application summary.pdf
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Name : Ankit Tripathi Reg No. : T1321476H
Home UniversityStudent Category * Summer Research Internship Programme
Home University Country * India
Home University * Indian Institute of Technology KanpurQualification to obtain atHome University *
Bachelor
Enrolment period in HomeUniversity *
From 05-2011 to 07-2015
Home Faculty/School * Faculty of Chemical EngineeringMajor of Studies at HomeUniversity *
Chemical Engineering
Equivalent NTU Programme CHEMICAL & BIOMOLECULAR ENGINEERINGPersonal InformationPersonal Particulars
Title * Mr
Full Name * Ankit Tripathi
Last / Family Name * Tripathi
Given 1st Name * AnkitMiddle Name *
Gender * MaleDate of Birth(DD-MON-YYYY) *
07-JUN-1991
Country of Birth * IndiaCitizenship * IndianAre you a PermanentResidence of Singapore? *
No
Race * Indian
Marital Status * SPassport No./ IdentityCard No. *
LK2067189506813
Address
Permanent Home Address *
Street * Flat no. 6 , Second Floor, 'U' Block, Govind Nagar, Kanpur
City * Kanpur
State/Province * Uttar Pradesh
Postal Code * 208006
Country * India
Mailing Address *
Street * Room no. 244,Hall 2
City * Kanpur
Application Summary https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication...
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State/Province * Uttar Pradesh
Postal Code * 208016
Country * India
Contact Information
Home Telephone Number * +919889451458Mobile Telephone Number * +919005529810Fax Number *
E-mail Address * [email protected]
Academic QualificationCompleted education
Name of Institution From(YYYY) To(YYYY) Qualification Obtained
Dr. Virendra Swarup 21st CenturySchool
2007 2008 Certicate
Lawrence and Mayo PublicSchool
2009 2010 Certicate
Indian Institute of TechnologyKanpur
2011 2015 Degree
Application Summary https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication...
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Name : Ankit Tripathi Reg No. : T1321476H
Mode,area and duration of study
Research
Research Dates(DD-
MM-YYYY) *from 06-MAY-2014 to 22-JUL-2014
Research Title *Rationally-designed hierarchical composite carbon as advancedelectrodes for high performance supercapacitors
Name of School/College * School of Chemical and Biomedical Engineering (SCBE)
NTU Supervisor * Assoc Prof Chen Yuan
Source of FinanceSource Of Finance * ScholarshipFull Name of AwardingOrganisation *
SUMMER RESEARCH INTERNSHIP PROGRAMME
Duration (MM-YYYY) * from toAmount of Award *
Details of Employment
YearFull orpart-time
State occupation and description of experience
Employer and place of employment
Additional InformationExchange/Non-graduating student
Have you ever been an overseas exchange/non-graduating student of the NationalUniversity of Singapore/Nanyang Technological University/Singapore ManagementUniversity? *
No If yes, state year(s) of attendance and course(s) taken
Have you entered Singapore using another passport previously? *
No If yes, please state passport number
Health Declaration
Do you have any physical illness, or currently undergoing any medical treatment/beentreated/been diagnosed of any illness which may affect your studies? *
No
If yes, please state nature of illness
Application Summary https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication...
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Have you ever been hospitalized? *
No
If yes, please give details
Period of Hospitalization: From (DD-MM-YYYY) to -- (DD-MM-YYYY)
Reason for Hospitalization:
-- Are you currently taking any medication (including OTC and inhalers)? *
No
If yes, please list the medication(s)
Do you have any chronic (long-lasting or persistent) medical condition that requirestreatment or medication? *
No
If yes, please have your physician prepare a summary of your treatment that includes thefollowing:
Condition being treatedType of MedicinePhysician's address and phone number
The summary must be produced upon request. Please note that it is IMPORTANT to make knownyour medical conditions (if any).
Criminal offence
Have you been convicted of any criminal offence by a Court of Law in any country? *
No
If yes, provide particulars of offence
Application Summary https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication...
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Name : Ankit Tripathi Reg No. : T1321476H
Emergency ContactPersonal Particulars
Title * Mr
Full Name * SUBHASH TRIPATHILast Name/Surname * TRIPATHI
Given 1st Name * SUBHASHMiddle Name *
Relationship * Father
Address
Mailing Address *
Street * FLAT NO. 67, 'U' BLAOCK,,GOVIND NAGAR
City * KANPUR
State/Province * UTTAR PRADESH
Postal Code * 208006
Country * India
Contact Information
Home Telephone Number * +919005529810
Mobile Telephone Number * +919889333375Office Telephone Number *
Fax Number *
E-mail Address * [email protected]
Attachment Photo/TranscriptsSubmitted Photo View Photo
Submitted Transcripts Transcript.pdf Submitted Degree
Submitted Passport passport.jpg
Submitted CV Ankit Tripathi_CV.docx
Submitted Document COVER LETTER.pdf
https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication.aspx?AppNo=1F1FC292C5424392F2A0992A98B46
Application Summary https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication...
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