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Application Summary

https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication...

Name :

Ankit Tripathi

Reg No. :

T1321476H

Home University
Student Category* Home University Country* Home University* Qualification to obtain at Home University* Enrolment period in Home University* Home Faculty/School*

Summer Research Internship Programme India Indian Institute of Technology Kanpur Bachelor From 05-2011 to 07-2015 Faculty of Chemical Engineering Chemical Engineering CHEMICAL & BIOMOLECULAR ENGINEERING

Major of Studies at Home University*


Equivalent NTU Programme

Personal Information Personal Particulars


Title* Full Name* Last / Family Name* Given 1st Name* Middle Name* Gender* Date of Birth(DDMON-YYYY)* Country of Birth* Citizenship* Are you a Permanent Residence of Singapore?* Race* Marital Status* Passport No./ Identity Card No.*

Mr Ankit Tripathi Tripathi Ankit Male 07-JUN-1991 India Indian No Indian S LK2067189506813

Address
Permanent Home Address* Street* City* State/Province* Postal Code* Country* Mailing Address* Street* City*

Flat no. 6 , Second Floor, 'U' Block, Govind Nagar, Kanpur Kanpur Uttar Pradesh 208006 India Room no. 244,Hall 2 Kanpur

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Application Summary

https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication...

State/Province* Postal Code* Country*

Uttar Pradesh 208016 India

Contact Information
Home Telephone Number* Mobile Telephone Number* Fax Number* E-mail Address*

+919889451458 +919005529810 ankittri@iitk.ac.in

Academic Qualification Completed education


Name of Institution From(YYYY) To(YYYY) Qualification Obtained

Dr. Virendra Swarup 21st Century 2007 School Lawrence and Mayo Public 2009 School Indian Institute of Technology 2011 Kanpur

2008 2010 2015

Certicate Certicate Degree

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Application Summary

https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication...

Name :

Ankit Tripathi

Reg No. :

T1321476H

Mode,area and duration of study


Research
Research Dates(DDMM-YYYY)* Research Title* Name of School/College* NTU Supervisor*

from 06-MAY-2014 to 22-JUL-2014 Rationally-designed hierarchical composite carbon as advanced electrodes for high performance supercapacitors School of Chemical and Biomedical Engineering (SCBE) Assoc Prof Chen Yuan

Source of Finance
Source Of Finance* Full Name of Awarding Organisation* Duration (MM-YYYY)* Amount of Award*

Scholarship SUMMER RESEARCH INTERNSHIP PROGRAMME from to

Details of Employment
Year Full or part-time State occupation and description of Employer and place of experience employment

Additional Information Exchange/Non-graduating student


Have you ever been an overseas exchange/non-graduating student of the National University of Singapore/Nanyang Technological University/Singapore Management University? *

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/been treated/been diagnosed of any illness which may affect your studies? *

No
If yes, please state nature of illness

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Application Summary

https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication...

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 requires treatment or medication? *

No
If yes, please have your physician prepare a summary of your treatment that includes the following:

Condition being treated Type of Medicine Physician's address and phone number The summary must be produced upon request. Please note that it is IMPORTANT to make known your 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

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Application Summary

https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication...

Name :

Ankit Tripathi

Reg No. :

T1321476H

Emergency Contact Personal Particulars


Title* Full Name* Last Name/Surname* Given 1st Name* Middle Name* Relationship*

Mr SUBHASH TRIPATHI TRIPATHI SUBHASH Father

Address
Mailing Address* Street* City* State/Province* Postal Code* Country*

FLAT NO. 67, 'U' BLAOCK,,GOVIND NAGAR KANPUR UTTAR PRADESH 208006 India

Contact Information
Home Telephone Number* Mobile Telephone Number* Office Telephone Number* Fax Number* E-mail Address*

+919005529810 +919889333375

ANKITTRI7@GMAIL.COM View Photo Transcript.pdf passport.jpg Ankit Tripathi_CV.docx COVER LETTER.pdf

Attachment Photo/Transcripts
Submitted Photo Submitted Transcripts Submitted Degree Submitted Passport Submitted CV Submitted Document

https://venus.wis.ntu.edu.sg/NG_APP/Pages/ViewApplication.aspx?AppNo=1F1FC292C5424392F2A0992A98B46A57

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