Personal Details
User ID 9162206
SASWAT MISHRA
Candidate's Name
Date of Birth 19/Aug/1997
Country India
Email ID [email protected]
Mobile Number 7021928493
Other Personal Details
Father's/Husband's/Guardian's JAYANTA MISHRA
Name
PURNIMA MISHRA
Mother Name
Category: General State/Union Territory of Caste/Tribe:
Serial/Entry Number of Caste/Tribe: Gender: Male
Nationality: Indian Other Nationality:
Caste/Tribe Name: Aadhaar Card Number: 770199946140
Do you belong to Persons with Disabilities (PwD) category as per RPwD Act 2016: No
PwD Category:
Do you require wheelchair support at the test centre?: Would you be using a scribe for the Test?:
Communication Address
A7 3/4 MILLENIUM TOWERS SANPADA NAVI MUMBAI
Address Line1
Address Line2
Address Line3
Country: India Pincode: 400705
District: Thane Mobile Number: 7021928493
Town/City: NAVI MUMBAI Alternate Email id:
Emergency Contact Details
Emergency Mobile Number: 9867614085 Relationship with Candidate: DAD
SSC/10th/Equivalent Details
SSC/10th/Equivalent Board Central Board of Secondary Education
Name
Month/Year of Completion: May 2013
Total Marks Obtained 475
(Inclusive of all subjects):
Maximum Marks 500
(Inclusive of all subjects):
Aggregate Percentage (%) : 95
HSC/12th/Equivalent/Diploma Course Details
Course Type HSC
HSC Board Name Central Board of Secondary Education
HSC Other Board Name
Month/Year of Completion: May 2015
Total Marks Obtained
441
(Inclusive of all subjects):
Duration of Diploma Course (In Year): HSC Discipline: Science
HSC Other Discipline
Month/Year of Course Commencement:
Maximum Marks (Inclusive of all subjects): 500
Aggregate Percentage (%): 88.2
Bachelor's Degree Details
Are you in the final year of Bachelor's Degree?: Yes
Have you completed Bachelor's Degree?:
Current Semester: Semester-7
Deemed University
Type of University/Institution
Total Duration of Degree: 4 Year
Aggregate Marks (%): 85.7
Punjab
State/Union Territory of
University
Thapar Institute of Engineering and Technology
University/Institute Name
Thapar Institute of Engineering and Technology
Name of College/Institution
Degree Name BTECH
Engineering/Technology
Discipline
Month/Year of Course
Commencement July 2016
Probablw Month/Year OR
Month/Year of Completion May 2020
Does the 'Other Discipline' closely relate to 'Engineering/Technology'?:
Second Bachelor's Degree Details
Are you in the final year of Bachelor's Degree?:
:
Have you Completed Bachelor's Degree:?
Current Semester
Total Duration of Degree:
Aggregate Marks (%):
Type of University/Institution
State/Union Territory of
University/Institute Name
Name of College/Institution
Degree Name
Discipline
Does the 'Other Discipline' closely relate to 'Engineering/Technology'?:
Month/Year of Course Commencement:
Probable Month/Year OR Month/Year of Completion:
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: Aggregate Marks (%):
Type of University/Institution
State/Union Territory of
University
University/Institute Name
Name of College/Institution
Degree Name
Discipline
Month/Year of Course
Commencement:
Probable Month/Year OR
Month/Year of Completion
Does the 'Other Discipline' closely relate to 'Engineering/Technology'?:
Other Professional Degree Details
Have you completed any professional degree such as CA/CS/ICWA?: No
Degree Degree Completion Status
CA
ICWA
CS
Name Of Professional Degree
Professional Inter Marks (%): Professional Final Marks (%):
Month/Year of Course Commencement: Month/Year of Completion:
Work Experience
Industry Type Start Date End Date Break in Experiance Work Experience
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 months as on July 31 2018):
Programmes
Programme Names Interview City Selected/Not
Selected
IIM Ahmedabad PGP Delhi
IIM Ahmedabad PGP Mumbai Selected
IIM Ahmedabad PGP-FABM Delhi Selected
IIM Ahmedabad PGP-FABM Bangalore Selected
IIM Ahmedabad ePGP Delhi Selected
IIM Ahmedabad ePGP Mumbai Selected
IIM Ahmedabad PhD Ahmedabad Selected
IIM Amritsar PGP Mumbai Selected
IIM Amritsar PGP Mumbai Selected
IIM Bangalore PGP Bangalore Selected
IIM Bangalore PGP Mumbai Selected
IIM Bangalore FPM Bangalore Selected
IIM Bangalore PGPEM Bangalore Selected
IIM Bangalore PGPPM Bangalore Selected
IIM Bangalore PGPPM Delhi Selected
IIM Bangalore PGPBA Delhi Selected
IIM Bangalore PGPBA Mumbai Selected
IIM Bodh Gaya PGP Delhi Selected
IIM Bodh Gaya PGP Mumbai Selected
IIM Bodh Gaya PhD (FPM) Bodh Gaya Selected
IIM Calcutta MBA Delhi Selected
IIM Calcutta MBA Mumbai Selected
IIM Calcutta Doctoral Kolkata Selected
IIM Indore PGP Delhi Selected
IIM Indore PGP Mumbai Selected
IIM Indore PGP-HRM Delhi Selected
IIM Indore PGP-HRM Mumbai Selected
IIM Indore FPM Indore Selected
IIM Jammu PGP Delhi (NCR) Selected
IIM Jammu PGP Selected
Bangalore
IIM Jammu PhD
Jammu Selected
IIM Kashipur EPGP Kashipur Selected
IIM Kashipur EPGP
Dehradun Selected
IIM Kashipur FPM
Kashipur Selected
IIM Kashipur EFPM Selected
Kashipur
IIM Kashipur PGP Delhi Selected
IIM Kashipur PGP Bangalore Selected
IIM Kozhikode PGP Selected
Delhi
IIM Kozhikode PGP
Mumbai Selected
IIM Kozhikode EPGP IL Delhi Selected
IIM Kozhikode EPGP IL Mumbai Selected
IIM Kozhikode EPGP Kochi Campus Kozhikode Selected
IIM Kozhikode EPGP Kochi Campus Kochi Selected
IIM Kozhikode FPM Kozhikode Selected
IIM Lucknow PGP Delhi (NCR) Selected
Mumbai Selected
IIM Lucknow PGP
IIM Lucknow PGP-ABM Delhi (NCR)
Selected
IIM Lucknow PGP-ABM Mumbai Selected
IM Lucknow PGP-SM Delhi (NCR) Selected
IIM Lucknow PGP-SM Kolkata Selected
IIM Nagpur PGP Delhi Selected
IIM Nagpur PGP Mumbai Selected
IIM Raipur PGP Delhi Selected
IIM Raipur PGP Bangalore Selected
IIM Raipur FPM Raipur Selected
Raipur Selected
IIIM Raipur EFPM
IIM Ranchi PGP Delhi Selected
IIM Ranchi PGP Bangalore Selected
IIM Ranchi PGP-HRM Delhi Selected
IIM Ranchi PGP-HRM Mumbai Selected
IIM Ranchi PhD Ranchi Selected
IIM Ranchi EPhD Ranchi Selected
Selected
IIM Rohtak PGP Delhi
Bangalore Selected
IIM Rohtak PGP
IIM Rohtak EPGP Chandigarh Selected
IIM Rohtak EPGP Delhi Selected
IIM Rohtak EPGPX Rohtak Selected
IIM Rohtak FPM Rohtak Selected
IIM Sambalpur MBA Delhi Selected
IIM Sambalpur MBA Mumbai Selected
IIM Sambalpur PhD Delhi Selected
IIM Sambalpur PhD Mumbai Selected
RGIIM Shillong PGP Delhi Selected
RGIIM Shillong PGP Mumbai Selected
RGIIM Shillong PGPEX Delhi Selected
RGIIM Shillong PGPEX Bangalore Selected
RGIIM Shillong FPM Shillong Selected
IIM Sirmaur MBA Delhi (NCR) Selected
IIM Sirmaur MBA Mumbai Selected
IIM Sirmaur PhD Delhi Selected
IIM Sirmaur PhD Sirmaur Selected
IIM Tiruchirappalli PGPM Delhi Selected
IIM Tiruchirappalli PGPM Bangalore Selected
IIM Tiruchirappalli PGPBM Chennai Selected
IIM Tiruchirappalli FPM Trichy Selected
IIM Tiruchirappalli PGP-HR Delhi Selected
IIM Tiruchirappalli PGP-HR Mumbai Selected
IIM Udaipur MBA Delhi Selected
IIM Udaipur MBA Bangalore Selected
IIM Udaipur PhD Udaipur Selected
IIM Visakhapatnam PGP Delhi Selected
IIM Visakhapatnam PGP Mumbai Selected
IIM Visakhapatnam PGPEX Visakhapatnam Selected
IIM Visakhapatnam PhD Visakhapatnam Selected
Payment Details
Preferred Test City 1:
Patiala Preferred Test City 2: Chandigarh
Preferred Test City 3: Navi Mumbai Preferred Test City 4: Mumbai
Payment Details
Payment Mode: online Amount: 1900
Payment Status: S Payment Transaction Number: QUR27981089259
Order ID: 916220620190914230453673
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 2019 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 2019
application & scores. I understand that all disputes will be subject to the territorial jurisdiction of city of Kozhikode only.