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User Id:: Street No. 14 Ashok Nagar

The document contains personal details, academic qualifications, and work experience of a candidate named Arpit Agarwal who is applying to various IIM programs including PGP programs at IIM Ahmedabad, Bangalore, Calcutta, Indore, Lucknow, and Udaipur as well as FPM programs. It lists his educational background of SSC from CBSE in 2008, HSC from CBSE in 2010, and B.Tech in Information Technology from Jaipur Engineering College and Research Centre Jaipur completed in 2015. The candidate has no work experience and is seeking admission to the above IIM programs.

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Pratibha Sharma
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60 views5 pages

User Id:: Street No. 14 Ashok Nagar

The document contains personal details, academic qualifications, and work experience of a candidate named Arpit Agarwal who is applying to various IIM programs including PGP programs at IIM Ahmedabad, Bangalore, Calcutta, Indore, Lucknow, and Udaipur as well as FPM programs. It lists his educational background of SSC from CBSE in 2008, HSC from CBSE in 2010, and B.Tech in Information Technology from Jaipur Engineering College and Research Centre Jaipur completed in 2015. The candidate has no work experience and is seeking admission to the above IIM programs.

Uploaded by

Pratibha Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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User Id:

5114279

CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.

Personal Details
Name of Candidate:

ARPIT AGARWAL

Father's/Husband's/Guardian's
Name :

Trilok Chand Agarwal

Mother's Name:

Sunita Rani Agarwal

Date of Birth:

19/Apr/1992

Candidate Gender:

Category:

General

State/Union Territory of
Caste/Tribe:

Serial Number of caste/Tribe:

Male

Caste/Tribe Name:

Nationality:

Indian

Other Nationality:

Person with Disability/Differently


Abled (PWD/DA):

No

PWD/DA Category:
Do you require wheelchair
support at the test centre?:

Disability Percentage:

Communication Address
Street No. 14
Address :

Ashok Nagar
Narishala Road

State/Union Territory:

RAJASTHAN

Other State/Union Territory:

Country:

India

Other Country:

City:

Ajmer

Pin Code:

Other Town/City :
Mobile Number:

305001

Other City With Other Country:


8852951885

Mobile Number (Alternate) :

9460178002

Email Address:

arpitagarwal.it15@jecrc.ac.in

Email Address (Alternate) :

arpitagarwal340@gmail.com

Exam Centre City Preferences


Preferred City 1:

Ajmer

Preferred City 2:

Jaipur

Preferred City 3:

Jodhpur

Preferred City 4

Udaipur

Academics Details
SSC/10th Std/Equivalent Details
Aggregate marks:

78.20

Month/Year of Completion:

May

Total Marks Obtained :

391

Maximum Marks :

500

SSC/10th Std/Equivalent Board


Name

Central Board of Secondary Education

2008

Other Board Name:

HSC/12th/Equivalent/Diploma Course Details


Course Type:

HSC

Aggregate Marks:

77.00

Total Marks Obtained:

385

Maximum Marks:

500

12th/Equivalent Board Name:

Central Board of Secondary Education

Other Board Name:


Duration of Diploma Course:
University/Board/Other Authority
Name:
Discipline:

Mathematics and Science

Month/Year of Course
Commencement:

Other Discipline Name:


Month/Year of Completion: May

2010

Bachelor Degree Details


Are you in the final year of Bachelor Degree?

No

Have you completed Bachelor


Degree?

Total Duration of Degree:

4 Year

Aggregate Marks:

65.13

Yes

Current Semester:

Other Type of University/


Institution:

Type of University/Institution:

State University

State/Union Territory Where


University is Situated:

Rajasthan

University Name:

Rajasthan Technical

Other State/Union
Territory Where University
is Situated:

Other University Name:


Name Of College:

Jaipur Engineering College and Research Centre Jaipur

Degree Name:

B.Tech

Other Degree Name:


Discipline:

Information Technology

Other Discipline Name:


Month/Year of Course
Commencement:

August

2011

Month/Year of Completion: August

2015

Other Professional Degree Details


Are you pursuing or have completed any professional degree, such
as, CA/CS/ICWA?

No

Specify Other Professional


Degree:
Professional Inter Marks:

Professional Final Marks:

Month/Year of Course
Commencement:

Month/Year of Completion:

Master Degree Details


Do you want to enter Master
Degree Details?

No

Master Degree Completion Status:

Duration:

Current Semester:

Aggregate Marks:

Type of University/Institution:

Other Type of
University/Institution:

State/Union Territory of
University:

Other State/Union
Territory of University:

University Name:
Other University Name:
Name of College/Institution:
Degree Name:

Other Degree Name:

Discipline:
Other Discipline Name:
Month/Year of Course
Commencement:

Month/Year of Completion:

Work Experience Details


Automobiles/Auto-ancillaries

Banking/Financial Services

Durables

Engineering/Industrial

Fast Moving Consumer Goods


(FMCG)

Information Technology

Pharmaceuticals/Healthcare

Retail

Telecommunications
Others1 (Work Area)

Others1 (Exp In Month)

Others2 (Work Area)

Others2 (Exp In Month)

Others3 (Work Area)

Others3 (Exp In Month)

Total Work Experience (In Months)

Programme Details

IIM Ahmedabad PGP


(Interview City 1)

Delhi

IIM Ahmedabad PGP


(Interview City 2)

Ahmedabad

IIM Ahmedabad PGP-FABM

Delhi

IIM Ahmedabad FPM

Ahmedabad

IIM Amritsar PGP

Delhi

IIM Bangalore PGP

Delhi

IIM Bangalore PGP EM

Bangalore

IIM Bangalore PGP PM

Delhi

IIM Bangalore FPM

Bangalore

IIM Bodh Gaya PGP

Delhi

IIM Calcutta PGP PGDM

Delhi

IIM Calcutta FPM

Kolkata

IIM Indore PGP

Delhi

Programme IIM Indore PGP


Mumbai

Delhi

IIM Indore EPGP

Delhi

IIM Indore FPM

Indore

IIM Kashipur PGP

Delhi

IIM Kashipur EPGPM

Kashipur

IIM Kashipur EFPM

Kashipur

IIM Kashipur FPM

Kashipur

IIM Kozhikode PGP

Delhi

IIM Kozhikode FPM

Kozhikode

IIM Lucknow PGP

Delhi - NCR

IIM Lucknow PGP ABM

Delhi - NCR

IIM Lucknow PGPSM

Delhi - NCR

IIM Lucknow FPM

Lucknow

IIM Raipur PGP

Delhi

IIM Nagpur PGP


IIM Raipur PGPWE

Raipur

IIM Raipur EFPM

Raipur

IIM Raipur FPM

Raipur

IIM Ranchi PGDM

Delhi

IIM Ranchi PGDHRM

Delhi

IIM Ranchi FPM

Ranchi

IIM Rohtak PGP

Delhi

IIM Rohtak EPGP

Delhi

IIM Rohtak FPM

Rohtak

IIM Sambalpur PGP

Delhi

RGIIM Shillong PGP

Delhi

RGIIM Shillong PGPEX

Guwahati

RGIIM Shillong FPM

Shillong

IIM Sirmaur PGP

Delhi

IIM Tiruchirappalli PGP

Delhi

IIM Tiruchirappalli PGPBM

Chennai

IIM Tiruchirappalli PGPHRM

Chennai

IIM Tiruchirappalli FPM

Trichy

IIM Udaipur PGP

Delhi

IIM Udaipur FPM

Udaipur

IIM Visakhapatnam PGP

Delhi

DECLARATION
I hereby certify that the particulars given by me in this Application Form are true to my knowledge and belief. I certify that I fulfill the CAT
2015 eligibility criteria and undertake to produce original documents whenever necessary and I will not demand any reschedule of exam. I
understand all disputes will be subject to territorial jurisdiction of city of Ahmedabad only.

Images Uploaded by Candidate


Photograph

Signature

Candidate Photograph

Candidate Signature

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