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M A T R E G I S T R A T I O N F O R M ( F e b - 2 0 1 4 )

* Registrat ion/Form No.

*635858*

* Cho ice o f Test Tak ing Opt ion Off l ine (Paper Based Test)

* Test Centre C i ty Cho i ce I. 2 05-UTTA R PRA DESH: GHA ZIA BA D

Cho i c e I I . 2 09 -UTTAR PRADESH: NOIDA  

Personal Particulars

* Nam e o f Candi date Ms. BHUMIKA RA NI

* Date o f Bi r th 01-J an-1985 * G ender Fem ale

* Nati o nal i ty Ind ian * Category SC

*  A dd re ss fo r Co mm un ic at io n G 23 9 SE CT OR 23

SANJAY NAGAR 

* C i ty GHA ZIA BA D * P in Code 201001

Emai l -ID BHMKA .RNI@RED IFFMA IL.COM

Contact No. Mobi l e No.

Qualif ications & Experience Details

* S tatus o f Degree PA SSED

* Per cen tage at 10+2 63 * Per cen tage at Degree 50

* S tream /D i sc ip l i ne i n Degree A RTS Exper i ence i n Mon ths

Have you ear l i er appeared i n GMAT : No CAT : No XAT : No

Mode of Payment --> Credit/Debit Card

* Transact ion No./Rece ipt No.171025401723625124

* Paym ent Date 17 -1-2014

Dec larat ion

I hereby aff i rm that the part icu lars f i l led by me in th is fo rm are t rue and correc t . I have read and understood the terms and condit ions o f the test and agree to ab ide by those.Regist rat ion/Form No. 635858

Place

Date S ignatu re o f A pp l i can t

(To be s igned pr io r to despatch)

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Important Instruction for Candidates:

 A ff ix yo ur pa ss po rt si ze ph ot og ra ph (w i th ou t at te st at io n) in th e sp ac e pr ov id ed be lo w.1.

Endorse your s ignatures in the space prov ided be low.2.

 A pp li cat io n fo rm re ce iv ed wi th ou t tw o ph ot og ra ph s an d si gn at ur es wi ll be re je ct ed .3.

Send the duly completed onl ine Appl icat ion to the address g iven be low:

Manager-CMS (MAT-Onl ine) , A ll In di a Ma na ge m en t A ss oc i at io n,Management House, 14 Inst i tut iona l Area,

Lodhi Road, New Delh i-110003.

4.

*635858*

Registrat ion/Form No.: 635858

Name: BHUMIKA RANI

- Form No.: 635858

Test Date : 02 Feb 2014 (Sunday)

Test T imings:1000 to 1230 Hrs

Signature o f Appl icant( in the space prov ided)

Note:

MAT Bu l l e t i n i n Compact D i s c - CD (So f t Copy ) fo rma t w i l l be sen t t o you by exped i t i o us means on r e c e ip t o f you r du l y c omp le ted On l i ne Reg i s t r a ti o n Fo rm and theconf i rmat ion o f your payment by the bank.

1.

Peruse the bul le t in to ident i fy f ive inst i tute where your MAT Score wi l l be sent by AIMA automat ica l ly .2. V is it th is si te at http: / /apps.a ima. in/matFeb14/F i l l_PartII.asp   upto the date o f MAT to f i l l the Management Inst i tutes Codes (MI Codes) o f f ive chosen inst i tutes whereyour Feb 2014 MAT score should be sent . (Note: No add it iona l fee is to be pa id fo r f i l l ing these 5 cho ices.)

3.

Check AIMA websi te l ink: ht tp: / /apps.a ima. in/matadmitcard.aspx by 25 January 2014 (Saturday) fo r download ing Admit Card.4.

Registration Form Feb-2014 http://apps.aima.in/MatFeb14/Fill_ApplicationNext.asp?RegNo

17/01/2014