Common Management Admission Test

CMAT 2021
Confirmation Page

Application No. 210110028350 -

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Personal Details
Candidate's Name VEDANT PANDYA Date of Birth 21-12-2000
Mother's Name SHILPA PANDYA Category General
Father's Name MEHUL PANDYA Gender Male
If you are a PwD Candidate, do you have No Nationality Indian
benchmark disability (40% or more /
“Severe” where percentage is not defined)
?
State/ UT of Residence RAJASTHAN Are You Diabetic? NO

Applied For
Applied For CMAT State/Exam City 1st Choice GUJARAT - AHMEDABAD/GANDHINAGAR
State/Exam City 2nd Choice GUJARAT - VADODARA State/Exam City 3rd Choice GUJARAT - ANAND
State/Exam City 4th Choice RAJASTHAN - Udaipur

Present Address
Address NEAR BUS STAND Locality DHAMBOLA
City/Town/Village DHAMBOLA Country India
State /UT RAJASTHAN District DUNGAPUR
Pin Code 314001 Email Address ved************@gmail.com
Mobile Number 875****552 Alternate Mobile 8107961950
Number

Fee Payment Details

Payment Mode: Pay through HDFC Bank Transaction ID: 12056668051
Exam Fee: 2000 /- Date of Transaction: 13/01/2021 08:47:00
Fee Submitted On: 13/01/2021
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 the Information Bulletin for CMAT -
2021 and understood the procedures. I shall abide by the terms and conditions thereon.

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