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0% found this document useful (0 votes)
29 views2 pages

Print Application

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© © All Rights Reserved
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MAT May 2021 Registration Form

Registration No.

Opted Test Mode Remote Proctored Internet Based Test (IBT)

Test Date & Slot 13 June 2021 (4.00 pm to 6.30 pm)

Personal Particulars
Name of the Candidate Ms. Ritika Malik

Father's Name Vinesh Malik Mother's Name Pratibha Malik

Date of Birth 05-Jan-2000 E-mail ID malikritika2000@gmail.com

Gender Female Category OBC (Non Creamy Layer)

Nationality Indian

FF1, Plot no. 13 , Gyan Khand1, Indirapuram ,


Address for Communication Ghaziabad , pin - 201014,
Ghaziabad, Uttar Pradesh, 201014

Contact Number (Telephone no.) with


- 8218003917 Mobile No. +91- 7533981117
STD Code (optional)

Are you a Person with Disabilities


NO
(PWD)?

Photo ID to be produced at test centre PAN Card Photo-ID No. FLNPM2525K

Qualification & Experience Details


Qualification Name Percentage of Marks Status of Qualification Stream/Discipline

10+2/Diploma/Other 81.2 % Passed Not Required

BBA 62.3 % Passed Commerce

Experience in Months (optional) Not Provided

Have you earlier appeared in GMAT - No CAT - Yes XAT - No

Whether your MAT score and other details to be shared with B-


Schools not opted by you. (There will be no additional fee for this Yes
service)?

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

MM2021185405 03/06/2021 14:13:04 VAX60013957737 1650.00

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. 129038

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 2021 Registration Form (Part II)


Options for Management Institute Choices

1
Registration No. 129038

Name of Candidate Ms. Ritika Malik

Date of Birth 05-Jan-2000

Management Institute Choices :


Choice 1 2403 - Uttaranchal University : Dehradun

Choice 2 2043 - Jaipuria Institute of Management : Noida

Choice 3 2426 - Doon Business School : Dehradun

Choice 4 1170 - University of Petroleum & Energy Studies : Dehradun

Choice 5 2079 - Jaypee Business School : Noida

You may Change/Modify the MI Choice Options filled by you, by logging in at the website https://mat.aima.in/may21/ upto .

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