Personal Details:
User ID 23008354
Candidate's Name MAYURAVARSHA P
Candidate's First Name MAYURAVARSHA
Candidate's Middle Name
Candidate's Last Name P
Date of Birth 23/Oct/2000
Country India
Email ID [email protected]
Alternate Email ID
Mobile No 91 9964409981
Other Personal Details:
Father's/Guardian's Name PEETHAMBARA SWAMY B
Mother's/Guardian's Name JAYALAKSHMI P SWAMY
Spouse's Name
Candidate Gender Male Category General
Nationality Indian Other Nationality
State/Union Territory of Serial/Entry
Category Number of the
Caste
Caste/Tribe Name
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 No 11, Amma, 1st floor, 1st main,1st cross, Govindappa Extn, RMV 2nd Stage, HIG Dollars Colony
Address Line2 Bengaluru -560094
Address Line3
Country India Other Country
State/Union Karnataka Other State/Union
Territory Territory
District Bangalore Urban Other District
Town/City Bengaluru Pincode 560094
Emergency Contact Details :
Emergency 9900976881 Relationship with Mom
Mobile Number Candidate
SSC/10th/Equivalent Details :
SSC/10th/Equivalent Board Name Central Board of Secondary Education
Other Board Name
Month/Year of Completion April 2017
Maximum Marks (Inclusive of all subjects): 10
Total Marks Obtained 9.6 Aggregate 96
(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 Science
12th/Equivalent Other Discipline Month/Year of Course
Commencement
Month/Year of Completion April 2019 Aggregate Marks or
Promotion/Pass
without Marks?
Maximum Marks (Inclusive of all Total Marks Obtained 434
subjects) 500 (Inclusive of all subjects)
Aggregate Percentage (%) 86.8
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? No
Have you completed Bachelor's Degree? Yes
Total Duration of Degree 4 Year Current Semester
Type of Private University Other Type of
University/Institution University/Institution
State/Union Territory of Karnataka Other State/Union Territory
University of University
University/Institute Name Others Other University/Institute PES University
Name
Name of College/Institution PES University Degree Name BTECH
Other Degree Name Discipline Computer Science
Graduation Stream Engineering
Other Discipline Name
Month/Year of Course August 2019 Probable Month/Year of May 2023
Commencement Course Completion
Aggregate Marks or Promotion/Pass without Marks?
Aggregate Marks (%) 83.3
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)
24/07/2023 31/07/2023 0 8
Information Technology
Pharmaceuticals/Healthcare
Retail
Telecommunications
Others
8
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) 08 Day(s)
Programmes:
Programme Name Selected/Not Interview City
Bengaluru
Selected
IIM Ahmedabad PGP
Mumbai
Bengaluru
IIM Ahmedabad PGP- Selected
FABM Mumbai
IIM Ahmedabad ePGD-ABA Selected Ahmedabad
IIM Ahmedabad Doctoral Selected Ahmedabad
Programme in Management
Not Selected
IIM Amritsar MBA
IIM Amritsar PhD Not Selected
IIM Amritsar Executive Not Selected
MBA
IIM Amritsar Not Selected
MBA-Business Analytics
IIM Amritsar MBA-Human Not Selected
Resource Management
IIM Amritsar M.Sc. In Data
Not Selected
Science(MSDSM) jointly
offered with IIT Ropar
Bengaluru
IIM Bangalore PGP Selected
Mumbai
IIM Bangalore PGPEM Selected Bengaluru
Selected Bengaluru
IIM Bangalore PhD
Bengaluru
IIM Bangalore PGPBA Selected
Mumbai
Not Selected
IIM Bodh Gaya MBA
IIM Bodh Gaya PhD Not Selected
IIM Bodh Gaya MBA (Digital Not Selected
Business Management)
IIM Bodh Gaya MBA (Hospital Not Selected
and Healthcare Management)
Bengaluru
Selected
IIM Calcutta MBA
Mumbai
IIM Calcutta Doctoral Programme Selected Kolkata
(PhD)
Selected Bengaluru
IIM Indore PGP
Mumbai
Bengaluru
IIM Indore PGP-HRM Selected
Mumbai
IIM Indore MSDSM Selected Indore
IIM Indore FPM Selected Indore
IIM Jammu MBA Not Selected
IIM Jammu PhD Not Selected
IIM Jammu MBA(Hospital
Not Selected
Administration & Healthcare
Management)
IIM Jammu Ph.D(Working Not Selected
Professionals)
Not Selected
IIM Jammu Executive MBA
Bengaluru
Selected
IIM Kashipur MBA Mumbai
Selected Dehradun
IIM Kashipur EMBA
Kashipur
IIM Kashipur EMBAA Selected Kashipur
IIM Kashipur PhD Selected Kashipur
IIM Kashipur MBA Selected Bengaluru
(Analytics) Mumbai
Selected Bengaluru
IIM Kozhikode PGP
Mumbai
Selected Bengaluru
IIM Kozhikode PGP-F
Mumbai
Bengaluru
IIM Kozhikode PGP-LSM Selected
Mumbai
Bengaluru
IIM Kozhikode PGP-BL Selected
Mumbai
Selected Kochi
IIM Kozhikode EPGP Kochi
Kozhikode
Selected Kozhikode
IIM Kozhikode PhD
IIM Kozhikode Fellow Online
Programmes in Management
Selected
PhD (PT)
IIM Kozhikode Executive Post
Graduate Programme in Selected Online
Management through Interactive
Learning (EPGP-IL)
Bengaluru
IIM Lucknow MBA Selected
Mumbai
Bengaluru
IIM Lucknow MBA-ABM Selected
Mumbai
IIM Lucknow PGPWE Selected Delhi (NCR)
Bengaluru
IIM Lucknow MBA-SM
Selected
Mumbai
IIM Lucknow PhD Selected Lucknow
Bengaluru
Selected
IIM Lucknow MBA-EandI Mumbai
Not Selected
IIM Nagpur MBA
IIM Nagpur MBA Not Selected
(Executive)
IIM Nagpur PhD Not Selected
(Executive)
IIM Nagpur PhD Not Selected
Bengaluru
IIM Raipur PGP Selected
Mumbai
IIM Raipur FPM/PhD Selected Raipur
IIM Raipur EFPM Selected Raipur
Selected Bengaluru
IIM Ranchi MBA
Mumbai
IIM Ranchi MBA Selected Bengaluru
(Business Analytics) Mumbai
Bengaluru
IIM Ranchi MBA-HRM Selected
Mumbai
IIM Ranchi PhD Selected Ranchi
IIM Ranchi EPhD Selected Ranchi
Selected Bengaluru
IIM Rohtak PGP
Mumbai
IIM Rohtak PGPX Selected Rohtak
Selected Rohtak
IIM Rohtak EPGDSM
IIM Rohtak PhD Selected Rohtak
IIM Sambalpur MBA Not Selected
IIM Sambalpur Executive Not Selected
MBA
IIM Sambalpur PhD Not Selected
IIM Sambalpur Executive Not Selected
PhD
IIM Sambalpur MBA for Not Selected
Working Professional
Not Selected
IIM Shillong PGP
Not Selected
IIM Shillong PGPEX
IIM Shillong PGP (WE) Not Selected
IIM Shillong Doctoral Program Not Selected
IIM Shillong Doctoral Not Selected
Program (WP)
Not Selected
IIM Sirmaur MBA
IIM SirmaurMBA (Tourism Not Selected
Management)
IIM Sirmaur ExMBA Not Selected
IIM Sirmaur PhD Not Selected
IIM Sirmaur PhD(Executive) Not Selected
Bengaluru
IIM Tiruchirappalli PGPM Selected
Mumbai
IIM Tiruchirappalli PGPM- Selected Bengaluru
HR Mumbai
IIM Tiruchirappalli PhD
Selected Trichy
IIM Tiruchirappalli Executive Selected Trichy
PhD
Bengaluru
IIM Udaipur MBA Selected
Mumbai
IIM Udaipur MBA-DEM Selected Udaipur
IIM Udaipur MBA-GSCM Selected Udaipur
IIM Udaipur PGDBAWE Selected Udaipur
IIM Udaipur PhD Selected Udaipur
Selected Bengaluru
IIM Visakhapatnam PGP
Mumbai
IIM Visakhapatnam PhD Selected Visakhapatnam
IIM Visakhapatnam EMBA Selected Visakhapatnam
IIM Visakhapatnam Selected Visakhapatnam
PGPDGM
Test State-City Preferences:
Karnataka - Bengaluru Karnataka - Mysuru(Mysore)
Preferred Test State- Preferred Test State-
City 1 City 2
Preferred Test State-
Maharashtra - Mumbai Preferred Test State- Karnataka -
Shivamogga(Shimoga)
City 3 City 4
Preferred Test State-
Karnataka -
Mangaluru(Mangalore)
Preferred Test State- Karnataka - Udupi
City 5 City 6
Payment Details :
Transaction Number 3165219495117 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.
