Personal Details:

User ID 24269574

Candidate's Name SOUMYADEEP DEBSARMA

Candidate's First Name SOUMYADEEP

Candidate's Middle Name

Candidate's Last Name DEBSARMA
(Surname)
Date of Birth 03/Nov/2003

Country India

Email ID soumyadeepdebsarma03@gmail.com

Alternate Email ID

Mobile Number 7003120262

Other Personal Details:

GOUTAM DEBSARMA
Father's/Guardian's Name
RINA DEB SARMA
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 :
23/30 TARAFDAR PARA ROAD,SHYMNAGAR PO-AUTHPUR
Address Line 1

Address Line 2
Address Line 3

India
Country : Other Country :
West Bengal Other State/Union
State/Union Territory :
Territory :
North 24 Parganas (Uttar 24 Parganas)
District : Other District :
KOLKATA
Town/City : Pincode : 743128

Emergency Contact Details :

Emergency Mobile Number : 9831964147 Relationship with Candidate : MOTHER

Permanent Address
Is Permanent Address same as correspondence Address? Yes
23/30 TARAFDAR PARA ROAD,SHYMNAGAR PO-AUTHPUR
Address Line 1

Address Line 2

Address Line 3

India
Country : Other Country :

State/Union West Bengal Other State/Union

Territory : Territory :
North 24 Parganas (Uttar 24 Parganas)
District : Other District :
KOLKATA
Town/City : Pincode : 743128

SSC/10th/Equivalent Details :
Central Board of Secondary Education
SSC/10th/Equivalent Board
Name

Other Board Name

Month/Year of Completion : April 2019 Maximum Marks (Inclusive of all subjects): 500

Total Marks Obtained

419 Aggregate Percentage (%) : 83.8
(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
Central Board of Secondary 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 : April 2021

Aggregate Marks or Promotion/Pass

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

Total Marks Obtained (Inclusive of all subjects) : 555 Aggregate Percentage (%) : 92.5

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? Yes

Have you completed Bachelor's Degree?

Total Duration of Degree : 4 Year Current Semester : Semester-7

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

MAULANA ABUL KALAM AZAD UNIVERSITY OF TECHNOLOGY WEST BENGAL

Other University/Institute Name

TECHNO MAIN SALT LAKE SECTOR V

Name of College/Institution

BTECH
Degree Name
:

Other Degree Name

Computer Science
Discipline

Other Discipline Name

Engineering
Graduation Stream

Month/Year of Course Probable Month/Year of

July 2021 June 2025
Commencement : Course Completion :
Marks % awarded by University/Institute : 81.7
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

Kolkata
IIM Ahmedabad PGP Selected
Mumbai

Kolkata
Selected
IIM Ahmedabad PGP- FABM
Mumbai

Ahmedabad
IIM Ahmedabad ePGD-ABA Selected

Ahmedabad
IIM Ahmedabad Doctoral Programme in Selected
Management

Kolkata
Selected
IIM Amritsar MBA
Mumbai

Kolkata
Selected
IIM Amritsar Executive MBA Mumbai

Kolkata
Selected
IIM Amritsar MBA-Business Analytics
Mumbai

Kolkata
IIM Amritsar MBA-Human Resource
Selected
Management
Mumbai

Kolkata
IIM Amritsar M.Sc. In Data Science(MSDSM) Selected
jointly offered with IIT Ropar Mumbai
 Kolkata
IIM Amritsar PhD Selected
Mumbai

Kolkata
Selected
IIM Bangalore PGP Mumbai

Bengaluru
Selected
IIM Bangalore PGPEM

Bengaluru
Selected
IIM Bangalore PGPBA

Bengaluru
IIM Bangalore PhD Selected

Kolkata
IIM Bodh Gaya MBA Selected
Mumbai

Kolkata
IIM Bodh Gaya MBA (Digital Business
Management) Selected
Mumbai

Kolkata
IIM Bodh Gaya MBA (Hospital and Healthcare
Selected
Management)
Mumbai

Bodh Gaya
IIM Bodh Gaya PhD Selected

Kolkata
IIM Calcutta MBA
Selected
Mumbai

Kolkata
IIM Calcutta Doctoral Programme
Selected
(PhD)

Kolkata
IIM Indore PGP Selected
Mumbai

Kolkata
IIM Indore PGP-HRM Selected
Mumbai

Indore
IIM Indore MSDSM Selected

Indore
IIM Indore Doctoral Programme in
Selected
Management

Kolkata
IIM Jammu MBA Selected
Mumbai
 Kolkata
IIM Jammu MBA (Hospital Administration &
Selected
Healthcare Management)
Mumbai

Delhi (NCR)
Selected
IIM Jammu Executive MBA
Chandigarh

Delhi (NCR)
IIM Jammu Ph.D Selected
Chandigarh

Delhi (NCR)
IIM Jammu Ph.D (Working Professionals) Selected
Chandigarh

Kolkata
Selected
IIM Kashipur MBA
Mumbai

Kolkata
IIM Kashipur MBA (Analytics) Selected
Mumbai

Dehradun
IIM Kashipur EMBA Selected
Kashipur

Kashipur
IIM Kashipur EMBAA Selected

Kashipur
IIM Kashipur PhD Selected

Kolkata
Selected
IIM Kozhikode PGP
Mumbai

Kolkata
Selected
IIM Kozhikode PGP-F
Mumbai

Kolkata
Selected
IIM Kozhikode PGP-LSM
Mumbai

IIM Kozhikode Executive Post Graduate

Programme in Management through Interactive Selected Online
Learning (EPGP-IL)

Kolkata
IIM Kozhikode PGP-BL Selected
Mumbai

Thiruvananthapuram

IIM Kozhikode EPGP Kochi Selected

Kochi

Kozhikode
Selected
IIM Kozhikode Ph.D
IIM Kozhikode Fellow Programmes in Selected Online
Management PhD (PT)

Kolkata
IIM Lucknow MBA Selected
Mumbai

Kolkata
IIM Lucknow MBA-ABM Selected
Mumbai

Kolkata
IIM Lucknow MBA-SM Selected
Mumbai

Delhi (NCR)
IIM Lucknow PGPWE Selected

Lucknow
IIM Lucknow PhD Selected

Kolkata
IIM Mumbai MBA Selected
Mumbai

Kolkata
IIM Mumbai MBA OSCM Selected
Mumbai

Kolkata
IIM Mumbai MBA SM Selected
Mumbai

IIM Mumbai Ph.D & Ph.D (Executive) Selected Mumbai

IIM Nagpur MBA Selected Online

IIM Nagpur E-MBA

Selected Online

IIM Nagpur Ph.D. Selected Online

IIM Nagpur E-PhD Selected Online

 Kolkata
IIM Raipur MBA
Selected
Mumbai

Raipur
IIM Raipur PhD Selected

Raipur
IIM Raipur PhD (Practice Track) Selected

Kolkata
IIM Ranchi MBA Selected
Mumbai

Kolkata
IIM Ranchi MBA (Business Analytics) Selected
Mumbai

Kolkata
IIM Ranchi MBA-HRM Selected
Mumbai

Ranchi
IIM Ranchi PhD Selected

Ranchi
IIM Ranchi EPhD Selected

Kolkata

IIM Rohtak PGP Selected

Mumbai

IIM Rohtak PGPX Selected Rohtak

Rohtak
IIM Rohtak EPGDSM Selected

Rohtak
IIM Rohtak PhD Selected

Kolkata
IIM Sambalpur MBA Selected
Mumbai
 Kolkata
IIM Sambalpur Executive MBA Selected
Mumbai

Kolkata
IIM Sambalpur MBA for Working Professional Selected
Mumbai

Kolkata

IIM Sambalpur PhD Selected

Mumbai

Kolkata

IIM Sambalpur Executive PhD Selected

Mumbai

Kolkata
IIM Shillong PGP Selected
Mumbai

Kolkata
Selected
IIM Shillong PGPEX
Mumbai

Online

IIM Shillong PGP (WE) Selected

Kolkata

IIM Shillong Doctoral Program Selected

Mumbai

Online

IIM Shillong Doctoral Program (WP) Selected

Kolkata
Selected
IIM Sirmaur MBA
Mumbai

Kolkata

IIM Sirmaur MBA (Tourism Management) Selected

Mumbai

Kolkata
IIM Sirmaur MBA (Travel, Tourism and Selected
Hospitality) Mumbai
 Kolkata
IIM Sirmaur ExMBA (Digital Transformation & Selected
Analytics) Mumbai

Delhi
Selected
IIM Sirmaur MBA (Family Business)
Jaipur

Sirmaur
Selected
IIM Sirmaur PhD
Jaipur

Sirmaur
Selected
IIM Sirmaur PhD(Executive)
Jaipur

Kolkata
Selected
IIM Tiruchirappalli PGPM (MBA)
Mumbai

Kolkata

IIM Tiruchirappalli PGPM-HR (MBA-HR) Selected

Mumbai

Chennai
IIM Tiruchirappalli PGPBM (MBA for Working Selected
Executives in Chennai)

Trichy

Selected
IIM Tiruchirappalli PhD

Trichy

IIM Tiruchirappalli Executive PhD Selected

Kolkata

IIM Udaipur MBA Selected

Mumbai

Online/Udaipur

IIM Udaipur MBA-DEM (Digital Enterprise Selected

Management)

Online/Udaipur

IIM Udaipur MBA-GSCM (Global Supply Chain Selected

Management)
 Online/Udaipur
Selected
IIM Udaipur Executive MBA (Online)

Udaipur
Selected
IIM Udaipur PhD

Kolkata

IIM Visakhapatnam PGP Selected

Mumbai

Visakhapatnam
IIM Visakhapatnam EMBA Selected

Visakhapatnam
IIM Visakhapatnam PGPMCI Selected

Visakhapatnam
IIM Visakhapatnam PhD Selected

IIM Visakhapatnam Executive PhD Selected Visakhapatnam

Test State-City Preferences:

West Bengal - Kolkata West Bengal - Howrah
Preferred Test State- City 1 : Preferred Test State- City 2 :

West Bengal - Kalyani - Hooghly West Bengal - Burdwan

Preferred Test State- City 3 : Preferred Test State- City 4 :
Maharashtra - Mumbai
Preferred Test State- City 5 :

Payment Details :
Amount : 2500 Payment Mode : online

Payment Status : S Payment Transaction Number : 20916154103

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.