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10/20/2014

MAT-Dec14: Application Form

MAT Dec-2014
Application Form
603657
*Registration/Form No.
Choice of Test Taking
*
Option

Offline (Paper Based Test)

*Test Date

7 Dec 2014 (Sunday)
Test Timings:1000 to 1230 Hrs

*Test Centre City

Choice I. 604-KERALA: THIRUVANANTHAPURAM
Choice II. 602-KERALA: KOCHI

Personal Particulars

*Name of Candidate

Mr. RAJESH R

*Date of Birth

07-Oct-1993

*Gender

Male

*Nationality

Indian

*Category

GEN

*Pin Code

695015

*Mobile No.

9809034467

*Percentage at Degree

53

*Address for CommunicationUPPIDUMOOLACKAL VEEDU
CHENCHERI
NALANCHIRA PO
*City
Email-ID

TRIVANDRUM
rajesh.legend2@gmail.com

Contact No.
Qualifications & Experience Details

*Status of Degree

Passed

*Percentage at 10+2

65

Stream/Discipline in
*
COMMERCE
Degree
Have you earlier appeared
GMAT : No
in
Mode of Payment

Experience in Months
CAT : No

XAT : No

--> NetBanking or Debit/Credit Card

*Transaction Reference No. 704066
http://apps.aima.in/MatDec14/Fill_ApplicationNext.aspx

*Payment Date

10/20/2014 9:45:25 AM
1/2

10/20/2014

MAT-Dec14: Application Form

*Receipt No/
PG Ref.No.

05161348896569/
48896569

*Amount

1200/-

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. 603657
Place

Date
Signature of Applicant

You are NOT required to send Application Form/any documents/receipt
to 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 the
confirmation 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...