Personal Details:

User ID 22071182

Candidate's Name MAHAJAN GAURAV JAGANNATH

Candidate's First Name GAURAV

Candidate's Middle Name JAGANNATH

Candidate's Last Name MAHAJAN

Date of Birth 27/Sep/1993

Country India
Email ID grvmahjn@gmail.com

Alternate Email ID
Mobile No 91 8788281482

Other Personal Details:

Father's/Guardian's Name JAGANNATH MAHAJAN

Mother's/Guardian's Name PRATIBHA MAHAJAN

Spouse's Name

Candidate Gender Male Category General

Country Indian Other Country

State/Union Territory of Serial/Entry

Category Number of the
Caste
Caste/Tribe Name
Do you belong to Persons No Is the disability
with Disabilities (PwD) measurable?
category as per RPwD Act
2016?
Percentage of Disability PwD UDID
Number

PwD Category

Do you require wheelchair Would you be

support at the test centre? using a scribe for
the Test?
First Covid Vaccination 25/05/2021 Second Covid 18/08/2021
Date Vaccination Date
Communication Address :
Address Line1 D2, 303

Address Line2 Zirconium Complex Township

Address Line3 Pazhayakayal

Country India Other Country

State/Union Tamil Nadu State/Union
Territory Territory
District Thoothukudi Other District
Town/City Tuticorin Pincode 628152

Communication Address :
Emergency 9423705731 Relationship with Father
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Maharashtra State Board of Secondary and Higher Secondary Education

Other Board Name

Month/Year of Completion June / 2009

Maximum Marks 650

Total Marks Obtained 580 Aggregate 89.23

Percentage (%)
HSC/12th/Equivalent/Diploma Course Details:
Course Type 12th/Equivalent

University/Board/Other Authority
Name
12th/Equivalent Board Name Maharashtra State Board of Secondary and Higher Secondary Education

12th/Equivalent Other Board

Name
Duration of Diploma Course (In
Year)
Discipline Science

12th/Equivalent Other Discipline Month/Year of Course

Commencement /

Month/Year of Completion Aggregate Marks or

May / 2011
Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 462
subjects) 600 (Inclusive of all
subjects)
Aggregate Percentage (%) 77.00

First Bachelor's Degree Details:

Are you in the final year of Bachelor's Degree? No

Have you completed Bachelor's Degree? Yes

Total Duration of Degree 4 Year Current Semester

Type of IITs Other Type of
University/Institution University/Institution
State/Union Territory of Punjab Other State/Union Territory
University of University

University/Institute Name Indian Institute of Other University/Institute

Technology Ropar
Name
Name of College/Institution IIT Ropar Degree Name BTECH

Other Degree Name Discipline Engineering/Technology

Graduation Stream Engineering Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name

Month/Year of Course August / 2011 Probable Month/Year of August / 2015

Commencement Course Completion
Aggregate Marks or Promotion/Pass without Marks?
Aggregate Marks (%) 63.3

Do you have or are you undergoing dual or 5 year integrated course? No

I have more than one Bachelor's Degree

Second Bachelor's Degree Details:

Are you in the final year of Bachelor's Degree?
Have you completed Bachelor's Degree?
Total Duration of Degree Current Semester

Type of Other Type of

University/Institution University/Institution
State/Union Territory of Other State/Union Territory
University of University

University/Institute Other University/Institute

Name Name

Name of Degree Name

College/Institution

Other Degree Name Discipline

Graduation Stream Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of Course /
Commencement
Month/Year of Aggregate Marks or
/
Completion Promotion/Pass without
Marks?
Aggregate Marks (%)
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 Type of University/

Institution

Other Type of University/Institution State/Union Territory of

University

Other State/Union Territory University/Institute Name

of University

Other University/ Name of College/

Institute Name Institution

Degree Name Other Degree Name

Discipline Does the 'Other Discipline'

closely relate to
'Engineering/Technology'?
Other Discipline Name Month/Year of /
Commencement
Probable Month/Year of Completion Aggregate Marks or
/
Promotion/Pass without
Marks?
Aggregate Marks (%)
Other Professional Degree Details:
Are you a Fellow of the Institute of Actuaries of India (FIAI) ? No
FIAI Final Aggregate Month/Year of /
Marks (%) Commencement
Month/Year of Do you want to enter any No
Completion / professional degree details
such as CA/CS/ICWA?
Degree Completion Degree Completion Status
Status
Degree Completion Specify Other Professional
Status Degree

Professional Inter Professional Final Marks

Marks (%) (%)
Professional Final Aggregate Marks Month/Year of Course /
(%) Commencement
Month/Year of / Probable Month/Year of /
Completion Completion
Work Experience (If any):
Industry Type Work Experience Work Experience Gap in work Work Experience
Start Date End Date experience (In days as on 31st
July 2022)
Automobiles/Auto-
ancillaries
Banking/Financial Services

Durables

Engineering/Industrial 01/08/2017 31/07/2022 0 1826

Fast Moving Consumer

Goods (FMCG)

Information Technology

Pharmaceuticals/Healthcare

Retail

Telecommunications

Others

Total Work Experience (In days as on 31st July 2022) 1826

Programmes:

Programme Name Selected/Not Interview City

IIM Ahmedabad PGP Selected
Hyderabad

Bengaluru

IIM Ahmedabad PGP- Hyderabad

Selected
FABM
Bengaluru

IIM Ahmedabad ePGD-ABA Selected Interviews will be organized only

through virtual mode

IIM Ahmedabad PhD Not Selected

Bengaluru
Selected
IIM Amritsar MBA
Mumbai

Not Selected
IIM Amritsar PhD
 IIM Amritsar EMBA Selected Bengaluru

Mumbai

Bengaluru
IIM Amritsar Selected
MBA-Business Analytics Mumbai

Not Selected
IIM Amritsar MBA-HRM

Hyderabad
Selected
IIM Bangalore PGP Bengaluru

IIM Bangalore PGPEM Selected Bengaluru

IIM Bangalore PhD Not Selected

Hyderabad
Selected
IIM Bangalore PGPBA Bengaluru

Chennai
Selected
IIM Bodh Gaya PGP
Bengaluru

IIM Bodh Gaya PhD (FPM) Not Selected

Hyderabad
Selected
IIM Calcutta MBA Bengaluru

IIM Calcutta PhD Not Selected

IIM Indore PGP Selected Chennai

Hyderabad

IIM Indore PGP-HRM Not Selected

IIM Indore MSDSM Not Selected

IIM Indore FPM Not Selected

Bengaluru
IIM Jammu MBA Selected
Delhi (NCR)

IIM Jammu PhD Not Selected

IIM Kashipur MBA Chennai

Selected
Bengaluru

IIM Kashipur EMBA Not Selected

IIM Kashipur EMBAA Not Selected

IIM Kashipur PhD Not Selected

Chennai
IIM Kashipur MBA Selected
(Analytics) Bengaluru

IIM Kozhikode PGP Hyderabad

Selected
Bengaluru

IIM Kozhikode PGP-F Not Selected

IIM Kozhikode PGP-LSM Not Selected

IIM Kozhikode PGP-BL Not Selected

IIM Kozhikode EPGP Kochi Not Selected

IIM Kozhikode PhD Not Selected

IIM Lucknow PGP Hyderabad

Selected
Bengaluru

IIM Lucknow PGP-ABM Not Selected

IIM Lucknow PGPWE Not Selected

IIM Lucknow PGP-SM Not Selected

IIM Lucknow PhD Not Selected

IIM Nagpur MBA Selected Chennai

Bengaluru

IIM Nagpur MBA Selected Pune

(Executive) Nagpur
Not Selected
IIM Nagpur PhD
(Executive)
IIM Nagpur PhD Not Selected

IIM Raipur PGP Not Selected

IIM Raipur FPM/PhD Not Selected

IIM Raipur EFPM Not Selected

IIM Ranchi PGP Selected Chennai

Bengaluru

IIM Ranchi PGP (Business Selected Chennai

Analytics) Bengaluru

IIM Ranchi PGP-HRM Not Selected

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

IIM Rohtak PGP Selected Chennai

Hyderabad

IIM Rohtak EPGDSM Not Selected

IIM Rohtak PhD Not Selected

IIM Sambalpur MBA Chennai

Selected
Hyderabad

IIM Sambalpur Executive Selected Chennai

MBA Hyderabad

IIM Sambalpur PhD Selected

 IIM Sambalpur Executive Not Selected
PhD
IIM Shillong PGP Hyderabad
Selected
Bengaluru

IIM Shillong PGPEX Selected Bengaluru

Mumbai

IIM Shillong MBA (WE) Not Selected

IIM Shillong PhD Not Selected

IIM Shillong PhDWP Not Selected

IIM Sirmaur MBA Selected Chennai

Bengaluru

IIM Sirmaur MBA (T&HM) Not Selected

IIM Sirmaur ExMBA Selected Sirmaur

IIM Sirmaur PhD Not Selected

Chennai
IIM Tiruchirappalli PGPM Selected
Bengaluru

IIM Tiruchirappalli PGPM- Not Selected

HR
IIM Tiruchirappalli PGPBM Selected Chennai

IIM Tiruchirappalli DPM Not Selected

IIM Tiruchirappalli E-DPM Not Selected

Chennai
IIM Udaipur MBA Selected
Bengaluru

IIM Udaipur MBA-DEM Not Selected

IIM Udaipur MBA-GSCM Not Selected

IIM Udaipur PGDBAWE Not Selected

IIM Udaipur PhD Not Selected

IIM Visakhapatnam PGP Selected Hyderabad

Bengaluru

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam PGPEx Not Selected

IIM Visakhapatnam Selected Visakhapatnam

PGPDGM
Test City Preferences:
Preferred Test State- Telangana - Hyderabad Preferred Test State- Tamil Nadu - Tirunelveli

City 1 City 2
Tamil Nadu - Madurai Preferred Test State- Tamil Nadu - Chennai
Preferred Test State-
City 3 City 4
 Tamil Nadu - Tiruchirappalli Karnataka - Bengaluru
Preferred Test State- Preferred Test State-
City 5 City 6
Payment Details :
Transaction Number 15701494692 Payment mode: online

Applicable Registration 2300 Payment Status S

Fee (Rs)

Declaration:
I have previewed the Application Form by clicking on the Preview Application 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 true to the best my
knowledge. I certify that I fulfill the CAT 2022 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 2022
application & scores. I understand that all disputes will be subject to the territorial jurisdiction of city
of Bangalore only.