MAT May-2019 Registration Form

Registration No.

* Opted Test Mode Paper Based Test (PBT)

* Test Date 05 May 2019 (Sunday)

* Test Timing 1000 To 1230 Hrs

Test City Choice 1. TAMIL NADU : CHENNAI

* Test Centre City for Paper Based Test (PBT)
Test City Choice 2. TAMIL NADU : COIMBATORE

Personal Particulars
* Name of the Candidate Mr. A Sanjay

* Father's Name Anandan * Mother's Name Manjula

* Date of Birth 09-Jul-1996 * E-mail ID sanjsanj1996@gmail.com

* Gender Male * Category General

* Nationality Indian

* Address for Communication A-108 RAMANIYAM CHAITANYA APARTMENT ,

NO 100 MADHA CHURCH ROAD,
NERKUNDRAM,
CHENNAI, Tamil Nadu, 600107

Contact Number (Telephone no.) with STD 91 9444556518 * Mobile No.+91- 9566088233
Code

* Are you a Person with Disabilities (PWD)? NO

* Photo ID to be produced at test centre PAN Card * Photo-ID No. GRIPS6877Q

Qualification & Experience Details

* Qualification Name * Percentage of Marks * Status of Qualification * Stream/Discipline

10+2 87 % Passed NA

B COM ACCOUNTING AND FINANCE 77 % Passed Commerce

Experience in Months

* Have you earlier appeared in GMAT - NO CAT - NO XAT - NO

Should your MAT score be sent to NO

Additional Institute?

Payment Details
Transaction Reference No. Payment Date Receipt No/ PG Ref.No. Amount

7433763177 11/03/2019 20:10:21 QHDF7313008423 1550.00

Declaration
I here by 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 No. 844561

Signature of Candidate

You are NOT required to send Registration Form/any documents/receipt to AIMA. Candidate can view/download the MAT
Prospectus from AIMA website. No separate Prospectus/CD will be dispatched.
 MAT May-2019 Registration Form (Part II)
Options for Management Institute Choice
Registration No. 844561

Name of Candidate Mr. A Sanjay

Date of Birth 09-Jul-1996

Management Institute Choice Code :

* Choice 1 6410-PSG Institute of Management : Coimbatore

* Choice 2 6033-SRM Institute of Science and Technology : Kattankulathur

* Choice 3 6065-SSN School of Management : Chennai

* Choice 4 6008-Rajalakshmi School of Business : Chennai

* Choice 5 6301-Sona School of Management : Salem

You may Change/Modify the MI Choice Option filled by you, by logging in at the website https://mat.aima.in/may19 upto 10 May 2019.