Applicant Details

User ID Candidate's Name Candidate's First Na

22037551 SUPORNA GHOSH me
SUPORNA
Candidate's Last Na
me
GHOSH
Date of Birth Country Email ID
05/May/2001 India supornaghosh1@gma
il.com
Alternate Email ID Mobile Number
basabeeghosh@gmai 91
9330383381
l.com

Other Personal Details

Father's/Guardian's Mother's/Guardian's
Name Name
RAJA SIVAJI GHOSH BASABEE GHOSH
Candidate Gender Category Nationality
Female General Indian
Do you belong to Pe First Covid Vaccinati Second Covid Vaccin
rsons with
Disabiliti on Date ation Date
es (PwD) category as 11/06/2021 04/09/2021
per RPwD Act 2016?
No

Communication Address

Address Line 1 Country State/Union Territor

18 JATIN DAS ROAD 2 India y
nd FLOOR West Bengal
District Town/City Pincode
Kolkata KOLKATA 700029

Communication Address

Emergency Mobile N Relationship with Ca

umber ndidate
9831133042 MOTHER

SSC/10th/Equivalent Details

SSC/10th/Equivalent Month/Year of Com Maximum Marks (In

Board
Name pletion clusive of all
subject
Central Board of Seco April
2017 s)
ndary Education 500
Total Marks Obtaine Aggregate Percenta
d (Inclusive of
all su ge (%)
bjects) 95
475
HSC/12th/Equivalent/Diploma Course Details

Course Type 12th/Equivalent Boa Discipline

12th/Equivalent rd Name Science
Central Board of Seco Month/Year of Com
ndary Education pletion
April
2019
Maximum Marks (In Total Marks Obtaine Aggregate Percenta
clusive of all
subject d (Inclusive of
all su ge (%)
s) bjects) 93.2
500 466

Bachelor's Degree Details

Are you in the final Total Duration of De Current Semester

year of Bachelor's D gree Semester-7
egree? 4 Year
Yes
Type of University/I State/Union Territor University/Institute
nstitution y of University Name
NITs West Bengal The Bengal Engineeri
ng & Science Universi
ty
Name of College/Ins Degree Name Discipline
titution BTECH Engineering/Technolo
INDIAN INSTITUTE OF gy
ENGINEERING SCIENC
E AND TECHNOLOGY
SHIBPUR
Graduation Stream Month/Year of Cour Probable Month/Yea
Engineering se Commencement r of Completion
August
2019 June
2023
Aggregate Marks or Aggregate Marks (%) Do you have or are y
Promotion/Pass wit 83.6 ou undergoing dual
hout Marks? or 5 year integrated
Aggregate Marks course?
No

Master's Degree Details

Do you want to ente

r Master's Degree de
tails?
No

Other Professional Degree Details

Are you a Fellow of t

he Institute of Actua
ries of India (FIAI) ?
No
Do you want to ente
r any professional d
egree details such a
s CA/CS/ICWA?
No

Programmes

Programme Names Interview City

 Kolkata
IIM Ahmedabad PGP
Delhi

Kolkata
IIM Bangalore PGP
Delhi

Kolkata
IIM Bangalore PGPBA
Delhi

Kolkata
IIM Calcutta MBA
Delhi

Kolkata
IIM Indore PGP
Delhi

Kolkata
IIM Indore PGP-HRM
Delhi

Kolkata
IIM Kozhikode PGP
Delhi

Kolkata
IIM Kozhikode PGP-F
Delhi

Kolkata
IIM Lucknow PGP
Delhi (NCR)

Test State-City Preferences

Preferred Test State Preferred Test State Preferred Test State

-City 1 -City 2 -City 3
West Bengal - Kolkata New Delhi - New Delh West Bengal - Burdwa
i n
Preferred Test State Preferred Test State Preferred Test State
-City 4 -City 5 -City 6
West Bengal - Durgap West Bengal - Asansol West Bengal - Hooghl
ur y

Payment Details

Amount Payment Mode Payment Status

2300 online S
Payment Transactio
n Number
15683560293

Candidate Documents/Images Upload Details

Photo Signature

Declaration
I have previewed the Application Form by clicking on the Preview Applicatio
n 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 t

rue to the best my knowledge. I certify that I fulfill the CAT 2022 eligibility cri
teria and undertake to produce original documents whenever necessary an
d I will not demand any reschedule of exam. I agree to abide by the declarat
ion of the authorities regarding the eligibility of my application and understa
nd that any misrepresentation or omission of facts in my application may ju
stify cancellation of my CAT 2022 application & scores.

I understand that all disputes will be subject to the territorial jurisdiction of

city of Bangalore only.