national institute of plant health management
TRANSCRIPT
राष्ट्र ीय वनस्पति स्वास्थ्य प्रबंधन संस्थान
कृषि, सहकारिता एवं षकसान कल्याण षवभाग, कृषि एवं षकसान कल्याण मत्रालय - भाित सिकाि
National Institute of Plant Health Management Department of Agriculture, Cooperation & Farmers Welfare
Ministry of Agriculture & Farmers Welfare, Government of India
डा. षवधु कामपुित पी / Dr. Vidhu Kampurath P
समन्वयक (शिक्षाशिद) -शिक्षा काययक्रम / Coordinator (Academics)-Educational Programmes
िाजेंद्र नगि/ Rajendra Nagar, हैदिाबाद/ Hyderabad– 500 030, तेलंगाना /Telangana
Telephone: +91 40 24015043, Telefax: +91 40 24015346
E-mail: [email protected] http://niphm.gov.in
F. No. 10th PGDPHM//DPHM/2020-21 Date: 07.11.2020
Office Memorandum Dear Students,
With reference to your application for admission in ‘Post Graduate Diploma in Plant Health Management (PGDPHM) / Diploma in Plant Health Management (DPHM)’, the competent authority of NIPHM has approved to permit the following applicants for provisional admission to 10th PGDPHM/DPHM programme 2020-21.
Sl. No
Name & DOB
Address Edn.Qualificati
ons Contact No. & Email ID
Eligible for
1
Nandu Shekarsing Kahate 19-05-1994
h.no:- 3-77, Dubba gudem, vill:- Kataram, mandal:- Kataram, dist. :-Jayashankar Bhupalpally, pin:-505503, Telangana.
B.Sc. (Ag.) M.Sc. (Agr)
9420627056 [email protected]
PGDPHM
2 Vikas Dattu Jamdade 01-08-1997
A/P Dorlewadi Tal: - Baramati Dist: -Pune State: - Maharashtra-- 413102
B. Tech (Agrl.Engg.)
9765979669 [email protected]
PGDPHM
3
M Raghavendra Reddy 19-12-1997
Flat No - 506, Sai Brindavan Apartments, SV Colony, Bairamalguda, Karmanghat, Behind Alekhya Towers, Sagar Ring Road, Hyderabad, Telangana, India- 500079
B.Sc. (Agr) (Hons)
9530783249 [email protected]
PGDPHM
4 Basavesh Bn 08-07-1998
Basavesh s/o Late Nanjunda Aradhya Kamanakatte beedi gulur
B.Sc. (Hort)
9945376485 [email protected]
PGDPHM
5
Addanki Venkata Avinash 31-03-1998
H.no: 4-177/2, Geetha nagar, Malkajgiri, Hyderabad, Pincode: 500047, Telangana State, India.
B.Sc. (Agr) (Hons)
9492893582 [email protected]
PGDPHM
6 Arijit Misra 19-04-1995
Nowadih Amrabera Barabazar Purulia 723127 West Bengal
B.Sc. (Agrl) Hons)
9800965286 [email protected]
PGDPHM
7 Ganesh H H S 29-07-1994
S/O Sakrappa S B.Sc. (Agr.) M.Sc. (Agrl) (PP)
7829653639 [email protected]
PGDPHM
8 Mohammed Aman 07-08-1994
Aman s/o Haji sab near jamia mosque khaleel circle Maski. Taluk:-
B.Sc. (Agr.) 9902888313 [email protected]
PGDPHM
राष्ट्र ीय वनस्पति स्वास्थ्य प्रबंधन संस्थान
कृषि, सहकारिता एवं षकसान कल्याण षवभाग, कृषि एवं षकसान कल्याण मत्रालय - भाित सिकाि
National Institute of Plant Health Management Department of Agriculture, Cooperation & Farmers Welfare
Ministry of Agriculture & Farmers Welfare, Government of India
डा. षवधु कामपुित पी / Dr. Vidhu Kampurath P
समन्वयक (शिक्षाशिद) -शिक्षा काययक्रम / Coordinator (Academics)-Educational Programmes
िाजेंद्र नगि/ Rajendra Nagar, हैदिाबाद/ Hyderabad– 500 030, तेलंगाना /Telangana
Telephone: +91 40 24015043, Telefax: +91 40 24015346
E-mail: [email protected] http://niphm.gov.in
Maski,District:-Raichur karnataka 584124.
9 Kanduri Sreekar 13-11-1997
2-154/4/1 Sreeram nagar Yadagiri gutta telangana 508115
B.Sc. (Agrl) M.Sc. (Hort) (Veg. Science)
8919607754 [email protected]
PGDPHM
10
Sanghratna Sudam Khirade 09-08-1990
At Jogaldari, Post Kothari, Tq Mangrulpir Dist Washim
B.Sc. (Hort) 9552059912 [email protected]
PGDPHM
11
Srinivasa Reddy Alavala 18-11-1984
311-B, BLOCK-A, Sri Sai Krupa Apartments, Kompally, Quitbullapur Mandal, Medchal District,Telangana-500100
B.Sc. (Botony, Zoology, Chem)- M.Sc. (Zoology)-
7051450149 [email protected]
PGDPHM
12
Mudasir Ahmad Tantray 10-07-1999
LALBUGH, QAZIABAD,KUPWARA,JAMMU AND KASHMIR
B.Sc. (Hort)
7006698193 [email protected]
PGDPHM
13
Rushikesh Vishnu Chavan 04-05-1998
Room No 1301 Balaji Residency Near 90 Fit Road Thakurli Tal Kalyan Dist Thane - 421201
B.Sc. (Agrl)
7083814744 [email protected]
PGDPHM
14 Banki Abhilash 27-06-1998
1-106/a, Pattushali street, Pullita village, Santhakaviti Mandal, Srikakualm, Andhrapradesh-532123
B.Sc. (Agrl) 9182902960 [email protected]
PGDPHM
15 Thamizhpriyan A 27-09-1998
14/3 Elavarasanpattu street, Abatharanapuram, Vadalur, Cuddalore district, Tamil Nadu - 607 303
B.Sc. (Agrl) 7598004819 [email protected]
PGDPHM
16 B Navitha 20-08-1994
Plot no 42 Shivakeshav Nagar Gadwal Jogulamba Gadwal Dist T.S. 509125
B.Sc. (YWS) M.Sc. (Botony)
9000843149 [email protected]
PGDPHM
17
Pranav Chandra-shekhar Dhok 15-09-1998
Chakradhar Appartment, Near Harikishan Malu School, Anand Vihar, Shankar Nagar Road, Amravati
B.Sc. (Agrl) 9518726404 [email protected]
PGDPHM
18 Kosenepalli Manasa 10-05-1998
D No. 9-8C, Near MRO Office, Talupula Village and Mandal, Anantapur District, Andhra Pradesh
B.Sc. (Hon) (Hort)
7989379699 [email protected]
PGDPHM
राष्ट्र ीय वनस्पति स्वास्थ्य प्रबंधन संस्थान
कृषि, सहकारिता एवं षकसान कल्याण षवभाग, कृषि एवं षकसान कल्याण मत्रालय - भाित सिकाि
National Institute of Plant Health Management Department of Agriculture, Cooperation & Farmers Welfare
Ministry of Agriculture & Farmers Welfare, Government of India
डा. षवधु कामपुित पी / Dr. Vidhu Kampurath P
समन्वयक (शिक्षाशिद) -शिक्षा काययक्रम / Coordinator (Academics)-Educational Programmes
िाजेंद्र नगि/ Rajendra Nagar, हैदिाबाद/ Hyderabad– 500 030, तेलंगाना /Telangana
Telephone: +91 40 24015043, Telefax: +91 40 24015346
E-mail: [email protected] http://niphm.gov.in
19 Morampudi. Harika 20-08-1998
A. K gudem,5-20,Raghavapuram post, chintalapudi mandal, west godavari district, Andhra Pradesh, 534460.
B.Sc. (Agrl) 9490378279 [email protected]
PGDPHM
20 Jaizen Kuriakose 30-12-1995
Kochupurackal House Karippode P.O Pudunagaram, Palakkad Kerala-678503
B.Sc. (Hons) (Agrl)
8589875135 [email protected]
PGDPHM
21 Haritha G 15-12-1995
Perath House Southmonkuzhy Pullikanakku P O Kayamkulam - 690537
B.Sc. (Hons) (Agrl)
9747440634 [email protected]
PGDPHM
22 Suman Sekhar Swain 03-03-1998
C/o S K Swain, Nad, Pxe, Chandipur B.Sc. (Hort)
8249928168 [email protected]
PGDPHM
23 Kodam Sahithi 27-08-1995
H No. 19-213/5, Narsampet Warangal Rural Telangana – 506132
B.Sc. (Hons) (Agrl)
9505155838 [email protected]
PGDPHM
24 Anitt Joseph 14-11-1997
Puthupparampil House, Chathanthara P.O, Kollamula, Pathanamthitta District, Kerala 686510
B.Sc. (Hons) (Agrl)
9207443108 [email protected]
PGDPHM
25 Syam P 11-10-1997
Thazhathukulakkada B.Sc. (Agrl)
7012766380 [email protected]
PGDPHM
26 Anagha M 19-01-1997
Madathil ( House), Chenoli(Post), Perambra (Via), Kozhikode, Kerala, 673525
B.Sc. (Agrl)-2018
9497217326 [email protected]
PGDPHM
27 Mudakala Lokesh Chand 24-12-1997
DNO:25-14-3 Sambhunipeta Palakol West Godavari Andhra Pradesh
B.Sc (Agrl)
9494766040 [email protected]
PGDPHM
28 Mulla Joya Javed 27-04-1995
Akbar mohall , Ap islampur , tal walwa, dist Sangli 415409 MH
B.Sc. (Agrl)
7709166373 [email protected]
PGDPHM
29 Thangella Sai Ashritha 16-03-1997
H.no:-10-2-402/a, sriramnagar colony road no.4, salampura, opp sathavahana university
B.Sc. (Hons) (Agrl)
8074071505 [email protected]
PGDPHM
राष्ट्र ीय वनस्पति स्वास्थ्य प्रबंधन संस्थान
कृषि, सहकारिता एवं षकसान कल्याण षवभाग, कृषि एवं षकसान कल्याण मत्रालय - भाित सिकाि
National Institute of Plant Health Management Department of Agriculture, Cooperation & Farmers Welfare
Ministry of Agriculture & Farmers Welfare, Government of India
डा. षवधु कामपुित पी / Dr. Vidhu Kampurath P
समन्वयक (शिक्षाशिद) -शिक्षा काययक्रम / Coordinator (Academics)-Educational Programmes
िाजेंद्र नगि/ Rajendra Nagar, हैदिाबाद/ Hyderabad– 500 030, तेलंगाना /Telangana
Telephone: +91 40 24015043, Telefax: +91 40 24015346
E-mail: [email protected] http://niphm.gov.in
30 Sodari.Suryaprakash 19-05-1994
H.No:- 3-77, Dubba Gudem, Vill:- Kataram, Mandal:- Kataram, Dist. :-Jayashankar Bhupalpally, PIN:-505503, T.S.
B.Sc. (Agrl)
8179567355 [email protected]
PGDPHM
31 Nadiminti Jyothsna 23-08-1998
N.Surayanarayana Dno. 49-12, Dadithalli colony, bobbili, vijayanagaram
B.Sc. (Hon) (Agrl)
8309219589 [email protected]
PGDPHM
32 Bysani Saran Kumar 03-09-1997
Plot no 20, Sai Nagar colony, Peddapadu road
B.Sc. (Agrl)
8309741517 [email protected]
PGDPHM
33 Rathula Mounica 04-06-1998
H.NO:-4-33 Anjaneya Thanda Village Perur Post Anumula Mandal Nalgonda Dist Pincode:-508202
B.Sc.(Agr)
9701584607 [email protected]
PGDPHM
34 Gaddala Deepika 27-12-1998
H NO 6-108, Kondaparthy Village, Inavolu Mandal, Warangal Urban Dist. PIN – 506003
B.Sc. (Agr) 9100831437 [email protected]
PGDPHM
35 Sake Ramanjineyulu 16-07-1997
Bathalapalli village mandal Door number,4-90,vadde street Dharmavaram taluk Anantapur district
B.Sc. (Agr)
9701088265 [email protected]
PGDPHM
36 Rohit Vyaghramber Suryawanshi 05-01-1993
Gut no. 32 Plot no. B -17 sonai niwas Hirapur jalna road aurangabad
B.Sc. (Agrt) M.Sc.
8149626849 [email protected]
PGDPHM
37 Vaibhav Diliprao Joshi 10-07-1993
Plot No.18 N-4 Cidco Hanuman Chowk Aurangabad
B.Sc. (Agrt) M.Sc. (Bio-Physics)
8177807012 [email protected]
PGDPHM
38
Abhijeet Bhausaheb Gaikwad 01-06-1994
Plot No 6 Jay Siddheshwar Housing Society Near Datta Mandir Aurangabad
B.Sc. (Agrt) M.Sc. (Bio-Physics)
8208401647 [email protected]
PGDPHM
39 Giram Kartik Sudamrao 09-04-1998
"Sant-Krupa Niwas", Basmat Raod, Parbhani-431401
B.Tech (Agrl.Engg.)
8767082823 [email protected]
PGDPHM
40 Sagar Raju Karekar 15-07-1998
At-Bhiwkund, Post-Aambdi, Tah-Chimur, Dist- Chandrapur, 442906
B.Sc. (Agrt)
8698719472 [email protected]
PGDPHM
राष्ट्र ीय वनस्पति स्वास्थ्य प्रबंधन संस्थान
कृषि, सहकारिता एवं षकसान कल्याण षवभाग, कृषि एवं षकसान कल्याण मत्रालय - भाित सिकाि
National Institute of Plant Health Management Department of Agriculture, Cooperation & Farmers Welfare
Ministry of Agriculture & Farmers Welfare, Government of India
डा. षवधु कामपुित पी / Dr. Vidhu Kampurath P
समन्वयक (शिक्षाशिद) -शिक्षा काययक्रम / Coordinator (Academics)-Educational Programmes
िाजेंद्र नगि/ Rajendra Nagar, हैदिाबाद/ Hyderabad– 500 030, तेलंगाना /Telangana
Telephone: +91 40 24015043, Telefax: +91 40 24015346
E-mail: [email protected] http://niphm.gov.in
41 Akbar Shaikh 09-10-1993
Patel Pride, Row House F-7, sadad nagar, aurangabad, maharashtra 431005
B.Sc. (Agrt) M.Sc. (Plant Molecular biology & Bio-tech)
8830157793 [email protected]
PGDPHM
42 Rakesh Tanha Dayat 29-04-1998
AT-Post-Zari Dhangadpada Taluka-Talasari Dist-Palghar PIN-401606
B.Sc. (Agrt)
7030245206 [email protected]
PGDPHM
43
Vikram Mansing Budhe 12-11-1999
Room No.14 Nankadevi Laxmi Niwas.Near Police Chowk Tembhipada,Bhandup West Mumbai-400078
B.Sc. (Agrt)
8356040793 [email protected]
PGDPHM
44
Patil Chinmay Ramesh 29-05-1997
Bharat Gas House Jamghar Post-Nehroli 421312 (Kudus) Wada Dist-Palghar
B.Sc. (Agrt)
9168097968 [email protected]
PGDPHM
45
Harshad Manohar Bodkhe 15-06-1997
Near APMC Karanja Road Mangrulpir Tehsil-Mangrulpir Dist-Washim state-Maharashtra
B.Sc. (Agrt)
7775928184 [email protected]
PGDPHM
46
Guddadahalli Sabiha Munawar 16-09-1999
Door No 3-48, A Narayanapuram Road, Tapovanam, Anantapur – 515004
B.Sc. (Hons) (Agrt)
9492288002 [email protected]
PGDPHM
47
Pruthviraj Mangesh Randive 27-09-1994
At Post-Tungat, Taluka-Pandharpur, District-Solapur
B.Sc. (Hort)
9130236643 [email protected]
PGDPHM
48 Yerra Lahari 29-12-1998
9/99,gandhi nagar road no.2 Sathupalli Pin: 507303 Telangana
B.Sc. (Agri)
9398677727 [email protected]
PGDPHM
49
Prithviraj Rajendra Tarale 22-01-1997
2604, Urban Colony, Ajara Road, Gadhinglaj, Dist- Kolhapur, Maharashtra PIN – 416502
B.Sc. (Agri)
8793712345 [email protected]
PGDPHM
50
Mujawar jaidahamd salim 02-01-1999
at/post mallewadi tal- miraj dist- sangli
B.Sc. (Agr) (Biotech)
8329101329 [email protected]
PGDPHM
51 Heena Rani 15-08-1992
House No 275, Street No 10, Ward No 5, Cinema
B.Tech (Agrl. Engg.)
9814500661 PGDPHM
राष्ट्र ीय वनस्पति स्वास्थ्य प्रबंधन संस्थान
कृषि, सहकारिता एवं षकसान कल्याण षवभाग, कृषि एवं षकसान कल्याण मत्रालय - भाित सिकाि
National Institute of Plant Health Management Department of Agriculture, Cooperation & Farmers Welfare
Ministry of Agriculture & Farmers Welfare, Government of India
डा. षवधु कामपुित पी / Dr. Vidhu Kampurath P
समन्वयक (शिक्षाशिद) -शिक्षा काययक्रम / Coordinator (Academics)-Educational Programmes
िाजेंद्र नगि/ Rajendra Nagar, हैदिाबाद/ Hyderabad– 500 030, तेलंगाना /Telangana
Telephone: +91 40 24015043, Telefax: +91 40 24015346
E-mail: [email protected] http://niphm.gov.in
Road, Mansa (Punjab)- 151505
52
Durga Veera Venkata Pavan Kumar 04-03-1999
9-396, sujatha clinic, opposite mosque, konthamuru, rajahmundry rural, Andhra pradesh.533102
B.Sc. (Agr)
9398653954 [email protected]
PGDPHM
53
M AJAY SONU 26-05-1999
Plot no 220 , Lakshmi mega township, Ragannaguda, abdullapurmet mandal , Hyderabad
B.Sc. (Hons)(Agr)
7794950510 [email protected]
PGDPHM
54 Bhadragiri Himabindu 23-07-1998
C-185, Near Ganesh Temple , Vanasthalipuram, Hyderabad, 500070.
B.Sc. (Hons)(Agr)
9573286267 [email protected]
PGDPHM
55 Gujja. Sri Sai Lakshmi 04-07-1999
Rajgopalnagar, 1st lane, kakani road, D. No: 8-16-16, Guntur.
B.Sc. (Agr)
9949631445 [email protected]
PGDPHM
56
Jakkampudi. C. H. S. R Prabhathnaidu 12-08-1998
Opp. Arts college, Nehru Nagar, D. No:50-9-3, Harihara Nilayam, East Godavari, Rajahmundry
B.Sc. (Agr)
8074835799 [email protected]
PGDPHM
57 Anem Jayanandini 25-08-1999
Dr.No. 16-133/1, Balamoori Vari street, Venkatagiri town, Nellore District, Andhra Pradesh - 524132
B.Sc. (Agri)
9493619156 [email protected]
PGDPHM
58 Arjun V.P. 29-11-1993
Valiyaparambil (H), Vallikunnu Norta (PO), Kadalundi, Nagaram, Nalappuram- 673314
B.Sc. (Agri)
9633757316 [email protected]
PGDPHM
59
Mamillapalli Narayana Ruthwek 17-08-1997
House No. 108, Street No. 610, Ward No. 29, Macherla, Guntur District- 522426
B.Sc. (Hons) Horticulture
9494754208 [email protected]
PGDPHM
60 Thara M.M. 01-01-1996
Methara Meethal House, Cheliya (po), Koyilandy, Kozhikode District - 673306, Kerala
B.Sc. (Agri)
9048331386 [email protected]
PGDPHM
61 N.Ajay Kumar 14-03-1997
11-84/A, Manjunadtha Jewellerys , palakurthy
B.Sc. (Hons) Agri
8209222764 [email protected]
PGDPHM
राष्ट्र ीय वनस्पति स्वास्थ्य प्रबंधन संस्थान
कृषि, सहकारिता एवं षकसान कल्याण षवभाग, कृषि एवं षकसान कल्याण मत्रालय - भाित सिकाि
National Institute of Plant Health Management Department of Agriculture, Cooperation & Farmers Welfare
Ministry of Agriculture & Farmers Welfare, Government of India
डा. षवधु कामपुित पी / Dr. Vidhu Kampurath P
समन्वयक (शिक्षाशिद) -शिक्षा काययक्रम / Coordinator (Academics)-Educational Programmes
िाजेंद्र नगि/ Rajendra Nagar, हैदिाबाद/ Hyderabad– 500 030, तेलंगाना /Telangana
Telephone: +91 40 24015043, Telefax: +91 40 24015346
E-mail: [email protected] http://niphm.gov.in
mandal and village, Jangoam district - 506 252
62 Vaishnavi Gajanan Wandhare
AT Post Dhoki (Road) B.Sc. (Agri)
9130221940 [email protected]
PGDPHM
63 Prashanth KB 05-02-1996
Kotabalapalli (V & po), Srinivasapura (Taluk), Kolar District, Karnataka - 563135
B.Sc. (Hort)
7259831628 [email protected]
PGDPHM
64
Sambit Kumar Dwibedy 03-06-1994
AT- Salijanga, Redhua (PO), Nalibar (Via), Jagatsinghpur, Odisha - 754104
B.Sc. (Zoo) M.Sc.(Zoo) M.Phil (Life Science)
9439213942 [email protected]
PGDPHM
65
Shivani Madhukar Nistane 16-11-1997
Vasant Nagar, Ghatanji Taluk, Yavatmal District, Maharashtra
B.Sc. (Agri)
9689668255 [email protected]
PGDPHM
66 Priti Banduji Thool 17-10-1998
At post Giroli (Ingle) Ta. Deoli Dist. Wardha
B.Sc. (Agri)
7820922556 [email protected]
DPHM
67 Anu Tom Pannoor B.Sc. Botony (Plant Bio-Security)
8111951436 [email protected]
DPHM
Further, the above candidates are informed that:
i) The candidates found eligible have to pay 1st instalment of course fee i.e. Rs. 31,250/- for PGDPHM course (1st Semester) and Rs. 12,500/- for DPHM course through online on or before 13-11-2020. Details of Bank Account are as follows: Name of beneficiary : NIPHM Revenue Account Name of the Bank : State Bank of India Name of the Bank Branch : Budvel, Hyderabad Bank Code : 12818 IFSC Code : SBIN0012818 Account No : 32917658917
ii) Fee paid once will not be refundable.
राष्ट्र ीय वनस्पति स्वास्थ्य प्रबंधन संस्थान
कृषि, सहकारिता एवं षकसान कल्याण षवभाग, कृषि एवं षकसान कल्याण मत्रालय - भाित सिकाि
National Institute of Plant Health Management Department of Agriculture, Cooperation & Farmers Welfare
Ministry of Agriculture & Farmers Welfare, Government of India
डा. षवधु कामपुित पी / Dr. Vidhu Kampurath P
समन्वयक (शिक्षाशिद) -शिक्षा काययक्रम / Coordinator (Academics)-Educational Programmes
िाजेंद्र नगि/ Rajendra Nagar, हैदिाबाद/ Hyderabad– 500 030, तेलंगाना /Telangana
Telephone: +91 40 24015043, Telefax: +91 40 24015346
E-mail: [email protected] http://niphm.gov.in
iii) It is to inform that due to Covid-19 pandemic situation, the classes for the 1st Semester for PGDPHM/DPHM are only through online mode till further instructions. You are strictly instructed not to undergo any regular course / job after admission in to PGDPHM/ DPHM for the academic year 2020-21. If found otherwise, your candidature will be cancelled immediately.
iv) All the eligible students are advised to submit the Declaration Form (Annexure –I) enclosed. The signed declaration form should be sent to [email protected]
v) For further clarification, please mail to [email protected] or [email protected]
Dr. Vidhu Kampurath. P Course Coordinator
CC to: 1. FA, NIPHM for verification of payment of fee by the students.
राष्ट्र ीय वनस्पति स्वास्थ्य प्रबंधन संस्थान
कृषि, सहकारिता एवं षकसान कल्याण षवभाग, कृषि एवं षकसान कल्याण मत्रालय - भाित सिकाि
National Institute of Plant Health Management Department of Agriculture, Cooperation & Farmers Welfare
Ministry of Agriculture & Farmers Welfare, Government of India
डा. षवधु कामपुित पी / Dr. Vidhu Kampurath P
समन्वयक (शिक्षाशिद) -शिक्षा काययक्रम / Coordinator (Academics)-Educational Programmes
िाजेंद्र नगि/ Rajendra Nagar, हैदिाबाद/ Hyderabad– 500 030, तेलंगाना /Telangana
Telephone: +91 40 24015043, Telefax: +91 40 24015346
E-mail: [email protected] http://niphm.gov.in
ANNEXURE-I DECLARATION
Application for :
Applicant Name :
Father’s Name:
Date of Birth :
Gender :
Category (SC/ST/OBC//EWS/UR):
Qualification:
Mobile :
Email :
Present Address :
I have submitted all Certificates : Yes No
If, the answer above is ‘No’, the Provisional Degree Certificate (PDC) for the completed course should
be submitted on or before 31-12-2020. If fail to submit the same within the stipulated time, their
candidature may be cancelled.
I hereby declare that all the information furnished by me for admission in to PGDPHM /DPHM for 2020-21 are true and correct to the best of my knowledge and belief. I agree to abide by all the rules, codes and conduct as may be framed from time to time by the institute. Any false information provided pertaining to eligibility for the said course may be terminated at any stage. Date: Place: Signature of the Candidate