Mat Registration
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Top of Form
Bottom of Form MAT REGISTRATION FORM (Feb. 2011) |
* | Registration/Form No. |
*529559* | | * | Choice of Test Taking Option | Offline (Paper Based Test) | | * | Test Centre City | Choice I. 503-KARNATAKA: BANGALORE | | | | Choice II. 505-KARNATAKA: MANGALORE | | Personal Particulars | * | Name of Candidate | Mr. BHUPESH DASGUPTA | | | | * | Date of Birth | 20-Jun-1989 | * | Gender | Male | * | Nationality | Indian | * | Category | GEN | * | Address for Communication | SO2,58 LANGFORD ROAD | | | | | | RICHMOND TOWN | | | | | | SHANTINAGAR | | | | * | City | BANGALORE | * | Pin Code | 560025 | | Email-ID | BHUPESH.DASGUPTA@GMAIL.COM | | Contact No. | | | Mobile No. | 9663887192 | Qualifications & Experience Details | * | Status of Degree | PASSED | | | | * | Percentage at 10+2 | 53 | * | Percentage at Degree | 62 | * | Stream/Discipline in Degree | COMMERCE | | Experience in Months | | | Have you earlier appeared in | GMAT : - | | CAT : - | XAT : - | Mode of Payment --> Credit/Debit Card | * | Transaction No./Receipt No. | 38030
101602211900 | * | Payment Date | 15-1-2011 |
Declaration | | I hereby 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/Form No. 529559 | | | Place | | Date | Signature of Applicant | | (To be signed prior to despatch) | Kindly save this page by using 'SAVE AS' function given in the 'FILE' menu of this window before taking the print out. | | | | (Please Print the form for Further Reference) | Important Instruction for Candidates: 1. Affix your passport size photograph (without attestation) in the space provided below. 2. Endorse your signatures in the space provided below. 3.
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Top of Form
Bottom of Form MAT REGISTRATION FORM (Feb. 2011) |
* | Registration/Form No. |
*529559* | | * | Choice of Test Taking Option | Offline (Paper Based Test) | | * | Test Centre City | Choice I. 503-KARNATAKA: BANGALORE | | | | Choice II. 505-KARNATAKA: MANGALORE | | Personal Particulars | * | Name of Candidate | Mr. BHUPESH DASGUPTA | | | | * | Date of Birth | 20-Jun-1989 | * | Gender | Male | * | Nationality | Indian | * | Category | GEN | * | Address for Communication | SO2,58 LANGFORD ROAD | | | | | | RICHMOND TOWN | | | | | | SHANTINAGAR | | | | * | City | BANGALORE | * | Pin Code | 560025 | | Email-ID | BHUPESH.DASGUPTA@GMAIL.COM | | Contact No. | | | Mobile No. | 9663887192 | Qualifications & Experience Details | * | Status of Degree | PASSED | | | | * | Percentage at 10+2 | 53 | * | Percentage at Degree | 62 | * | Stream/Discipline in Degree | COMMERCE | | Experience in Months | | | Have you earlier appeared in | GMAT : - | | CAT : - | XAT : - | Mode of Payment --> Credit/Debit Card | * | Transaction No./Receipt No. | 38030
101602211900 | * | Payment Date | 15-1-2011 |
Declaration | | I hereby 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/Form No. 529559 | | | Place | | Date | Signature of Applicant | | (To be signed prior to despatch) | Kindly save this page by using 'SAVE AS' function given in the 'FILE' menu of this window before taking the print out. | | | | (Please Print the form for Further Reference) | Important Instruction for Candidates: 1. Affix your passport size photograph (without attestation) in the space provided below. 2. Endorse your signatures in the space provided below. 3.