUG 4
KALYAN WEST

*City
Email-ID

KALYAN

saurabh811993@gmail.com

Contact No.

*Mobile No.

9967479259

*Percentage at Degree

69

Qualifications & Experience Details

*Status of Degree

Passed

*Percentage at 10+2

50

Stream/Discipline in
Degree
Have you earlier
appeared in

COMMERCE

Experience in Months

GMAT : No

CAT : No

Mode of Payment --> NetBanking or Debit/Credit Card

Transaction Reference
*
723697
*Payment Date
No.
Receipt No/
7310722151343230/
* PG Ref.No.
*Amount
53073452

XAT : No

11/19/2014 1:14:54 PM
1200/-

Declaration:
http://apps.aima.in/MatDec14/Fill_ApplicationNext.aspx

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11/19/2014

MAT-Dec14: Application Form

I hereby affirm that the particulars filled by me in this form are true and correct. I have read and
understood the terms and conditions of the test and agree to abide by those.
Registration/Form No. 609415
Place

Date
Signature of Applicant

You are NOT required to send Application Form/any

documents/receipt to AIMA.
Print
(Please Print the form for Further Reference)
Note:
1. MAT Bulletin in Compact Disc - CD (Soft Copy) format will be sent to you by expeditious means and
the confirmation of your payment by the bank.
2. Peruse the bulletin to identify five institute where your MAT Score will be sent by AIMA automatically.
3. Visit this site at http://apps.aima.in/MATDec14/Fill_PartII.asp upto the date of MAT to fill the
Management Institutes Codes (MI Codes) of five chosen institutes where your Dec 2014 MAT score
should be sent.(Note: No additional fee is to be paid for filling these 5 choices.)
4. Check AIMA website link: http://apps.aima.in/matadmitcard.aspx on or after 29 November 2014
(Saturday) for downloading Admit Card.

http://apps.aima.in/MatDec14/Fill_ApplicationNext.aspx

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