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  • 8/14/2019 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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