Personal Details:

User ID 21032731
Candidate's Name NITIN MAURYA

Candidate's Surname or MAURYA

First Name
Date of Birth 06/Sep/1998

Country India

Email ID mauryanitin82@gmail.com

Mobile No 7895198222

Other Personal Details:

Father's/Guardian's Name HARI SING MAURYA

Mother's/Guardian's Name SAVITA MAURYA

Spouse's Name

Candidate Gender Male Category General

Nationality Do you require

Indian wheelchair support
at the test centre?
State/Union Territory of Serial/Entry/Certifi
Category cate Number of
Category
Caste/Tribe Name

PwD Category Would you be

using a scribe for
the Test?

Do you belong to Persons with Disabilities (PwD) category as per RPwD Act 2016? No
Communication Address :
Address Line1 H 437 NAKARONDA ROAD BALAWALA DEHRADUN

Address Line2 H 437 NAKARONDA ROAD BALAWALA DEHRADUN

Address Line3 H 437 NAKARONDA ROAD BALAWALA DEHRADUN

Country India Pincode 248001

State/Union Uttarakhand
State
Territory
Town/City DEHRADUN District

Alternate Email poorva10399@gmail.com District Dehradun

Address
Emergency Contact Details :
Relationship MOTHER Emergency Mobile 9410990127
with Candidate Number
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education

Month/Year of Completion July / 2015

Maximum Marks 500

Total Marks Obtained 228.5 Aggregate 45.7

Percentage :
HSC/12th/Equivalent/Diploma Course Details:
Course Type HSC

University/Board/Other Authority
Name
12th/Equivalent Board Name Central Board of Secondary Education

Duration of Diploma Course

12th/Equivalent Discipline Commerce

Month/Year of Course / Month/Year of July / 2017

Commencement Completion
Maximum Marks 500 Total Marks 224

Aggregate Percentage 44.8

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-6

Aggregate Marks 65.4 Discipline Management (Business

Administration/Business
Management/Business Studies/Management
Studies)

Type of Central University Degree Name BBA

University/Institution
State/Union Territory of Uttarakhand University/Institute Hemwati Nandan Bahuguna Garhwal

University Name

Month/Year of Course (Month/Year of / 2021

Commencement
August / 2018 Course Completion) /
July

(Probable Month/Year
of Course Completion)
Do you have or are you undergoing dual or 5 year integrated course? No
Name of College/Institution :- GRD IMT

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 Current Semester
Bachelor's Degree?
Total Duration of Degree Type of
University/Institution
Aggregate Marks (%) State/Union Territory of
University
Degree Name University/Institute
Name

Discipline Name of
College/Institution

Month/Year of Course (Month/Year of Course

/
Commencement Completion) /(Probable
/ Month/Year of Course
Completion)
Master's Degree Details:
Do you want to enter No Master's Degree
Master's Degree details? Completion Status

Total Duration of Current Semester

Degree

Aggregate Marks (%) Type of

University/Institution

Degree Name State/Union Territory

of University

Discipline University/Institute
Name

Name of Month/Year of Course /

College/Institution Commencement

(Month/Year of Course Completion) /(Probable /

Month/Year of Course Completion)
Other Professional Degree Details:
Are you a Fellow of the Institute of Actuaries of India (FIAI) ? No

FIAI Final Aggregate Marks (%)

Month/Year of Course Commencement / Month/Year of Completion /
Have you completed any professional degree such as No
CA/CS/ICWA?
CA Degree Completion Status :
ICWA Degree Completion Status :
CS Degree Completion Status :
Name of professional Professional Inter Marks
degree
Professional Final Marks (%)
Professional Final Month/Year of Course /
Aggregate Marks Commencement
Month/Year of / Probable Month/Year of /
Completion Completion
Work Experience (If any) :
Industry Type Break in Work Experience (In
Start Date End Date days as on July 31, 2021)
Experience
Automobiles/
Auto-ancillaries
Banking/
Financial Servics
Durables
Engineering/
Industrial
Fast Moving
Consumer Goods
(FMCG)
Information
Technology
Pharmaceuticals/
Healthcare
Retail
Telecommunications

Others

Total Work Experience(In days as on July 31, 2021)

Programmes:
Programme Name Selected/Not Interview City

IIM Ahmedabad PGP Not Selected

IIM Ahmedabad PGP-

FABM Not Selected

IIM Ahmedabad PhD Not Selected

IIM Amritsar MBA Not Selected

Not Selected
IIM Amritsar PhD

IIM Amritsar EMBA

Not Selected

IIM Amritsar MBA- Not Selected

Business Analytics

IIM Amritsar MBA-HRM Not Selected

IIM Bangalore PGP Not Selected

IIM Bangalore PGPEM Not Selected

IIM Bangalore PhD Not Selected

IIM Bangalore PGPBA Not Selected

IIM Bodh Gaya PGP Not Selected

IIM Bodh Gaya PhD (FPM) Not Selected

IIM Calcutta MBA Not Selected

IIM Calcutta PhD Not Selected

IIM Indore PGP Not Selected

 IIM Indore PGP-HRM Not Selected

IIM Indore FPM Not Selected

IIM Jammu MBA Not Selected

IIM Jammu PhD Not Selected

IIM Kashipur MBA Not Selected

Not Selected
IIM Kashipur EMBA

IIM Kashipur PhD Not Selected

IIM Kashipur MBA

Not Selected
(Analytics)

IIM Kozhikode PGP Not Selected

IIM Kozhikode PGP-F Not Selected

IIM Kozhikode PGP-LSM Not Selected

IIM Kozhikode PGP-BL Not Selected

IIM Kozhikode EPGP Not Selected

Kochi

IIM Kozhikode PhD Not Selected

IIM Kozhikode PhD (PT) Not Selected

IIM Lucknow PGP Not Selected

IIM Lucknow PGP-ABM Not Selected

IIM Lucknow PGP-SM Not Selected

IIM Lucknow PhD Not Selected

IIM Nagpur PGP Not Selected

 IIM Nagpur PhD Not Selected

IIM Raipur PGP Not Selected

IIM Raipur FPM/PhD Not Selected

IIM Raipur EFPM Not Selected

IIM Ranchi PGP Not Selected

IIM Ranchi PGP (Business

Analytics) Not Selected

IIM Ranchi PGP-HRM Not Selected

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

IIM Rohtak PGP Not Selected

IIM Rohtak EPGPX Not Selected

IIM Rohtak EPGDSM Not Selected

IIM Rohtak PhD Not Selected

IIM Sambalpur MBA Not Selected

IIM Sambalpur
Executive MBA Not Selected

IIM Sambalpur PhD Not Selected

IIM Sambalpur Not Selected

Executive PhD

IIM Shillong PGP Not Selected

IIM Shillong PGPEX Not Selected

IIM Shillong PGPWE Not Selected

Not Selected
IIM Shillong PhD
 Not Selected
IIM Shillong PhDWP

IIM Sirmaur MBA Not Selected

IIM Sirmaur MBA Not Selected

(TandHM)

IIM Sirmaur PhD Not Selected

IIM Tiruchirappalli PGPM Not Selected

IIM Tiruchirappalli PGPM- Not Selected

HR

IIM Tiruchirappalli PGPBM Not Selected

IIM Tiruchirappalli FPM Not Selected

IIM Tiruchirappalli E-FPM Not Selected

Delhi
IIM Udaipur MBA Selected
Mumbai

IIM Udaipur MBA-DEM Not Selected

IIM Udaipur MBA-GSCM Not Selected

IIM Udaipur PGDBAWE Not Selected

IIM Udaipur PhD Not Selected

IIM Visakhapatnam PGP Not Selected

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam PGPEx Not Selected

IIM Visakhapatnam Not Selected

PGPDGM
Test City Preferences:
Preferred Test City 1 Dehradun Preferred Test City 2 Chandigarh

Preferred Test City 3 Mohali Preferred Test City 4 Noida

Preferred Test City 5 New Delhi Preferred Test City 6 Greater Noida

Payment Details :
Amount 2200 Payment Mode online

Payment Status S Payment Transaction No. 13793237119

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 2021 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 2021 application & scores. I understand that all disputes will be subject to
the territorial jurisdiction of city of Ahmedabad only.