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8/22/2015 MATSep15: Application Form http://apps.aima.in/matsept15/Fill_ApplicationNext.aspx 1/2 MAT Sept.2015 Application Form *Registration/Form No. 415069 * Choice of Test Taking Option Offline (Paper Based Test) *Test Date 06 Sept. 2015 (Sunday) Test Timings:1000 to 1230 Hrs *Test Centre City Choice I. 102DELHI: DELHI (NCR) Choice II. 208UTTAR PRADESH: MEERUT Personal Particulars *Name of Candidate Ms. ARTI *Date of Birth 15Jul1993 *Gender Female *Nationality Indian *Category SC *Address for Communicationrahul vihar dolat pura *City Ghaziabad *Pin Code 201009 EmailID [email protected] Contact No. *Mobile No. 5874587458 * Are you person with disabilities? NO Qualifications & Experience Details *Status of Degree Passed *Percentage at 10+2 61 *Percentage at Degree 49 * Stream/Discipline in Degree ARTS Experience in Months 36 Have you earlier appeared in GMAT : No CAT : No XAT : No Mode of Payment > Debit/Credit Card

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8/22/2015 MAT­Sep15: Application Form

http://apps.aima.in/matsept15/Fill_ApplicationNext.aspx 1/2

MAT Sept.­2015Application Form

 

*Registration/Form No.

415069

*Choice of Test TakingOption Offline (Paper Based Test)

*Test Date 06 Sept. 2015 (Sunday) Test Timings:1000 to 1230 Hrs

*Test Centre City Choice I.   102­DELHI: DELHI (NCR)

    Choice II.  208­UTTAR PRADESH: MEERUT

Personal Particulars

*Name of Candidate Ms.  ARTI      

*Date of Birth 15­Jul­1993 *Gender Female

*Nationality Indian *Category SC

*Address for Communicationrahul vihar dolat pura      

         

         

*City Ghaziabad *Pin Code 201009

  Email­ID [email protected]

  Contact No. *Mobile No. 5874587458

*Are you person withdisabilities? NO

Qualifications & Experience Details

*Status of Degree Passed      

*Percentage at 10+2 61 *Percentage at Degree 49

*Stream/Discipline inDegree ARTS   Experience in Months 36

Have you earlier appearedin GMAT : No CAT : No XAT : No

Mode of Payment     ­­> Debit/Credit Card

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8/22/2015 MAT­Sep15: Application Form

http://apps.aima.in/matsept15/Fill_ApplicationNext.aspx 2/2

*Transaction Reference No. 1024091 *Payment Date 8/21/2015 10:07:59 AM

*Receipt No/PG Ref.No.725040100/DSYD3974382170 *Amount 1200/­

Declaration:

I hereby affirm that the particulars filled by me in this form are true and correct. I have read and understood theterms and conditions of the test and agree to abide by those.

Registration/Form No.  415069

Place

Date

Signature of Applicant

You are NOT required to send Application Form/any documents/receiptto AIMA.

Print

(Please Print the form for Further Reference)

Note:

1.  MAT Bulletin in Compact Disc ­ CD (Soft Copy) format will be sent to you by expeditious means and theconfirmation of your payment by the bank.

2.  Peruse the bulletin to identify five institute where your MAT Score will be sent by AIMA automatically.3.  Visit this site at https://apps.aima.in/matsept15/Fill_PartII.asp upto the date of MAT to fill the ManagementInstitutes Codes (MI Codes) of five chosen institutes where your Sept. 2015 MAT score should be sent.(Note: No additional fee is to be paid for filling these 5 choices.)

4.  Check AIMA website link: https://apps.aima.in/matadmitcard.aspx on or after 29 August 2015 (2 PM)onwards for downloading Admit Card.