Personal Details

User ID 9288648
KAPADIA KUNAL ATULKUMAR
Candidate's Name

Date of Birth 08/Apr/1995

Country India

Email ID kunalkamini6832@gmail.com

Mobile Number 9624423414

Other Personal Details

Father's/Husband's/Guardian's ATULKUMAR JAYANTILAL KAPADIA
Name
KAMINI ATUL KAPADIA
Mother Name

Category: General State/Union Territory of Caste/Tribe:

Serial/Entry Number of Caste/Tribe: Gender: Male

Nationality: Indian Other Nationality:

Caste/Tribe Name: Aadhaar Card Number: 768574563414

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
11 Mahalaxmi Society
Address Line1

Address Line2 college road , Amroli.

Address Line3

Country: India Pincode: 394107

State: Gujarat Email id: kunalkamini6832@gmail.com

District: Surat Mobile Number: 9624423414

Town/City: Surat Alternate Email id:

Emergency Contact Details

Emergency Mobile Number: 9824125212 Relationship with Candidate: Father

SSC/10th/Equivalent Details

SSC/10th/Equivalent Board Gujarat Secondary and Higher Education Board

Name

Month/Year of Completion: March 2010

Total Marks Obtained 501

(Inclusive of all subjects):
Maximum Marks 650
(Inclusive of all subjects):

Aggregate Percentage (%) : 77.08

HSC/12th/Equivalent/Diploma Course Details

Course Type HSC

HSC Board Name Gujarat Secondary and Higher Education Board

HSC Other Board Name

Month/Year of Completion: March 2012

Total Marks Obtained

347
(Inclusive of all subjects):

Duration of Diploma Course (In Year): HSC Discipline: Science

HSC Other Discipline

Month/Year of Course Commencement:

Maximum Marks (Inclusive of all subjects): 650

Aggregate Percentage (%): 53.38

Bachelor's Degree Details

Are you in the final year of Bachelor's Degree?: No

Have you completed Bachelor's Degree?: Yes

Current Semester:
State University
Type of University/Institution

Total Duration of Degree: 4 Year

Aggregate Marks (%): 60.80

Gujarat
State/Union Territory of
University
 Gujarat Technological University
University/Institute Name

Pacific School Of Engineering

Name of College/Institution

Degree Name BE

Engineering/Technology
Discipline

Month/Year of Course
Commencement May 2012

Probablw Month/Year OR
Month/Year of Completion May 2016

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?: No

Degree Degree Completion Status

CA

ICWA

CS

Name Of Professional Degree

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 Work Experience

Automobiles/Auto-ancillaries

Banking/Financial Services

Durables

Engineering/Industrial
15/06/2016 30/06/2019 19 18

Fast Moving Consumer Goods

(FMCG)
Information Technology

Pharmaceuticals/Healthcare

Retail

Telecommunications

Others

Total Work Experience (In months as on July 31 2018): 18

Programmes

Programme Names Interview City Selected/Not

Selected
IIM Ahmedabad PGP Ahmedabad

IIM Ahmedabad PGP Mumbai Selected

IIM Ahmedabad PGP-FABM Not Selected

IIM Ahmedabad PGP-FABM Not Selected

IIM Ahmedabad ePGP Not Selected

IIM Ahmedabad ePGP Not Selected

IIM Ahmedabad PhD Not Selected

IIM Amritsar PGP Mumbai Selected

IIM Amritsar PGP Amritsar Selected

IIM Bangalore PGP Mumbai Selected

IIM Bangalore PGP Bangalore Selected

IIM Bangalore FPM Not Selected

IIM Bangalore PGPEM Bangalore Selected

IIM Bangalore PGPPM Bangalore Selected

IIM Bangalore PGPPM Delhi Selected

IIM Bangalore PGPBA Mumbai Selected

IIM Bangalore PGPBA Kolkata Selected

IIM Bodh Gaya PGP Mumbai Selected

IIM Bodh Gaya PGP Patna Selected

IIM Bodh Gaya PhD (FPM) Not Selected

IIM Calcutta MBA Mumbai Selected

IIM Calcutta MBA Hyderabad Selected

IIM Calcutta Doctoral Not Selected

IIM Indore PGP Mumbai Selected

IIM Indore PGP Chennai Selected

IIM Indore PGP-HRM Mumbai Selected

IIM Indore PGP-HRM Bangalore Selected

IIM Indore FPM Not Selected

IIM Jammu PGP Mumbai Selected

IIM Jammu PGP Selected

Delhi (NCR)
IIM Jammu PhD
Not Selected

IIM Kashipur EPGP

Not Selected
IIM Kashipur EPGP
Not Selected

IIM Kashipur FPM

Not Selected

IIM Kashipur EFPM Not Selected

IIM Kashipur PGP Mumbai Selected

IIM Kashipur PGP Kolkata Selected

IIM Kozhikode PGP Selected

Mumbai

IIM Kozhikode PGP

Kozhikode Selected

IIM Kozhikode EPGP IL

Not Selected
IIM Kozhikode EPGP IL
Not Selected

IIM Kozhikode EPGP Kochi Campus Not Selected

IIM Kozhikode EPGP Kochi Campus Not Selected

IIM Kozhikode FPM Not Selected

IIM Lucknow PGP Mumbai Selected

Lucknow Selected
IIM Lucknow PGP

IIM Lucknow PGP-ABM Not Selected

IIM Lucknow PGP-ABM Not Selected

IM Lucknow PGP-SM Not Selected

IIM Lucknow PGP-SM Not Selected

IIM Nagpur PGP Mumbai Selected

IIM Nagpur PGP Bangalore Selected

IIM Raipur PGP Mumbai Selected

IIM Raipur PGP Kolkata Selected

IIM Raipur FPM Not Selected

Not Selected
IIIM Raipur EFPM

IIM Ranchi PGP Mumbai Selected

IIM Ranchi PGP Kolkata Selected

IIM Ranchi PGP-HRM Not Selected

IIM Ranchi PGP-HRM Not Selected

IIM Ranchi PhD Not Selected

IIM Ranchi EPhD Not Selected

Selected
IIM Rohtak PGP Mumbai

Kolkata Selected
IIM Rohtak PGP
IIM Rohtak EPGP Not Selected

IIM Rohtak EPGP Not Selected

IIM Rohtak EPGPX Not Selected

IIM Rohtak FPM Not Selected

IIM Sambalpur MBA Mumbai Selected

IIM Sambalpur MBA Kolkata Selected

IIM Sambalpur PhD Not Selected

IIM Sambalpur PhD Not Selected

RGIIM Shillong PGP Mumbai Selected

RGIIM Shillong PGP Bangalore Selected

RGIIM Shillong PGPEX Not Selected

RGIIM Shillong PGPEX Not Selected

RGIIM Shillong FPM Not Selected

IIM Sirmaur MBA Mumbai Selected

IIM Sirmaur MBA Chennai Selected

IIM Sirmaur PhD Not Selected

IIM Sirmaur PhD Not Selected

IIM Tiruchirappalli PGPM Not Selected

IIM Tiruchirappalli PGPM Not Selected

IIM Tiruchirappalli PGPBM Chennai Selected

IIM Tiruchirappalli FPM Not Selected

IIM Tiruchirappalli PGP-HR Not Selected

IIM Tiruchirappalli PGP-HR Not Selected

IIM Udaipur MBA Mumbai Selected

IIM Udaipur MBA Kolkata Selected

IIM Udaipur PhD Not Selected

 IIM Visakhapatnam PGP Mumbai Selected

IIM Visakhapatnam PGP Visakhapatnam Selected

IIM Visakhapatnam PGPEX Not Selected

IIM Visakhapatnam PhD Not Selected

Payment Details
Preferred Test City 1:
Mumbai Preferred Test City 2: Surat

Preferred Test City 3: Ahmedabad Preferred Test City 4: Rajkot

Payment Details
Payment Mode: online Amount: 1900

Payment Status: S Payment Transaction Number: 9106649831

Order ID: 928864820190925141609

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.