MAT Feb-2019 Registration Form
Registration No.
* Opted Test Mode                                 Computer Based Test (CBT)
* Test Date                                       23 February 2019 (Saturday)
* 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. DELHI : DELHI (NCR)
Test (CBT)                                        Test City Choice 2. RAJASTHAN : JAIPUR
Personal Particulars
* Name of the Candidate                           Mr. Kumar Ritwik Basudeo
* Father's Name                                   Anil Sharma                          * Mother's Name                              Harjeet Kaur
* Date of Birth                                   26-Nov-1994                          * E-mail ID                                  ritwik26nov@gmail.com
* Gender                                          Male                                 * Category                                   General
* Nationality                                     Indian
* Address for Communication                       6 NEHRU NAGAR ,
                                                  First Floor,
                                                  AGRA, Uttar Pradesh, 282002
Contact Number (Telephone no.) with STD                                                * Mobile No.+91-                             8881231500
Code
* Are you a Person with Disabilities (PWD)?       NO
* Photo ID to be produced at test centre          Aadhar Card                          * Photo-ID No.                               388889491812
Qualification & Experience Details
* Qualification Name                              * Percentage of Marks                * Status of Qualification                    * Stream/Discipline
10+2                                              76.4 %                               Passed                                       NA
BFIA                                              82.3 %                               Passed                                       Commerce
Experience in Months                              0
* Have you earlier appeared in                    GMAT - NO                            CAT - YES                                    XAT - YES
Payment Details
Transaction Reference No.                         Payment Date                         Receipt No/ PG Ref.No.                       Amount
7895687575                                        14/01/2019 19:06:22                  PHMP7106821475                                 1550.00
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. 820000
                                                                                                                                                     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 Feb-2019 Registration Form (Part II)
                                              Options for Management Institute Choice
Registration No.                 820000
Name of Candidate                Mr. Kumar Ritwik Basudeo
Date of Birth                    26-Nov-1994
Management Institute Choice Code :
* Choice 1                       5639-Christ University : Bengaluru
* Choice 2                       4167-Dr D Y Patil B School : Pune
* Choice 3                       5625-Xavier Institute of Management & Entrepreneurship : Bengaluru
* Choice 4                       5019-Institute of Public Enterprise : Hyderabad
* Choice 5                       5704-Manipal University : Manipal
You may Change/Modify the MI Choice Option filled by you, by logging in at the website https://mat.aima.in/feb19 upto 23 February 2019.