NATIONAL INSTITUTE OF PLANT HEALTH MANAGEMENT

APPLICATION FORM FOR ADMISSION TO POST GRADUATE DIPLOMA IN PLANT

HEALTH MANAGEMENT& DIPLOMA PROGRAMMES — 2016-17

Name (in capital letter) :MADITHATI SRI SAI GOUTHAM REDDY

Gender : Male

Date of Birth :30-08-1994

Category :General

Present Address : Madithati Sri Sai Gowtham Reddy,

s/o M.Surendranath Reddy,d.no:3-6
Thimmareddigaripalli(v),Mudumpadu (P)
T.sundupalli(m),Kadapa(Dt)-516129
Andhrapradesh (state)

Permanent Address : Madithati Sri Sai Gowtham Reddy,

s/o M.Surendranath Reddy,d.no:3-6
Thimmareddigaripalli,Mudumpadu(P),
T.sundupalli(m),kadapa(Dt)-516129
Andhrapradesh (state)

Email id :gowthamreddy.98@yahoo.co.uk

Contact Number(mobile) :9505711117 ,9701432691

EDUCATIONAL QUALIFICATIONS

Qualificatio University Subject/s Marks / Division Year of

n Grade Passing

Post _ _ _ _ _
Graduate

Graduate Acharya B.Sc 8.55(OGPA) First class 2016

N.G.Ranga Agricultre with
agricultural distinction
university

PROJECT WORK : Project programe-RURAL AGRICULTURAL WORKING

EXPERIENCE PROGRAMME (RAWEP) during final year Bsc Agriculture at
katiganikaluva village, Anantapuram district, A.P, under the guidance of DAATTC
,anantapuram from Aug to Dec (2015).

AREAS OF WORKING-Crop production, Plant protection , Rural economy besides

Extensive training in areas of agricultural extension viz. conducting method
demonstrations, group discussions , field visits etc.Aimed at transfer of technology as well
as interaction with farmers for the appraisal of rural economic situations in modern
agriculture scenario.

EXTRA CURRICULAR ACTIVITIES : NATIONAL SERVICE SCHEME( NSS) for

seven days in kuppambhadur village ,Tirupati,Chittor district aimed to serve village people.
 DECLARATION

I hereby declare that all information furnished above by me are true and correct to the
best of my knowledge and belief. I agree to abide by all codes and conduct arid rules as
may be framed from time to time by the institute authorities for smooth conduct of the
programme.

Date:15-06-2016
place:Thimmareddigaripalli (Signature of the Applicant)