Personal Details:

User ID 22294856

Candidate's Name ASTIKA

Candidate's First Name ASTIKA

Candidate's Middle Name

Candidate's Last Name
Date of Birth 29/Mar/2000

Country India
Email ID astikakaushik01fa@gmail.com

Alternate Email ID
Mobile No 91 8368236116

Other Personal Details:

Father's/Guardian's Name SHREE RAM KAUSHIK

Mother's/Guardian's Name KALYANI DEVI

Spouse's Name

Candidate Gender Female Category General

Country Indian Other Country

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 19/06/2021 Second Covid 19/07/2021
Date Vaccination Date
Communication Address :
Address Line1 adwait kunj ramkrishna nagar, near l.p shahi college, kankarbagh

Address Line2
Address Line3
Country India Other Country
State/Union Bihar State/Union
Territory Territory
District Patna Other District
Town/City patna Pincode 800027

Communication Address :
Emergency 9102303807 Relationship with father
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education

Other Board Name

Month/Year of Completion May / 2016

Maximum Marks 600

Total Marks Obtained 580 Aggregate 96.67

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 Aggregate Marks or

June / 2018
Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 400
subjects) 500 (Inclusive of all
subjects)
Aggregate Percentage (%) 80

First Bachelor's Degree Details:

Are you in the final year of Bachelor's Degree? No

Have you completed Bachelor's Degree? Yes

Total Duration of Degree 3 Year Current Semester

Type of Central University Other Type of
University/Institution University/Institution
State/Union Territory of Delhi Other State/Union Territory
University of University

University/Institute Name Delhi Other University/Institute

Name
Name of College/Institution bhagini nivedita college Degree Name BCOM

Other Degree Name Discipline Commerce

Graduation Stream Non Engineering Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name

Month/Year of Course July / 2018 Probable Month/Year of June / 2021

Commencement Course Completion
Aggregate Marks or Promotion/Pass without Marks?
Aggregate Marks (%) 63

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 Degree Name

College/Institution

Other Degree Name Discipline

Graduation Stream Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of Course /
Commencement
Month/Year of Aggregate Marks or
/
Completion Promotion/Pass without
Marks?
Aggregate Marks (%)
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 University/ Name of College/

Institute Name Institution

Degree Name Other Degree Name

Discipline Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of /
Commencement
Probable Month/Year of Completion Aggregate Marks or
/
Promotion/Pass without
Marks?
Aggregate Marks (%)
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 No
Completion / professional degree details
such as CA/CS/ICWA?
Degree Completion Degree Completion Status
Status
Degree Completion Specify Other Professional
Status Degree

Professional Inter Professional Final Marks

Marks (%) (%)
Professional Final Aggregate Marks Month/Year of Course /
(%) Commencement
Month/Year of / Probable Month/Year of /
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 2022)
Automobiles/Auto-
ancillaries
Banking/Financial Services

Durables

Engineering/Industrial

Fast Moving Consumer

Goods (FMCG)

Information Technology

Pharmaceuticals/Healthcare

Retail

Telecommunications

Others

Total Work Experience (In days as on 31st July 2022)

Programmes:

Programme Name Selected/Not Interview City

IIM Ahmedabad PGP Selected
Kolkata

Delhi

IIM Ahmedabad PGP-

Not Selected
FABM

IIM Ahmedabad ePGD-ABA Not Selected

IIM Ahmedabad PhD Not Selected

Not Selected
IIM Amritsar MBA

Not Selected
IIM Amritsar PhD
 IIM Amritsar EMBA Not Selected

IIM Amritsar Not Selected

MBA-Business Analytics

Not Selected
IIM Amritsar MBA-HRM

Kolkata
Selected
IIM Bangalore PGP Delhi

IIM Bangalore PGPEM Selected Bengaluru

IIM Bangalore PhD Selected Bengaluru

Kolkata
Selected
IIM Bangalore PGPBA Delhi

Not Selected
IIM Bodh Gaya PGP

IIM Bodh Gaya PhD (FPM) Not Selected

Not Selected
IIM Calcutta MBA

IIM Calcutta PhD Selected Kolkata

IIM Indore PGP Not Selected

IIM Indore PGP-HRM Not Selected

IIM Indore MSDSM Not Selected

IIM Indore FPM Not Selected

IIM Jammu MBA Not Selected

IIM Jammu PhD Not Selected

IIM Kashipur MBA Not Selected

IIM Kashipur EMBA Not Selected

IIM Kashipur EMBAA Not Selected

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 Kochi Not Selected

IIM Kozhikode PhD Not Selected

IIM Lucknow PGP Delhi (NCR)

Selected
Kolkata

IIM Lucknow PGP-ABM Selected Delhi (NCR)

Kolkata

IIM Lucknow PGPWE Not Selected

IIM Lucknow PGP-SM Selected Delhi (NCR)

Kolkata

IIM Lucknow PhD Not Selected

IIM Nagpur MBA Not Selected

IIM Nagpur MBA Not Selected

(Executive)
Not Selected
IIM Nagpur PhD
(Executive)
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 Not Selected

Analytics)
IIM Ranchi PGP-HRM Not Selected

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

IIM Rohtak PGP Not Selected

IIM Rohtak EPGDSM Not Selected

IIM Rohtak PhD Not Selected

IIM Sambalpur MBA Not Selected

IIM Sambalpur Executive Not Selected

MBA
IIM Sambalpur PhD Not Selected
 IIM Sambalpur Executive Not Selected
PhD
IIM Shillong PGP Not Selected

IIM Shillong PGPEX Not Selected

IIM Shillong MBA (WE) Not Selected

IIM Shillong PhD Not Selected

IIM Shillong PhDWP Not Selected

IIM Sirmaur MBA Not Selected

IIM Sirmaur MBA (T&HM) Not Selected

IIM Sirmaur ExMBA Not Selected

IIM Sirmaur PhD Not Selected

IIM Tiruchirappalli PGPM Not Selected

IIM Tiruchirappalli PGPM- Not Selected

HR
IIM Tiruchirappalli PGPBM Not Selected

IIM Tiruchirappalli DPM Not Selected

IIM Tiruchirappalli E-DPM Not Selected

IIM Udaipur MBA Not Selected

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 State- Bihar - Patna Preferred Test State- Bihar - Gaya

City 1 City 2
Bihar - Muzaffarpur Preferred Test State- Bihar - Bhagalpur
Preferred Test State-
City 3 City 4
 New Delhi - New Delhi West Bengal - Kolkata
Preferred Test State- Preferred Test State-
City 5 City 6
Payment Details :
Transaction Number 111648054869 Payment mode: Unified Payments

Applicable Registration 2300 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 2022 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 2022
application & scores. I understand that all disputes will be subject to the territorial jurisdiction of city
of Bangalore only.