XAT APPLICATION FORM

2024

APPLICATION NO:
XAT24024577

Personal Details
Name Mr. Aditya Raj Shukla
Email Address adityaraj.8103@gmail.com Alternate Email Address arshukla3802@gmail.com
Mobile Number +91-9111701977 Alternate Mobile Number +91-8602003005
Date of Birth 08/01/2003 Gender Male
Nationality Indian Marital Status Single
Blood Group O+ Category EWS
Proof of Identity Aadhar Card Aadhaar Card Number 365200832576
Pan Card Voter ID
Driving License Country Of Residence
Do You Belong To Person
No Are You Visually Challenged?
With Disability?
Would You Be Using A Scribe Percentage Of Visually
For The Test? Challenged Disability
Passport Number

Passport Details
Passport Number Country Place Of Issue Date Of Issue Date Of Expiry

Parent Details
Parents Details Father and Mother Details
Single Parent Father's Mother's Guardian's
Name Mr.Neeraj Shukla Mrs.Seema Shukla
Mobile Number +91-7389053013 +91-7987831614
Email Address neerajskh002@gmail.com adityarajskh002@gmail.com
Occupation Business Home Maker
Designation Owner
Organisation Prabhu Mobile
Annual Income UPTO 100000

Address Details
Communication
Country India
State / Province Madhya Pradesh
District Gwalior
City Gwalior
Address Line 1 H 1A Aditya puram
Address Line 2 bhind Road Gwalior
Pin Code: 474020

Xth Details
Institute Year of Marking Maximum Marks Obtained
Board State City
Name Passing Scheme Marks Obtained Percentage/CGPA
Central Board
Green Wood Of Secondary Madhya
GWALIOR 2018 Percentage 100 83 83.00
Public School Education Pradesh
(CBSE)

XIIth Details
Institute Year of Marking Maximum Marks Obtained
Board Stream State City
Name Passing Scheme Marks Obtained Percentage/CGPA
Central
Green
Board Of
wood Madhya
Secondary Science GWALIOR 2020 Percentage 100 93 93.00
Public Pradesh
Education
School
(CBSE)

Diploma Details
Institute Year of Marking Maximum Marks Obtained
Board Stream
Name Passing Scheme Marks Obtained Percentage/CGPA

CA Details
Degree Completion Professional Inter Professional Final Month/Year Of Course Month/Year Of
Status Marks (%) Marks (%) Commencement Completion

CFA Details
Degree Completion Professional Inter Professional Final Month/Year Of Course Month/Year Of
Status Marks (%) Marks (%) Commencement Completion

ICWA Details
Degree Completion Professional Inter Professional Final Month/Year Of Course Month/Year Of
Status Marks (%) Marks (%) Commencement Completion

CS Details
Degree Completion Professional Inter Professional Final Month/Year Of Course Month/Year Of
Status Marks (%) Marks (%) Commencement Completion

Graduation Details
Rajiv Gandhi Proudyogiki
Madhya
Status Awaited State Board/University Vishwavidyalaya, Madhya
Pradesh
Pradesh
Other|Madhav
Institute of State
College University/College Type Exam Pattern Semester Wise
Technology and University
Science
Current Computer Science and
Degree B.Tech Stream
Semster/ Year Engineering
Year of Passing 2024 Marking Scheme CGPA out of 10 Maximum Marks
Obtained Obtained
8.32
Marks Percentage/CGPA

Graduation Details Dual UG

Degree Stream Year of Passing Result Status
Marking Scheme Maximum Marks Obtained Marks Obtained Percentage/CGPA

Post Graduation Details

Status State Board/University
College University/College Type Exam Pattern
Current Semster/ Year Degree Stream
Year of Passing Marking Scheme Maximum Marks
Obtained Marks Obtained Percentage/CGPA

Work Experience
Do you have any Work Experience? :
Name of the Employer Designation From To Total work Exp(in months)
1.
2.
3.
4.
5.
Total Work Experience (In Months) :

Program Details
Do You Want To Apply For XLRI? : Yes
Programme : Business Management (BM);Human Resource Management (HRM)
What Will Be Your First Preference Between HRM And BM? : Human Resource Management (HRM)
Select First City Preference : Gwalior Select Second City Preference : Agra

Documents Details

Signature

Declaration
I hereby certify that the information given by me in this Application Form is true to the best of my knowledge. I certify that I fulfill the eligibility
criteria and undertake to produce original documents whenever necessary and I will not demand any reschedule of exam. I agree to abide by
the declaration of the authorities regarding the eligibility of my application and understand that any misrepresentation or omission of facts in
my application may justify cancellation of my application and scores.The XAT online date mentioned on the website is subject to change.
Applicant Name : Aditya Raj Shukla Date : 27/11/2023