Personal Details:

User ID 23009947

Candidate's Name LOVENISH PUROHIT

Candidate's First Name LOVENISH

Candidate's Middle Name

Candidate's Last Name PUROHIT

Date of Birth 29/Sep/2002

Country India

Email ID lovenishpurohit28112002@gmail.com

Alternate Email ID lovenishpurohit88@gmail.com

Mobile No 91 7976221320

Other Personal Details:

Father's/Guardian's Name DHANRAJ PUROHIT

Mother's/Guardian's Name MAMTA DEVI

Spouse's Name

Candidate Gender Male Category EWS

Nationality Indian Other Nationality

State/Union Territory of Uttarakhand Serial/Entry

Category Number of the
Caste
Caste/Tribe Name General

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 Second Covid
Date Vaccination Date
Communication Address :
Address Line1 Prakash Pipes Limited

Address Line2 5 Km From kashipur

Address Line3 Uttarakhand , India

Country India Other Country

State/Union Uttarakhand Other State/Union
Territory Territory
District Udham Singh Nagar Other District
Town/City Kashipur Pincode 244713

Emergency Contact Details :

Emergency 9837042872 Relationship with Mother
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education

Other Board Name

Month/Year of Completion May 2018

Maximum Marks (Inclusive of all subjects): 600

Total Marks Obtained 397 Aggregate 66.17

(Inclusive of all subjects) Percentage (%)
HSC/12th/Equivalent/Diploma Course Details:
Course Type 12th/Equivalent

University/Board/Other Authority
Name
12th/Equivalent Board Name Central Board of Secondary Education

12th/Equivalent Other Board

Name
Duration of Diploma Course (In
Year)
Discipline Commerce

12th/Equivalent Other Discipline Month/Year of Course

Commencement

Month/Year of Completion June 2020 Aggregate Marks or Aggregate Marks

Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 491
subjects) 600 (Inclusive of all subjects)

Aggregate Percentage (%) 81.83

I declare that I have not been awarded

any marks due to Covid-19 and if this
information found to be incorrect,
CAT 2023 holds right to cancel my
application.
First Bachelor's Degree Details:
Are you in the final year of Bachelor's Degree? Yes

Have you completed Bachelor's Degree?

Total Duration of Degree 3 Year Current Semester Semester-6

Type of Private University Other Type of

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

University/Institute Name Kumaun Other University/Institute

Name
Name of College/Institution Shri Ram Institute of Degree Name BCOM
Management And
Technology
Other Degree Name Discipline Accountancy

Graduation Stream Non Engineering

Other Discipline Name

Month/Year of Course July 2020 Probable Month/Year of September 2023

Commencement Course Completion

Aggregate Marks or Promotion/Pass without Marks?
Aggregate Marks (%) 67.36

I declare that I have not been awarded any marks due to Covid-19 and if this
information found to be incorrect, CAT 2023 holds right to cancel my application.

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 College/ Degree Name

Institution

Other Degree Name Discipline

Other Discipline Name

 Graduation Stream: Month/Year of Course
Commencement
Probable Month/Year Aggregate Marks or
of Completion: Promotion/Pass without
Marks?
Aggregate Marks (%)

I declare that I have not been awarded any marks due to Covid-19 and if this
information found to be incorrect, CAT 2023 holds right to cancel my application.
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 Name of College/

University/ Institution
Institute Name
Degree Name Other Degree Name

Discipline

Other Discipline Name Month/Year of

Commencement
Probable Month/Year of Completion Aggregate Marks or
Promotion/Pass without
Marks?
Aggregate Marks (%)
I declare that I have not been awarded any marks due to Covid-19 and if this information found
to be incorrect, CAT 2023 holds right to cancel my application.
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 2023)
Automobiles/Auto-
ancillaries

Banking/Financial Services

Durables

Engineering/Industrial

Fast Moving Consumer

Goods (FMCG)

Information Technology

Pharmaceuticals/Healthcare

Retail

Telecommunications

Others

0
Total Work Experience (In days as on 31st July 2023)
Total Work Experience(In Month and days as on July 31, 2023) 00 Month(s) 00 Day(s)

Programmes:
Programme Name Selected/Not Interview City
Delhi
Selected
IIM Ahmedabad PGP
Ahmedabad

Delhi
IIM Ahmedabad PGP- Selected
FABM Bengaluru
IIM Ahmedabad ePGD-ABA Not Selected

IIM Ahmedabad Doctoral Not Selected

Programme in Management
Delhi
Selected
IIM Amritsar MBA
Bengaluru

IIM Amritsar PhD Not Selected

Delhi
IIM Amritsar Executive Selected

MBA Bengaluru

Delhi
IIM Amritsar Selected
MBA-Business Analytics Bengaluru

Bengaluru
IIM Amritsar MBA-Human Selected
Delhi
Resource Management

IIM Amritsar M.Sc. In Data

Not Selected
Science(MSDSM) jointly
offered with IIT Ropar

Delhi
IIM Bangalore PGP Selected
Mumbai

IIM Bangalore PGPEM Selected Bengaluru

Not Selected
IIM Bangalore PhD
Bengaluru

IIM Bangalore PGPBA Selected

Delhi

Delhi
Selected
IIM Bodh Gaya MBA
Bengaluru

IIM Bodh Gaya PhD Not Selected

Delhi
IIM Bodh Gaya MBA (Digital Selected
Business Management) Bengaluru

IIM Bodh Gaya MBA (Hospital Delhi

Selected
and Healthcare Management) Chennai

Delhi
Selected
IIM Calcutta MBA
Bengaluru

IIM Calcutta Doctoral Programme Not Selected

(PhD)
Selected Delhi
IIM Indore PGP
Indore
Delhi
IIM Indore PGP-HRM Selected
Indore
 IIM Indore MSDSM Selected Indore

IIM Indore FPM Selected Indore

Delhi (NCR)
IIM Jammu MBA Selected
Jammu

IIM Jammu PhD Not Selected

IIM Jammu MBA(Hospital Delhi (NCR)

Selected
Administration & Healthcare
Management) Jammu

IIM Jammu Ph.D(Working Not Selected

Professionals)

Delhi (NCR)
Selected
IIM Jammu Executive MBA
Jammu

Delhi
Selected
IIM Kashipur MBA Bengaluru

Selected Kashipur
IIM Kashipur EMBA
Dehradun

IIM Kashipur EMBAA Selected Kashipur

IIM Kashipur PhD Not Selected

IIM Kashipur MBA Selected Kashipur

(Analytics) Delhi

Selected Delhi
IIM Kozhikode PGP
Kozhikode

Selected Kozhikode
IIM Kozhikode PGP-F
Delhi
Delhi
IIM Kozhikode PGP-LSM Selected
Kozhikode
Delhi
IIM Kozhikode PGP-BL Selected
Kozhikode

Selected Kozhikode
IIM Kozhikode EPGP Kochi
Kochi
Not Selected
IIM Kozhikode PhD
IIM Kozhikode Fellow
Programmes in Management
Not Selected

PhD (PT)
IIM Kozhikode Executive Post
Graduate Programme in Selected Online
Management through Interactive
Learning (EPGP-IL)
Lucknow
IIM Lucknow MBA Selected
Delhi (NCR)
Lucknow
IIM Lucknow MBA-ABM Selected
Delhi (NCR)

IIM Lucknow PGPWE Selected Delhi (NCR)

Lucknow
IIM Lucknow MBA-SM
Selected
Delhi (NCR)
 IIM Lucknow PhD Not Selected

Lucknow
Selected
IIM Lucknow MBA-EandI Delhi (NCR)
Selected Nagpur
IIM Nagpur MBA
Delhi

IIM Nagpur MBA Selected Nagpur

(Executive) Pune

IIM Nagpur PhD Selected Nagpur

(Executive)
IIM Nagpur PhD Not Selected

Delhi
IIM Raipur PGP Selected
Bengaluru

IIM Raipur FPM/PhD Selected Raipur

IIM Raipur EFPM Selected Raipur

Selected Delhi
IIM Ranchi MBA
Bengaluru

IIM Ranchi MBA Selected Delhi

(Business Analytics) Bengaluru

Delhi
IIM Ranchi MBA-HRM Selected
Ranchi

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

Selected Delhi
IIM Rohtak PGP
Bengaluru

IIM Rohtak PGPX Selected Rohtak

Selected Rohtak
IIM Rohtak EPGDSM
IIM Rohtak PhD Not Selected
Delhi
IIM Sambalpur MBA Selected
Bengaluru

IIM Sambalpur Executive Selected Delhi

MBA Bengaluru

IIM Sambalpur PhD Selected

IIM Sambalpur Executive Selected Delhi

PhD
Delhi
IIM Sambalpur MBA for Selected
Working Professional Bengaluru

Delhi
Selected
IIM Shillong PGP
Bengaluru

Selected Delhi
IIM Shillong PGPEX Bengaluru

IIM Shillong PGP (WE) Selected Online

 Delhi
IIM Shillong Doctoral Program Selected
Bengaluru

IIM Shillong Doctoral Not Selected

Program (WP)
Selected Delhi (NCR)
IIM Sirmaur MBA
Bengaluru

IIM SirmaurMBA (Tourism Selected

Delhi
Management) Bengaluru

IIM Sirmaur ExMBA Selected Sirmaur

IIM Sirmaur PhD Not Selected

IIM Sirmaur PhD(Executive) Not Selected

Delhi
IIM Tiruchirappalli PGPM Selected
Bengaluru

IIM Tiruchirappalli PGPM- Selected Delhi

HR Bengaluru

IIM Tiruchirappalli PhD

Not Selected

IIM Tiruchirappalli Executive Selected Trichy

PhD
Delhi
IIM Udaipur MBA Selected
Bengaluru

IIM Udaipur MBA-DEM Selected Udaipur

IIM Udaipur MBA-GSCM Selected Udaipur

IIM Udaipur PGDBAWE Selected Udaipur

IIM Udaipur PhD Not Selected

Selected Delhi
IIM Visakhapatnam PGP
Bengaluru

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam EMBA Selected Visakhapatnam

IIM Visakhapatnam Selected Visakhapatnam

PGPDGM
Test State-City Preferences:
Uttar Pradesh - Moradabad Uttarakhand - Haldwani
Preferred Test State- Preferred Test State-
City 1 City 2

Preferred Test State-

New Delhi - New Delhi Preferred Test State- Uttarakhand - Roorkee

City 3 City 4

Preferred Test State-

Uttar Pradesh - Bareilly
Preferred Test State- Uttar Pradesh - Muzaffarnagar

City 5 City 6
Payment Details :
Transaction Number ZIC51387370368 Payment Mode online

Applicable Registration 2400 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 2023 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 2023 application & scores. I understand that all disputes will be subject
to the territorial jurisdiction of city of Lucknow only.