Personal Details
User ID
9027156
Candidate's Name
CHANDAN CHETRI
Date of Birth
05/May/1997
Country
India
Email ID
chandanchetri13@gmail.com
Mobile Number
8011838129
Other Personal Details
Father's/Husband's/Guardian's MOHAN KUMAR CHETRI
Name
MANJU CHETRI
Mother Name
Category:
State/Union Territory of Caste/Tribe:
General
Serial/Entry Number of Caste/Tribe:
Nationality:
Indian
Gender: Male
Other Nationality:
Caste/Tribe Name:
Aadhaar Card Number:
Do you belong to Persons with Disabilities (PwD) category as per RPwD Act 2016:
No
PwD Category:
Do you require wheelchair support at the test centre?:
Would you be using a scribe for the Test?:
Communication Address
House No. 17A, Nizara Path,
Address Line1
Address Line2
Lutuma, P.O. Binovanagar
Address Line3
Country:
India
Pincode:
781018
State:
Assam
Email id:
chandanchetri13@gmail.com
District:
Kamrup
Mobile Number:
8011838129
Town/City:
Guwahati
Alternate Email id: chandanchetri130@yahoo.in
Emergency Contact Details
Emergency Mobile Number:
Relationship with Candidate: Mother
9435199722
SSC/10th/Equivalent Details
SSC/10th/Equivalent Board
Name
Central Board of Secondary Education
Month/Year of Completion:
June
Total Marks Obtained
(Inclusive of all subjects):
Maximum Marks
(Inclusive of all subjects):
494
2013
600
82.33
Aggregate Percentage (%) :
HSC/12th/Equivalent/Diploma Course Details
Course Type
HSC
HSC Board Name
Central Board of Secondary Education
HSC Other Board Name
Month/Year of Completion:
June
Total Marks Obtained
(Inclusive of all subjects):
517
2015
Duration of Diploma Course (In Year):
HSC Discipline: Science
HSC Other Discipline
Month/Year of Course Commencement:
Maximum Marks (Inclusive of all subjects):
600
Aggregate Percentage (%): 86.17
Bachelor's Degree Details
Are you in the final year of Bachelor's Degree?: Yes
Have you completed Bachelor's Degree?:
Current Semester:
Semester-8
Type of University/Institution
State University
Total Duration of Degree:
4 Year
Aggregate Marks (%):
72.13
State/Union Territory of
University
Assam
Dibrugarh
University/Institute Name
Name of College/Institution
Jorhat Engineering College
BE
Degree Name
Engineering/Technology
Discipline
Month/Year of Course
Commencement
Probablw Month/Year OR
Month/Year of Completion
August
June
2016
2020
Does the 'Other Discipline' closely relate to 'Engineering/Technology'?:
Second Bachelor's Degree Details
Are you in the final year of Bachelor's Degree?:
:
Have you Completed Bachelor's Degree:?
Current Semester
Total Duration of Degree:
Aggregate Marks (%):
Type of University/Institution
State/Union Territory of
University/Institute Name
Name of College/Institution
Degree Name
Discipline
Does the 'Other Discipline' closely relate to 'Engineering/Technology'?:
Month/Year of Course Commencement:
Probable Month/Year OR Month/Year 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:
Aggregate Marks (%):
Type of University/Institution
State/Union Territory of
University
University/Institute Name
Name of College/Institution
Degree Name
Discipline
Month/Year of Course
Commencement:
Probable Month/Year OR
Month/Year of Completion
Does the 'Other Discipline' closely relate to 'Engineering/Technology'?:
Other Professional Degree Details
Have you completed any professional degree such as CA/CS/ICWA?:
Degree
CA
ICWA
CS
Name Of Professional Degree
Degree Completion Status
No
Professional Inter Marks (%):
Professional Final Marks (%):
Month/Year of Course Commencement:
Month/Year of Completion:
Work Experience
Industry Type
Start Date
End Date
Break in Experiance
Automobiles/Auto-ancillaries
Banking/Financial Services
Durables
Engineering/Industrial
Fast Moving Consumer Goods
(FMCG)
Information Technology
Pharmaceuticals/Healthcare
Retail
Telecommunications
Others
Total Work Experience (In months as on July 31 2018):
Programmes
Programme Names
Interview City
Selected/Not
IIM Ahmedabad PGP
Kolkata
Selected
IIM Ahmedabad PGP
Delhi
Selected
IIM Ahmedabad PGP-FABM
Kolkata
Selected
IIM Ahmedabad PGP-FABM
Delhi
Selected
IIM Ahmedabad ePGP
Kolkata
Selected
IIM Ahmedabad ePGP
Delhi
Selected
IIM Ahmedabad PhD
Not Selected
IIM Amritsar PGP
Delhi
Selected
IIM Amritsar PGP
Delhi
Selected
IIM Bangalore PGP
Kolkata
Selected
IIM Bangalore PGP
Delhi
Selected
IIM Bangalore FPM
Bangalore
Selected
IIM Bangalore PGPEM
Delhi
Selected
IIM Bangalore PGPPM
Delhi
Selected
IIM Bangalore PGPPM
Bangalore
Selected
Work Experience
IIM Bangalore PGPBA
Kolkata
Selected
IIM Bangalore PGPBA
Delhi
Selected
IIM Bodh Gaya PGP
Kolkata
Selected
IIM Bodh Gaya PGP
Delhi
Selected
IIM Bodh Gaya PhD (FPM)
Bodh Gaya
Selected
IIM Calcutta MBA
Kolkata
Selected
IIM Calcutta MBA
Delhi
Selected
Not Selected
IIM Calcutta Doctoral
IIM Indore PGP
Kolkata
Selected
IIM Indore PGP
Delhi
Selected
IIM Indore PGP-HRM
Kolkata
Selected
IIM Indore PGP-HRM
Delhi
Selected
IIM Indore FPM
Indore
Selected
IIM Jammu PGP
Not Selected
IIM Jammu PGP
Not Selected
IIM Jammu PhD
IIM Kashipur EPGP
IIM Kashipur EPGP
IIM Kashipur FPM
IIM Kashipur EFPM
Not Selected
Dehradun
Selected
Kashipur
Selected
Kashipur
Selected
Kashipur
Selected
IIM Kashipur PGP
Not Selected
IIM Kashipur PGP
Not Selected
IIM Kozhikode PGP
Kolkata
Selected
IIM Kozhikode PGP
Delhi
Selected
IIM Kozhikode EPGP IL
Kolkata
Selected
IIM Kozhikode EPGP IL
Delhi
Selected
IIM Kozhikode EPGP Kochi Campus Kochi
Selected
IIM Kozhikode EPGP Kochi Campus Thiruvananthapuram
Selected
IIM Kozhikode FPM
Kozhikode
Selected
IIM Lucknow PGP
Kolkata
Selected
IIM Lucknow PGP
Delhi (NCR)
Selected
IIM Lucknow PGP-ABM
Kolkata
IIM Lucknow PGP-ABM
Delhi (NCR)
Selected
Selected
IM Lucknow PGP-SM
Kolkata
Selected
IIM Lucknow PGP-SM
Delhi (NCR)
Selected
IIM Nagpur PGP
Kolkata
Selected
IIM Nagpur PGP
Delhi
Selected
IIM Raipur PGP
Kolkata
Selected
IIM Raipur PGP
Delhi
Selected
IIM Raipur FPM
Raipur
Selected
IIIM Raipur EFPM
Raipur
Selected
IIM Ranchi PGP
Kolkata
Selected
IIM Ranchi PGP
Delhi
Selected
IIM Ranchi PGP-HRM
Delhi
Selected
IIM Ranchi PGP-HRM
Ranchi
Selected
IIM Ranchi PhD
IIM Ranchi EPhD
Not Selected
Ranchi
Selected
IIM Rohtak PGP
Not Selected
IIM Rohtak PGP
IIM Rohtak EPGP
Not Selected
Guwahati
Selected
IIM Rohtak EPGP
Kolkata
Selected
IIM Rohtak EPGPX
Rohtak
Selected
IIM Rohtak FPM
Rohtak
Selected
IIM Sambalpur MBA
Kolkata
Selected
IIM Sambalpur MBA
Delhi
Selected
IIM Sambalpur PhD
Kolkata
Selected
IIM Sambalpur PhD
Delhi
Selected
RGIIM Shillong PGP
Kolkata
Selected
RGIIM Shillong PGP
Delhi
Selected
RGIIM Shillong PGPEX
Kolkata
Selected
RGIIM Shillong PGPEX
Delhi
Selected
RGIIM Shillong FPM
Shillong
Selected
IIM Sirmaur MBA
Selected
IIM Sirmaur MBA
Selected
IIM Sirmaur PhD
Selected
IIM Sirmaur PhD
Selected
IIM Tiruchirappalli PGPM
Kolkata
Selected
IIM Tiruchirappalli PGPM
Delhi
Selected
IIM Tiruchirappalli PGPBM
Chennai
Selected
IIM Tiruchirappalli FPM
Trichy
Selected
IIM Tiruchirappalli PGP-HR
Kolkata
Selected
IIM Tiruchirappalli PGP-HR
Delhi
Selected
IIM Udaipur MBA
Kolkata
Selected
IIM Udaipur MBA
Delhi
Selected
IIM Udaipur PhD
Udaipur
Selected
IIM Visakhapatnam PGP
Kolkata
Selected
IIM Visakhapatnam PGP
Delhi
Selected
IIM Visakhapatnam PGPEX
Visakhapatnam
Selected
IIM Visakhapatnam PhD
Not Selected
Payment Details
Preferred Test City 1:
Jorhat
Preferred Test City 3: Shillong
Preferred Test City 2: Guwahati
Preferred Test City 4: Kolkata
Payment Details
Payment Mode:
online
Amount: 1900
Payment Status:
S
Payment Transaction Number: QHMP7862260645
Order ID:
902715620190811203754150
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 2019 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 2019
application & scores. I understand that all disputes will be subject to the territorial jurisdiction of city of Kozhikode only.