Common Management Admission Test

(CMAT)-2019
Confirmation Page

Application No. 190110055340 -

DO NOT SEND THIS PAGE TO BOARD.
CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

Personal Details
Candidate's Name PRANAV TRIPATHI Date of Birth 17-06-1999
Mother's Name SUMAN TRIPATHI Category General
Father's Name PUSHPENDRA KUMAR TRIPATHI Gender Male
Person with Disability (PwD) with more than No Nationality Indian
40% disability
State of Residence UTTAR PRADESH Are You Diabetic? NO

Apply For
Apply For CMAT 2019 1st Choice for Exam City KANPUR
2nd Choice for Exam City LUCKNOW 3rd Choice for Exam City ALLAHABAD
4th Choice for Exam City DELHI/NEW DELHI

Details of Academic Qualification

Qualification Pass Status Name of Examination Name of University Year of
Passing/Appearing
Graduate Appearing Bachelor of Business Chatrapati Shahuji Maharaj Kanpur 2019
Administration (BBA) University, Kalynpur, Kanpur-208
024, Uttar Pradesh. (State
University).

Contact Details
Address 50A GANGA NAGAR SOCIETY Locality
City/Town/Village KANPUR District KANPUR NAGAR
State UTTAR PRADESH Pin Code 208002
Email Address pra**************@gmail.com Mobile Number (+91) 790****801
STD code with --
Telephone No

Fee Payment Details

Payment Mode: Pay through SBI(MOPS) Transaction ID: CPL3916989
Exam Fee: 1400 /- Date of Transaction: 05/12/2018 20:19:21
Fee Submitted On: 05/12/2018
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read and understood the Board procedures. I shall
abide by the terms and conditions thereon.

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Date of Printing : 05/12/2018 08:12:30 PM