4223132 (1)
Post on 02-Jun-2018
214 Views
Preview:
TRANSCRIPT
8/10/2019 4223132 (1)
http://slidepdf.com/reader/full/4223132-1 1/5
User Id:
CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.
Personal Details
Name of Candidate:
Father's/Husband's/Guardian's
Name :Mother's Name:
Date of Birth: Candidate Gender:
Categor:!tate/Union "erritor of
Caste/"ribe:
!erial Number of #aste/"ribe: Caste/"ribe Name:
Nationalit: $ther Nationalit:
Person %ith Disabilit/Differentl
&bled P(D/D&):P(D/D& Categor:
Disabilit Per#entage:Do ou re*uire %heel#hair
su++ort at the test #entre,:
Communi#ation &ddress
&ddress :
!tate/Union "erritor: $ther !tate/Union "erritor:
Countr: $ther Countr:
Cit: Pin Code:
Mobile Number: -mail &ddress:
Mobile Number <ernate) : -mail &ddress <ernate) :
-.am Centre Cit Preferen#es
Preferred Cit :
Preferred Cit 0:
Preferred Cit 1:
&#ademi#s Details
!!C/2th !td/-*ui3alent Details
&ggregate mar4s: Month/5ear of Com+letion:
!#hool Name:
!!C/2th !td/-*ui3alent Board
Name
$ther Board Name:
4223132
KUMAR ABHISHEK
JAGDISH KUMAR SHAKUNTALA DEVI
Male
SC Uttar Pradesh
24 CHAMAR
Indian
No
N-353 AASHIANA
NEAR PASI QUILA
Uttar Pradesh
India
226012LUCKNOW
9044512336 kumarabhishek3492@outlook.c
Kanpur
Lucknow
New Delhi
86.80 May 2008
CENTRAL ACADEMY
Central Board of Secondary Education
8/10/2019 4223132 (1)
http://slidepdf.com/reader/full/4223132-1 2/5
H!C/0th/-*ui3alent/Di+loma Course Details
Course "+e: &ggregate Mar4s:
0th/-*ui3alent Board Name:
$ther Board Name:
Uni3ersit/Board/$ther &uthorit
Name:
College/Institute Name:
Dis#i+line: $ther Dis#i+line Name:
Month/5ear of Course
Commen#ement:Month/5ear of Com+letion:
Ba#helor Degree Details
&re ou in the final ear of Ba#helor Degree,
Ha3e ou #om+leted Ba#helor
Degree,"otal Duration of Degree:
Current !emester: &ggregate Mar4s:
"+e of Uni3ersit/Institution:$ther "+e of Uni3ersit/
Institution:
!tate/Union "erritor (here
Uni3ersit is !ituated:
$ther !tate/Union
"erritor (here Uni3ersit
is !ituated:
Uni3ersit Name:
Name of College/Institution:
Degree Name:
$ther Degree Name:
Dis#i+line:
$ther Dis#i+line Name:
Month/5ear of Course
Commen#ement:Month/5ear of Com+letion:
$ther Professional Degree Details
Ha3e ou #om+leted an +rofessional degree su#h as C&/C!/IC(&
%ithout #om+leting Ba#helor's Degree:
!ele#t the Degree:
!+e#if $ther Professional
Degree:
Professional Inter Mar4s: Professional Final Mar4s:
Month/5ear of Course
Commen#ement:Month/5ear of Com+letion:
HSC 87.80
Central Board of Secondary Education
CENTRAL ACADEMY
Mathematics and Science
2010May
Yes
4 Year
Semester-7 71.11
State University
Uttar Pradesh
UTTAR PRADESH TECHNICAL UNIVERSITY
HARCOURT BUTLER TECHNOLOGICAL INSTITUTE
B.Tech
Engineering/Technology
JulyAugust 2011 2015
No
8/10/2019 4223132 (1)
http://slidepdf.com/reader/full/4223132-1 3/5
Master Degree Details
Do ou %ant to enter Master
Degree Details,
Master Degree Com+letion !tatus: Duration:
Current !emester: &ggregate Mar4s:
"+e of Uni3ersit/Institution:$ther "+e of
Uni3ersit/Institution:
!tate/Union "erritor of
Uni3ersit:
$ther !tate/Union
"erritor of Uni3ersit:
Uni3ersit Name:
Name of College/Institution:
Degree Name: $ther Degree Name:
Dis#i+line:
$ther Dis#i+line Name:
Month/5ear of Course
Commen#ement:Month/5ear of Com+letion:
(or4 -.+erien#e Details
&utomobiles/&uto6an#illaries Ban4ing/Finan#ial !er3i#es
Durables -ngineering/Industrial
Fast Mo3ing Consumer Goods
FMCG)Information "e#hnolog
Pharma#euti#als/Health#are 7etail
"ele#ommuni#ations
$thers
$thers0
$thers1
No
8/10/2019 4223132 (1)
http://slidepdf.com/reader/full/4223132-1 4/5
Programme Details
IIM &hmedabad PGP IIM &hmedabad PGP6&BM
IIM &hmedabad FPM IIM Bangalore PGP
IIM Bangalore PGP -M IIM Bangalore PGP PM
IIM Bangalore FPM IIM Cal#utta PGP6PGDM
IIM Cal#utta FPM IIM Indore PGP
IIM Indore PGM Mumbai IIM Indore PGP U&-
IIM Indore -PGP IIM Indore FPM
IIM 8ashi+ur PGP IIM 8ashi+ur -PGP
IIM 8ashi+ur -FPM IIM 8o9hi4ode PGP
IIM 8o9hi4ode FPM IIM u#4no% PGP
IIM u#4no% PGP6&BM IIM u#4no% PGP!M
IIM u#4no% FPM IIM 7ai+ur PGP
IIM 7ai+ur FPM IIM 7ai+ur PGP(-
IIM 7ai+ur -FPM IIM 7an#hi PGDM
IIM 7an#hi FPM IIM 7an#hi PGDH7M
IIM 7ohta4 PGP IIM 7ohta4 FPM
7GIIM !hillong PGP 7GIIM !hillong FPM
7GIIM !hillong PGP6-; IIM "iru#hira++alli PGP
IIM "iru#hira++alli PGPH7M IIM "iru#hira++alli PGPBM
IIM "iru#hira++alli FPM IIM Udai+ur PGP
IIM Udai+ur FPM
&++ling for the Pro+osed Ne% IIMs
IIM in &ndhra Pradesh PGP
IIM in Bihar PGP
IIM in Hima#hal Pradesh PGP
IIM in Maharashtra PGP
IIM in $disha PGP
IIM in Pun<ab PGP
KolkataKolkata
Ahmedabad Kolkata
Ban alore Ban alore
Ban alore Kolkata
Kolkata Kolkata
Kolkata Kolkata
Kolkata Indore
Kolkata Kashi ur
Kashi ur Kolkata
Kozhikode Kolkata
Kolkata Kolkata
Lucknow Kolkata
Rai ur Rai ur
Rai ur Kolkata
Ranchi Kolkata
Kolkata Rohtak
Kolkata Shillon
KolkataGuwahati
Chennai Chennai
Tiruchira alli Kolkata
Udai ur
Yes
Yes
Yes
Yes
Yes
Yes
8/10/2019 4223132 (1)
http://slidepdf.com/reader/full/4223132-1 5/5
D-C&7&"I$N
I hereby certify tht the !rtic"#r$ %i&e' by (e i' thi$ A!!#icti)' F)r( re tr"e t) (y *')+#e,%e ', be#ief. I certify tht I f"#fi## theCAT -/0 e#i%ibi#ity criteri ', "',ert*e t) !r),"ce )ri%i'# ,)c"(e't$ +he'e&er 'ece$$ry ', I +i## ')t ,e(', 'y re$che,"#e )fe1(. I "',er$t', ## ,i$!"te$ +i## be $"b2ect t) territ)ri# 2"ri$,icti)' )f city )f I',)re )'#y.
Images U+loaded b Candidate
Photogra+h !ignature
top related