Personal Details:

User ID 24074065

Candidate's Name SUMITH B L ULINA

Candidate's First Name SUMITH

Candidate's Middle Name BL

Candidate's Last Name ULINA
(Surname)
Date of Birth 09/Apr/2002

Country India

Email ID sumithlingadevaru@gmail.com

Alternate Email ID sumithulina@gmail.com

Mobile Number 8147802723

Other Personal Details:

LINGADEVARU B S
Father's/Guardian's Name
BHARATHI K S
Mother's/Guardian's Name

Spouse's Name

Candidate Gender : Male Category : General

Certificate issue date

Nationality : Indian Other Nationality :

State/Union Territory of Category : Serial/Entry Number of the Caste :

Caste/Community Name

Do you belong to Persons with Disabilities (PwD) category as per RPwD Act 2016? No

Is the disability measurable? Percentage of Disability :

PwD UDID Number

PwD Category

Do you require wheelchair support at the test centre?

Would you be using a scribe for the Test?

Communication Address :
Gaviranganatha Medicals, Near Petrol Bunk, Turuvekere road, K.B.Cross, Tumakuru, Karnataka - 572114
Address Line 1

Vinayaka Layout, Tiptur road, Tumakuru, Karnataka - 572114

Address Line 2
Address Line 3

India
Country : Other Country :
Karnataka Other State/Union
State/Union Territory :
Territory :
Tumakuru
District : Other District :
Tiptur
Town/City : Pincode : 572114

Emergency Contact Details :

Emergency Mobile Number : 8310101930 Relationship with Candidate : Father

Permanent Address
Is Permanent Address same as correspondence Address? Yes
Gaviranganatha Medicals, Near Petrol Bunk, Turuvekere road, K.B.Cross, Tumakuru, Karnataka - 572114
Address Line 1

Vinayaka Layout, Tiptur road, Tumakuru, Karnataka - 572114

Address Line 2

Address Line 3

India
Country : Other Country :

State/Union Karnataka Other State/Union

Territory : Territory :
Tumakuru
District : Other District :
Tiptur
Town/City : Pincode : 572114

SSC/10th/Equivalent Details :
Karnataka Secondary Education Examination Board
SSC/10th/Equivalent Board
Name

Other Board Name

Month/Year of Completion : April 2018 Maximum Marks (Inclusive of all subjects): 625

Total Marks Obtained

593 Aggregate Percentage (%) : 94.88
(Inclusive of all subjects) :
I declare that I have not been awarded any marks due to Covid-19 and if this information found to be incorrect, CAT 2024
holds right to cancel my application. :
HSC/12th/Equivalent/Diploma Course Details:
12th/Equivalent
Course Type
Karnataka Board of the Pre-university Education
12th/Equivalent Board Name

12th/Equivalent Other
Board Name
University/Board/
Other Authority Name
Duration of Diploma Course
(In Year)
 Science
Discipline

Other Discipline Name

Month/Year of Course Commencement : Month/Year of Completion : March 2020

Aggregate Marks or Promotion/Pass

Aggregate Marks Maximum Marks (Inclusive of all subjects) : 600
without Marks?

Total Marks Obtained (Inclusive of all subjects) : 511 Aggregate Percentage (%) : 85.17

I declare that I have not been awarded any marks due to Covid-19 and if this information found to be incorrect, CAT 2024
holds right to cancel my application. :

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 :

Deemed University
Type of University/ Other Type of University/
Institution : Institution :
Karnataka
State/Union Territory Other State/Union
of University : Territory of University :
Others
University/Institute Name

REVA University
Other University/Institute Name

REVA University
Name of College/Institution

BTECH
Degree Name
:

Other Degree Name

Engineering/Technology
Discipline

Other Discipline Name

Engineering
Graduation Stream

Month/Year of Course Probable Month/Year of

June 2020 July 2024
Commencement : Course Completion :
Marks % awarded by University/Institute : 84.55
I declare that I have not been awarded any marks due to Covid-19 and if this information found to be incorrect, CAT 2024
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 (for example BCom + LLB or BE + BPharm) :

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 University/Institution

Other Type of
University/Institution

State/Union Territory of
University

Other State/Union Territory of

University

University/Institute Name

Other University/Institute Name

Name of College/ Institution

Degree Name

Other Degree Name

Discipline

Other Discipline Name

Month/Year of Course
Graduation Stream :
Commencement :
Probable Month/Year
Marks % awarded by University/Institute :
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 :

Type of University/ Institution

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

University/Institute Name

Other University/Institute Name

Name of College/ Institution

Degree Name

Other Degree Name

Discipline

Other Discipline Name

Month/Year of Commencement Aggregate Marks (%) :

Aggregate Marks or Promotion/

Probable Month/Year of Completion :
Pass without Marks?
I declare that I have not been awarded any marks due to Covid-19 and if this information found to be incorrect, CAT 2024
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 Marks (%) : Month/Year of Commencement :

Month/Year of Commencement :

Do you want to enter any professional degree details such as CA/CS/ICWA/CMA? No

Degree Completion Status : Degree Completion Status :

Degree Completion Status :

Name of professional degree :

Professional Inter Marks (%) : Professional Final Marks (%) :

Month/Year of Course
Professional Final Aggregate Marks (%) :
Commencement :
Probable Month/Year
Month/Year of Completion :
of Completion :

Work Experience (If any):

Work Experience
Work Experience Work Experience End Gap in work
Industry Type (In days as on 31st
Start Date Date experience
July 2024)
Automobiles/Auto- ancillaries

Banking/Financial Services

Durables

Engineering/Industrial

Fast Moving Consumer

Goods (FMCG)

Information Technology
Pharmaceuticals/Healthcare

Retail

Telecommunications

Others

Others

Others

Total Work Experience (In days as on 31st July 2024)

Total Work Experience (In Month and days as on July 31, 2024)

Programme Name Selected/Not Interview City

IIM Ahmedabad PGP Not Selected

Not Selected
IIM Ahmedabad PGP- FABM

IIM Ahmedabad ePGD-ABA Not Selected

IIM Ahmedabad Doctoral Programme in Not Selected

Management

Not Selected
IIM Amritsar MBA

Not Selected
IIM Amritsar Executive MBA

Not Selected
IIM Amritsar MBA-Business Analytics

IIM Amritsar MBA-Human Resource

Not Selected
Management

IIM Amritsar M.Sc. In Data Science(MSDSM) Not Selected

jointly offered with IIT Ropar
IIM Amritsar PhD Not Selected

Bengaluru
Selected
IIM Bangalore PGP Hyderabad

Not Selected
IIM Bangalore PGPEM

Bengaluru
Selected
IIM Bangalore PGPBA

IIM Bangalore PhD Not Selected

IIM Bodh Gaya MBA Not Selected

IIM Bodh Gaya MBA (Digital Business

Management) Not Selected

IIM Bodh Gaya MBA (Hospital and Healthcare

Not Selected
Management)

IIM Bodh Gaya PhD Not Selected

IIM Calcutta MBA

Not Selected

IIM Calcutta Doctoral Programme

Not Selected
(PhD)

IIM Indore PGP Not Selected

IIM Indore PGP-HRM Not Selected

IIM Indore MSDSM Not Selected

IIM Indore Doctoral Programme in

Not Selected
Management

IIM Jammu MBA Not Selected

IIM Jammu MBA (Hospital Administration &
Not Selected
Healthcare Management)

Not Selected
IIM Jammu Executive MBA

IIM Jammu Ph.D Not Selected

IIM Jammu Ph.D (Working Professionals) Not Selected

Not Selected
IIM Kashipur MBA

IIM Kashipur MBA (Analytics) Not Selected

IIM Kashipur EMBA Not Selected

IIM Kashipur EMBAA Not Selected

IIM Kashipur PhD Not Selected

Not Selected
IIM Kozhikode PGP

Not Selected
IIM Kozhikode PGP-F

Not Selected
IIM Kozhikode PGP-LSM

IIM Kozhikode Executive Post Graduate

Programme in Management through Interactive Not Selected
Learning (EPGP-IL)

IIM Kozhikode PGP-BL Not Selected

IIM Kozhikode EPGP Kochi Not Selected

Not Selected
IIM Kozhikode Ph.D
IIM Kozhikode Fellow Programmes in Not Selected
Management PhD (PT)

IIM Lucknow MBA Not Selected

IIM Lucknow MBA-ABM Not Selected

IIM Lucknow MBA-SM Not Selected

IIM Lucknow PGPWE Not Selected

IIM Lucknow PhD Not Selected

IIM Mumbai MBA Not Selected

IIM Mumbai MBA OSCM Not Selected

IIM Mumbai MBA SM Not Selected

IIM Mumbai Ph.D & Ph.D (Executive) Not Selected

IIM Nagpur MBA Not Selected

IIM Nagpur E-MBA

Not Selected

IIM Nagpur Ph.D. Not Selected

IIM Nagpur E-PhD Not Selected

IIM Raipur MBA
Not Selected

IIM Raipur PhD Not Selected

IIM Raipur PhD (Practice Track) Not Selected

IIM Ranchi MBA Not Selected

IIM Ranchi MBA (Business Analytics) Not Selected

IIM Ranchi MBA-HRM Not Selected

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

IIM Rohtak PGP Not Selected

IIM Rohtak PGPX Not Selected

IIM Rohtak EPGDSM Not Selected

IIM Rohtak PhD Not Selected

IIM Sambalpur MBA Not Selected

IIM Sambalpur Executive MBA Not Selected

IIM Sambalpur MBA for Working Professional Not Selected

IIM Sambalpur PhD Not Selected

IIM Sambalpur Executive PhD Not Selected

IIM Shillong PGP Not Selected

Not Selected
IIM Shillong PGPEX

IIM Shillong PGP (WE) Not Selected

IIM Shillong Doctoral Program Not Selected

IIM Shillong Doctoral Program (WP) Not Selected

Not Selected
IIM Sirmaur MBA

IIM Sirmaur MBA (Tourism Management) Not Selected

IIM Sirmaur MBA (Travel, Tourism and Not Selected

Hospitality)
IIM Sirmaur ExMBA (Digital Transformation & Not Selected
Analytics)

Not Selected
IIM Sirmaur MBA (Family Business)

Not Selected
IIM Sirmaur PhD

Not Selected
IIM Sirmaur PhD(Executive)

Not Selected
IIM Tiruchirappalli PGPM (MBA)

IIM Tiruchirappalli PGPM-HR (MBA-HR) Not Selected

IIM Tiruchirappalli PGPBM (MBA for Working Not Selected

Executives in Chennai)

Not Selected
IIM Tiruchirappalli PhD

IIM Tiruchirappalli Executive PhD Not Selected

IIM Udaipur MBA Not Selected

IIM Udaipur MBA-DEM (Digital Enterprise Not Selected

Management)

IIM Udaipur MBA-GSCM (Global Supply Chain Not Selected

Management)
 Not Selected
IIM Udaipur Executive MBA (Online)

Not Selected
IIM Udaipur PhD

IIM Visakhapatnam PGP Not Selected

IIM Visakhapatnam EMBA Not Selected

IIM Visakhapatnam PGPMCI Not Selected

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam Executive PhD Not Selected

Test State-City Preferences:

Karnataka - Bengaluru Karnataka - Shivamogga(Shimoga)
Preferred Test State- City 1 : Preferred Test State- City 2 :

Karnataka - Mysuru (Mysore) Karnataka - Mangaluru(Mangalore)

Preferred Test State- City 3 : Preferred Test State- City 4 :
Karnataka - Udupi
Preferred Test State- City 5 :

Payment Details :
Amount : 2500 Payment Mode : online

Payment Status : S Payment Transaction Number : 20668055584

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 2024 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 2024 application & scores.
I understand that all disputes will be subject to the territorial jurisdiction of city of Kolkata only.