XAT APPLICATION FORM

2023

APPLICATION NO:
XAT23055528

Personal Details
Name Mr. Naveen Kumar Pandey
Email Address [email protected] Alternate Email Address
Mobile Number +91-6387651949 Alternate Mobile Number +91-8425840144
Date of Birth 02/01/2001 Gender Male
Nationality Indian Marital Status Single
Blood Group O+ Category General
Proof of Identity Aadhar Card Aadhaar Card Number 861674316600
Pan Card Voter ID
Driving License Country Of Residence
Do You Belong To Person
No Are You Visually Challenged?
With Disability?
Would You Be Using A Scribe Percentage Of Visually
For The Test? Challenged Disability
Passport Number

Passport Details
Passport Number Country Place Of Issue Date Of Issue Date Of Expiry

Parent Details
Parents Details Father and Mother Details
Single Parent Father's Mother's Guardian's
Name Mr.Sanjay Kumar Pandey Mrs.Artee Pandey
Mobile Number +91-8425840144 +91-9082422790
Email Address [email protected]
Occupation Private Sector Home Maker
Designation Assitant Manager
Organisation Amptek
Annual Income RS. 500001 - 600000

Address Details
Communication
Country India
State / Province Maharashtra
District Raigad
City Panvel
Flat 202, Bldg no. 02. Classic Corner, Sec 03, Lotus Society, Mahalaxmi
Address Line 1
Nagar, Nere Village, Panvel, District- Raigad
Address Line 2
Pin Code: 410206

Xth Details
Institute Year of Marking Maximum Marks Obtained
Board State City
Name Passing Scheme Marks Obtained Percentage/CGPA
Kendriya Central Board
Vidyalaya Of Secondary Madhya CGPA out of
ANUPPUR 2017 9.8
Jamuna Education Pradesh 10
Colliery (CBSE)

XIIth Details
Institute Year of Marking Maximum Marks Obtained
Board Stream State City
Name Passing Scheme Marks Obtained Percentage/CGPA
Central
Kendriya
Board Of
Vidyalaya Madhya
Secondary Science ANUPPUR 2019 Percentage 500 417 83.40
Jamuna Pradesh
Education
Colliery
(CBSE)

Diploma Details
Institute Year of Marking Maximum Marks Obtained
Board Stream
Name Passing Scheme Marks Obtained Percentage/CGPA

CA Details
Degree Completion Professional Inter Professional Final Month/Year Of Course Month/Year Of
Status Marks (%) Marks (%) Commencement Completion

CFA Details
Degree Completion Professional Inter Professional Final Month/Year Of Course Month/Year Of
Status Marks (%) Marks (%) Commencement Completion

ICWA Details
Degree Completion Professional Inter Professional Final Month/Year Of Course Month/Year Of
Status Marks (%) Marks (%) Commencement Completion

CS Details
Degree Completion Professional Inter Professional Final Month/Year Of Course Month/Year Of
Status Marks (%) Marks (%) Commencement Completion

Graduation Details
University Of
Status Awaited State Maharashtra Board/University Mumbai,
Maharashtra
Mahatma Education
Society's Pillai's
College College of Arts, University/College Type State University Exam Pattern Semester Wise
Commerce and
Science
Current Semster/
Degree BMS Stream Marketing
Year
Year of Passing 2023 Marking Scheme Percentage Maximum Marks 3500
Obtained Marks 2573 Obtained Percentage/CGPA 73.51

Post Graduation Details

Work Experience
Do you have any Work Experience? :
Name of the Employer Designation From To Total work Exp(in months)
1.
2.
3.
4.
5.
Total Work Experience (In Months) :
Program Details
Do You Want To Apply For XLRI? : Yes
Programme : Business Management (BM)
What Will Be Your First Preference Between HRM And BM? :
Select First City Preference : Mumbai Select Second City Preference : Pune

Documents Details

Signature

Xth Certificate
XIIth Certificate
Diploma Certificate
Graduation Certificate
Post Graduation Certificate
Work Experience Certificate

Declaration
I hereby certify that the information given by me in this Application Form is true to the best of my knowledge. I certify that I fulfill the 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 application and scores.The XAT online date mentioned on the website is subject to change.
Applicant Name : Naveen Kumar Pandey Date : 22/11/2022