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MAT May-2019 Registration Form: Personal Particulars

This document is a registration form for the MAT exam in May 2019. It contains information about the applicant such as name, date of birth, contact details, photo ID, education history. It specifies that the applicant, Pragati Singh, is registering for both the paper-based test on May 5th and computer-based test on May 18th. It provides test timing details and includes choice of test cities. Payment details and a signature are also included. A second part of the registration form lists the applicant's choices of management institutes to receive their test scores.

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Amit Prakash
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49 views

MAT May-2019 Registration Form: Personal Particulars

This document is a registration form for the MAT exam in May 2019. It contains information about the applicant such as name, date of birth, contact details, photo ID, education history. It specifies that the applicant, Pragati Singh, is registering for both the paper-based test on May 5th and computer-based test on May 18th. It provides test timing details and includes choice of test cities. Payment details and a signature are also included. A second part of the registration form lists the applicant's choices of management institutes to receive their test scores.

Uploaded by

Amit Prakash
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MAT May-2019 Registration Form

Registration No.

* Opted Test Mode Paper Based Test AND Computer Based Test

* Test Date i. PBT Test Date: 05 May 2019 (Sunday)


ii. CBT Test Date: 18 May 2019 (Saturday)

* Test Timing i. PBT Test Timing:1000 To 1230 Hrs


ii. CBT Test Timing: In single/different time slots at specific test venues; subject to candidates registration

* Test Centre City for Computer Based Test City Choice 1. JHARKHAND : RANCHI
Test (CBT) Test City Choice 2. BIHAR : PATNA

* Test Centre City for Paper Based Test Test City Choice 1. JHARKHAND : RANCHI
(PBT) Test City Choice 2. BIHAR : PATNA

Personal Particulars
* Name of the Candidate Ms. Pragati Singh

* Father's Name Mani Shankar Singh * Mother's Name Gita Singh

* Date of Birth 22-Mar-1997 * E-mail ID [email protected]

* Gender Female * Category General

* Nationality Indian

* Address for Communication HOUSE NO. 397 ,


CD COLONY, BY PASS ROAD,
JHUMRI TELAIYA,
KODERMA, Jharkhand, 825409

Contact Number (Telephone no.) with 7543900454 * Mobile No.+91- 8298050454


STD Code

* Are you a Person with Disabilities NO


(PWD)?

* Photo ID to be produced at test centre Aadhar Card * Photo-ID No. 608808785263

Qualification & Experience Details


* Qualification Name * Percentage of Marks * Status of Qualification * Stream/Discipline

10+2 61 % Passed NA

BCOM VOCATIONAL 72 % Passed Commerce

Experience in Months

* Have you earlier appeared in GMAT - NO CAT - NO XAT - NO

Payment Details
Transaction Reference No. Payment Date Receipt No/ PG Ref.No. Amount

9158687826 28/03/2019 09:01:08 QHDF7373097701 2650.00

9158687826 28/03/2019 09:01:08 QHDF7373097701 236.00

Declaration
I here by affirm that the particulars filled by me in this form are true and correct. I have read and understood the terms
and conditions of the test and agree to abide by those.
Registration No. 847081

Signature of Candidate

You are NOT required to send Registration Form/any documents/receipt to AIMA. Candidate can view/download the MAT
Prospectus from AIMA website. No separate Prospectus/CD will be dispatched.
MAT May-2019 Registration Form (Part II)
Options for Management Institute Choice
Registration No. 847081

Name of Candidate Ms. Pragati Singh

Date of Birth 22-Mar-1997

Management Institute Choice Code :


* Choice 1 5639-Christ University : Bengaluru

* Choice 2 5625-Xavier Institute of Management & Entrepreneurship : Bengaluru

* Choice 3 4167-Dr D Y Patil B School : Pune

* Choice 4 2010-Amity University : Noida

* Choice 5 4154-Institute for Technology & Management : Mumbai

* Choice 6 5609-MS Ramaiah Institute of Management : Bengaluru

* Choice 7 5033-Hyderabad Business School : Hyderabad

* Choice 8 7503-KIIT School of Management : Bhubaneswar

* Choice 9 5622-MP Birla Institute of Management : Bengaluru

You may Change/Modify the MI Choice Option filled by you, by logging in at the website https://mat.aima.in/may19 upto 10 May 2019.

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