Personal Details:

User ID 21049926
Candidate's Name ASHESH DAS

Candidate's Surname or ASHESH

First Name
Date of Birth 07/Nov/2000

Country India

Email ID [email protected]

Mobile No 9975104622

Other Personal Details:

Father's/Guardian's Name LT. ARUP DAS

Mother's/Guardian's Name POMPA DAS

Spouse's Name

Candidate Gender Male Category SC

Nationality Do you require

Indian wheelchair support
at the test centre?
State/Union Territory of Odisha Serial/Entry/Certifi
Category cate Number of 060820160010034
Category
Caste/Tribe Name Patni

PwD Category Would you be

using a scribe for
the Test?

Do you belong to Persons with Disabilities (PwD) category as per RPwD Act 2016? No
Communication Address :
Address Line1 qtr no. C-45, RS colony, HIndalco industry

Address Line2 Hirakud , pin - 768016

Address Line3
Country India Pincode 768016

State/Union Odisha
State
Territory
Town/City hirakud District

Alternate Email District Sambalpur

Address
Emergency Contact Details :
Relationship Mother Emergency Mobile 9435567774
with Candidate Number
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education

Month/Year of Completion May / 2016

Maximum Marks 600

Total Marks Obtained 492 Aggregate 82

Percentage :
HSC/12th/Equivalent/Diploma Course Details:
Course Type HSC

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

Duration of Diploma Course

12th/Equivalent Discipline Arts

Month/Year of Course / Month/Year of March / 2018

Commencement Completion
Maximum Marks 500 Total Marks 337.5

Aggregate Percentage 67.5

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 3 Year Current Semester

Aggregate Marks 82 Discipline Economics

Type of Others Degree Name BA

University/Institution
State/Union Territory of Maharashtra University/Institute Others
University Name

Month/Year of Course (Month/Year of

Commencement June
/
2018
Course Completion) /
June
/ 2021
(Probable Month/Year
of Course Completion)
Do you have or are you undergoing dual or 5 year integrated course? No
Aggregate Marks or Promotion/Pass without Marks?
Name of College/Institution :- Maharashtra Institute of Technology Pune

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 Current Semester
Bachelor's Degree?
Total Duration of Degree Type of
University/Institution
Aggregate Marks (%) State/Union Territory of
University
Aggregate Marks or Promotion/Pass without Marks?
Degree Name University/Institute
Name

Discipline Name of
College/Institution

Month/Year of Course (Month/Year of Course

/
Commencement Completion) /(Probable
/ Month/Year of Course
Completion)
Master's Degree Details:
Do you want to enter No Master's Degree
Master's Degree details? Completion Status

Total Duration of Current Semester

Degree

Aggregate Marks (%) Type of

University/Institution

Degree Name State/Union Territory

of University

Discipline University/Institute
Name

Name of Month/Year of Course /

College/Institution Commencement

(Month/Year of Course Completion) /(Probable Month/Year of Course Completion) /

Aggregate Marks or Promotion/Pass without Marks?
Other Professional Degree Details:
Are you a Fellow of the Institute of Actuaries of India (FIAI) ? No

FIAI Final Aggregate Marks (%)

Month/Year of Course Commencement / Month/Year of Completion /
Have you completed any professional degree such as No
CA/CS/ICWA?
CA Degree Completion Status :
ICWA Degree Completion Status :
CS Degree Completion Status :
Name of professional Professional Inter Marks
degree
Professional Final Marks (%)
Professional Final Month/Year of Course /
Aggregate Marks Commencement
Month/Year of / Probable Month/Year of /
Completion Completion
Work Experience (If any) :
Industry Type Break in Work Experience (In
Start Date End Date days as on July 31, 2021)
Experience
Automobiles/
Auto-ancillaries
Banking/
Financial Servics
Durables
Engineering/
Industrial
Fast Moving
Consumer Goods
(FMCG)
Information
Technology
Pharmaceuticals/
Healthcare
Retail
Telecommunications

Others

Total Work Experience(In days as on July 31, 2021) 0

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

IIM Ahmedabad PGP- Kolkata

FABM Selected
Mumbai

IIM Ahmedabad PhD Not Selected

Kolkata
IIM Amritsar MBA Selected
Mumbai

Not Selected
IIM Amritsar PhD

IIM Amritsar EMBA

Not Selected

Kolkata
IIM Amritsar MBA- Selected
Business Analytics Mumbai

IIM Amritsar MBA-HRM Not Selected

Kolkata
IIM Bangalore PGP Selected
Mumbai

IIM Bangalore PGPEM Not Selected

IIM Bangalore PhD Not Selected

Kolkata
IIM Bangalore PGPBA Selected
Mumbai

IIM Bodh Gaya PGP Not Selected

IIM Bodh Gaya PhD (FPM) Not Selected

Kolkata
IIM Calcutta MBA Selected
Mumbai

IIM Calcutta PhD Not Selected

Kolkata
IIM Indore PGP Selected
Mumbai
 Kolkata
IIM Indore PGP-HRM Selected
Mumbai

IIM Indore FPM Selected Indore

IIM Jammu MBA Not Selected

IIM Jammu PhD Not Selected

IIM Kashipur MBA Not Selected

Not Selected
IIM Kashipur EMBA

IIM Kashipur PhD Not Selected

Kolkata
IIM Kashipur MBA
Selected
(Analytics) Mumbai

Kolkata
IIM Kozhikode PGP Selected
Mumbai

Kolkata
IIM Kozhikode PGP-F Selected
Mumbai

Kolkata
IIM Kozhikode PGP-LSM Selected
Mumbai

IIM Kozhikode PGP-BL Not Selected

IIM Kozhikode EPGP Not Selected

Kochi

IIM Kozhikode PhD Not Selected

IIM Kozhikode PhD (PT) Not Selected

Kolkata
IIM Lucknow PGP Selected
Mumbai

Kolkata
IIM Lucknow PGP-ABM Selected
Mumbai

Kolkata
IIM Lucknow PGP-SM Selected
Mumbai

IIM Lucknow PhD Not Selected

IIM Nagpur PGP

Kolkata
Selected
Mumbai
 IIM Nagpur PhD Not Selected

Kolkata
IIM Raipur PGP Selected
Mumbai

IIM Raipur FPM/PhD Not Selected

IIM Raipur EFPM Selected Raipur

Kolkata
IIM Ranchi PGP Selected
Mumbai

IIM Ranchi PGP (Business

Analytics) Not Selected

IIM Ranchi PGP-HRM Not Selected

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

Kolkata
IIM Rohtak PGP Selected
Mumbai

IIM Rohtak EPGPX Not Selected

IIM Rohtak EPGDSM Not Selected

IIM Rohtak PhD Not Selected

Kolkata
IIM Sambalpur MBA Selected
Mumbai

IIM Sambalpur
Executive MBA Not Selected

IIM Sambalpur PhD Not Selected

IIM Sambalpur Not Selected

Executive PhD
Kolkata
IIM Shillong PGP Selected
Mumbai

IIM Shillong PGPEX Not Selected

IIM Shillong PGPWE Selected Shillong

Guwahati

Not Selected
IIM Shillong PhD
 Not Selected
IIM Shillong PhDWP

Kolkata
IIM Sirmaur MBA Selected
Mumbai

IIM Sirmaur MBA Not Selected

(TandHM)

IIM Sirmaur PhD Not Selected

Kolkata
IIM Tiruchirappalli PGPM Selected
Mumbai

IIM Tiruchirappalli PGPM- Not Selected

HR

IIM Tiruchirappalli PGPBM Selected Chennai

IIM Tiruchirappalli FPM Not Selected

IIM Tiruchirappalli E-FPM Not Selected

IIM Udaipur MBA Not Selected

IIM Udaipur MBA-DEM Not Selected

IIM Udaipur MBA-GSCM Not Selected

IIM Udaipur PGDBAWE Not Selected

IIM Udaipur PhD Not Selected

Kolkata
IIM Visakhapatnam PGP Selected
Mumbai

IIM Visakhapatnam PhD Not Selected

IIM Visakhapatnam PGPEx Not Selected

IIM Visakhapatnam Selected Visakhapatnam

PGPDGM
Test City Preferences:
Preferred Test City 1 Sambalpur Preferred Test City 2 Raipur

Preferred Test City 3 Bhubaneswar Preferred Test City 4 Kolkata

Preferred Test City 5 Pune Preferred Test City 6 Silchar

Payment Details :
Amount 1100 Payment Mode online

Payment Status S Payment Transaction No. 13861896750

Declaration:
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 2021 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 2021 application & scores. I understand that all disputes will be subject to
the territorial jurisdiction of city of Ahmedabad only.