PROFORMA : Details of Certificate Course on Insecticides Management for Insecticides Dealers/Distributors Name of the NTI : KVK, District : Ujjain State : Name of the Facilitator Dr.R.P.SHARMA ,Mobile No: 9754032456 Venue of Programme : KRISHI VIGYAN KENDRA UJJAIN M.P. Date of Commencement of Classes : 03-01-2021 Date of Completion of Classes : 21-03-2021 TPNo : 20060

Sl. No. Name of the Candidate Address Mob: No Gender Category Physically Input Input Type Qualification Photo Disabled Lincense Holder or Not 1 Ashvin Raghuwanshi HALDHAR KRISHI SEVA 7000231263 Male Others No Yes Pesticides Graduate KENDRA ,14 MAHAKAL MARG DOULATGANJ UJJAIN M.P. , Ujjain , MADHYA PRADESH - 456010

2 RAJU BASWANI AMIT TRAIDERS 7089036280 Male Others No Yes Pesticides SSC/HSC/Matriculation 146,MALIPURA UJJAIN , Ujjain , MADHYA PRADESH - 456010

3 Kishore Chowkse CHOKSE KRISHI SEVA 9229686855 Male BC No Yes Pesticides SSC/HSC/Matriculation KENDRA DHUDH TALAI UJJAIN , Ujjain , MADHYA PRADESH - 456010

4 Dinesh Anjana trupati beej bhandar 347,sabjee 9753845148 Male BC No Yes Pesticides SSC/HSC/Matriculation market maxi road ujjain m.p. , Ujjain , MADHYA PRADESH - 456010 5 KULDEEP KOTHARI MANIRATNA AGRO 9424601932 Male Others No Yes Pesticides SSC/HSC/Matriculation AGENCIES 20/1 CHIYANGANJ MANDI PHAJALPURA GAT UJJAIN M.P. , Ujjain , MADHYA PRADESH - 456010 6 PAWAN JAIN BHARAT AGRO AGENCY 9826698250 Male Others No Yes Pesticides Graduate 256,MAHAKAL MARG UJJAIN M.P. , Ujjain , MADHYA PRADESH - 456010

7 PRATEEK CHOUDHARY UTASAV ENTR.ASHOK 9827439959 Male Others No Yes Pesticides SSC/HSC/Matriculation MANDI MARG UJJAIN M.P. , Ujjain , MADHYA PRADESH - 456010

8 RAJENDRA SINGH RATHOR GAJANAND ENT. 53 9691244701 Male Others No Yes Pesticides SSC/HSC/Matriculation CHIMANGANJ MANDI UJJAIN M.P. , Ujjain , MADHYA PRADESH - 456010

9 DINESH KUMAR 150 CHIMAN GANJ MANDI 8959329378 Male BC No Yes Pesticides SSC/HSC/Matriculation UJJAIN , Ujjain , MADHYA PRADESH - 456010

10 DEEPAK NIRWANI 252, DOULAT GANJ UJJAIN , 8817795978 Male Others No Yes Pesticides SSC/HSC/Matriculation Ujjain , MADHYA PRADESH - 456010

11 DEVKARAN ANJANA 53 B CHIMANGANJ MANDI 9981948402 Male BC No Yes Pesticides SSC/HSC/Matriculation UJJAIN , Ujjain , MADHYA PRADESH - 456010 12 HAKAM SINGH NAIKHEDI GAMBHIR DAME 9926026933 Male Others No Yes Pesticides SSC/HSC/Matriculation ROAD UJJAIN , Ujjain , MADHYA PRADESH - 456010

13 BHARAT ANJANA VILLAGE SODAG MAIN 9907025756 Male BC No Yes Pesticides SSC/HSC/Matriculation ROAD BY PASS , Ujjain , MADHYA PRADESH - 456010

14 YOGESH GUPTA 54 FUWARA CHOWK UJJAIN 8770760386 Male Others No Yes Pesticides SSC/HSC/Matriculation M.P. , Ujjain , MADHYA PRADESH - 456010

15 ABHAY JAIN BHARAT KHAD BEEJ 9827430421 Male Others No Yes Pesticides SSC/HSC/Matriculation BHANDAR 257 MAHAKAL MARG DHOULAT GANJ UJJAIN M.P. , Ujjain , MADHYA PRADESH - 456010

16 HARISH NIRVANI SARVOTAM BEEJ 9993558505 Male Others No Yes Pesticides SSC/HSC/Matriculation BHANDAR 252 MAHAKAL MARG DOULAT GANJ UJJAIN M.P. , Ujjain , MADHYA PRADESH - 456010

17 KAMLESH SANKARPURA CHORAHA 7869555809 Male SC No Yes Pesticides SSC/HSC/Matriculation MAXI ROAD UJJAIN M.P. , Ujjain , MADHYA PRADESH - 456010

18 RAKESH CHOUDHARY 193 CHIMANGANJ MANDI 8821801803 Male BC No Yes Pesticides SSC/HSC/Matriculation UJJAIN , Ujjain , MADHYA PRADESH - 456010 19 NARAYAN SINGH CHANDUKHEDI , Ujjain , 9977967077 Male BC No Yes Pesticides SSC/HSC/Matriculation MADHYA PRADESH - 456010

20 RAHUL SINGH SHRI NARSINGH BAJRANG 9165344567 Male Others No Yes Pesticides SSC/HSC/Matriculation COMPLEX CHINTAMAN GANESH UJJAIN M.P. , Ujjain , MADHYA PRADESH - 456010

21 SHAILENDRA 96,NAGESHWAR DHAM 9981134682 Male Others No Yes Pesticides SSC/HSC/Matriculation MAHESHWARI COLONY UJJAIN , Ujjain , MADHYA PRADESH - 456010

22 SURENDRA SINGH VILLAGE NARVAR DISTI 9406880999 Male Others No Yes Pesticides SSC/HSC/Matriculation .UJJAIN M.P. , Ujjain , MADHYA PRADESH - 456010

23 JAGDISH MALVIYA SANKARPURA MAXI ROAD 8085581818 Male SC No Yes Pesticides SSC/HSC/Matriculation UJJAIN , Ujjain , MADHYA PRADESH - 456010

24 RAJESH MEHTA HARI OM COLONY GHOSLA 9893605754 Male Others No Yes Pesticides SSC/HSC/Matriculation UJJAIN , Ujjain , MADHYA PRADESH - 456010

25 KAMLESH SHARMA bus stand ghosla , Ujjain , 9424819939 Male Others No Yes Pesticides SSC/HSC/Matriculation MADHYA PRADESH - 456010 26 SHIVNARAYN BHAIROGAD THESHIL 9131223886 Male BC No Yes Pesticides SSC/HSC/Matriculation GHATIYA DISTIC UJJAIN , Ujjain , MADHYA PRADESH - 456010

27 SHEKHAR CHOUDHARY VILLAGE KAKARIYA 9926527827 Male BC No Yes Pesticides SSC/HSC/Matriculation CHIRAKHAN THESHIL UJJAIN , Ujjain , MADHYA PRADESH - 456010

28 CHINTU KATARIYA 12 MAHAKAL MARG 9826526009 Male Others No Yes Pesticides SSC/HSC/Matriculation DOULAT GANG UJJAIN , Ujjain , MADHYA PRADESH - 456010

29 DHIRAJ CHAWDA 156 MALIPURA UJJAIN , 9977255999 Male BC No Yes Pesticides SSC/HSC/Matriculation Ujjain , MADHYA PRADESH - 456010

30 NITESH RATHORE JAIN MANDIR KE PASS 7828020253 Male BC No Yes Pesticides SSC/HSC/Matriculation TAJPUR DIST. UJJAIN , Ujjain , MADHYA PRADESH - 456010

31 JAKIR PATEL MAIN ROAD NARVAR DIST 9074939810 Male Others No Yes Pesticides SSC/HSC/Matriculation UJJAIN , Ujjain , MADHYA PRADESH - 456010

32 HUKUM KHATRI 250 MAHAKAL MARG 9826730505 Male Others No Yes Pesticides Graduate UJJAIN , Ujjain , MADHYA PRADESH - 456010 33 DEELIP CHANDRAWANSHI 121 DHABA ROAD UJJAIN , 9826251017 Male BC No Yes Pesticides SSC/HSC/Matriculation Ujjain , MADHYA PRADESH - 456010

34 ARVINDRA CHAWDA 346 NAI SABJEE MANDI 9713927501 Male BC No Yes Pesticides SSC/HSC/Matriculation MAXI ROAD UJJAIN , Ujjain , MADHYA PRADESH - 456010

35 PRAKASH KHATRI 51 B CHIMANGANJ MANDI 9827328172 Male Others No Yes Pesticides SSC/HSC/Matriculation UJJAIN , Ujjain , MADHYA PRADESH - 456010

36 RAJENDRA KHATRI 23/1 TILAK MARG 8965813468 Male Others No Yes Pesticides SSC/HSC/Matriculation DOULATGANJ UJJAIN , Ujjain , MADHYA PRADESH - 456010

37 SHIVPAL SINGH NAJARPUR ,GHATIYA DIST 9826651365 Male Others No Yes Pesticides Graduate UJJAIN , Ujjain , MADHYA PRADESH - 456550

38 GOPAL RACHWANI 258 DOULAT GANJ UJJAIN , 9827070076 Male Others No Yes Pesticides SSC/HSC/Matriculation Ujjain , MADHYA PRADESH - 456010

39 DHARMENDRA PATIDAR 8 CHIRSAGAR COMPLEX 9926049145 Male BC No Yes Pesticides SSC/HSC/Matriculation UJJAIN , Ujjain , MADHYA PRADESH - 456010 40 NARENDRA SINGH BAIS 10 CHIMANGANJ MANDI 9926530475 Male Others No Yes Pesticides SSC/HSC/Matriculation UJJAIN , Ujjain , MADHYA PRADESH - 456010

This is to certify that total of 40 candidates were enrolled as stated above and their applications were collected, documents were verified and filed at KVK, Ujjain . An amount of Rs. 7600/- (Self Finance) per candidate has been received towards 100 % of course fee.

Signature of Coordinator/Facilitator : Director (Signature) : Name : Name : NTI Seal Place : Place : Date : Date : PROFORMA : Details of Certificate Course on Insecticides Management for Insecticides Dealers/Distributors Name of the NTI : KVK, : Ujjain State : MADHYA PRADESH Name of the Facilitator Dr.R.P.SHARMA ,Mobile No: 9754032456 Venue of Programme : KRISHI VIGYAN KENDRA UJJAIN M.P. Date of Commencement of Classes : 04-02-2021 Date of Completion of Classes : 22-04-2021 TPNo : 50068

Sl. No. Name of the Candidate Address Mob: No Gender Category Physically Input Input Type Qualification Photo Disabled Lincense Holder or Not 1 RAJESH PATIDAR GANESH AGRO SALES 9893366151 Male BC No Yes Pesticides SSC/HSC/Matriculation , Ujjain , MADHYA PRADESH - 456665

2 DINESH PARMAR ANKUR KHAD BEEJ 9893849186 Male BC No Yes Pesticides SSC/HSC/Matriculation BHANDAR TARANA , Ujjain , MADHYA PRADESH - 456665

3 SOURABH AGRAWAL AGRAWAL KRISHI SEWA 9009749191 Male Others No Yes Pesticides Post Graduate KENDAR KANASIYA NAKA , Ujjain , MADHYA PRADESH - 456665

4 KAMAL SINGH CHANDANA MA BHAWANI TRADARS 7693080848 Male BC No Yes Pesticides SSC/HSC/Matriculation TARANA , Ujjain , MADHYA PRADESH - 456665 5 ANAND PARMAR ANAND TRADARS TARANA 9893413205 Male BC No Yes Pesticides SSC/HSC/Matriculation , Ujjain , MADHYA PRADESH - 456665

6 PANKAJ KUMAR JAJOO PANKAJ KRISHI SEWA 9893067567 Male Others No Yes Pesticides Graduate KENDAR TARANA , Ujjain , MADHYA PRADESH - 456665

7 BAL KRISHANA MITTAL MS GHANSHYAM DAS 9893604381 Male Others No Yes Pesticides Post Graduate RAMESHWAR MITTAL TARANA , Ujjain , MADHYA PRADESH - 456665

8 JITENDRA ANJANA AANJANA KRISHI SEWA 9993904107 Male BC No Yes Pesticides SSC/HSC/Matriculation KENDAR TARANA , Ujjain , MADHYA PRADESH - 456665

9 ARJUN PANDYA PANDAY KRISHI SEWA 9993989951 Male Others No Yes Pesticides Graduate KENDAR TARANA , Ujjain , MADHYA PRADESH - 456665

10 CHANDAR SHEKHAR DAVE SWASITIK KRISHI SEWA 9977967342 Male Others No Yes Pesticides SSC/HSC/Matriculation KENDAR RUPAKJHEDI , Ujjain , MADHYA PRADESH - 456668

11 JASBIR SINGH GHANDI MS JASBIR SINGH AMAR 9893046434 Male Others No Yes Pesticides SSC/HSC/Matriculation SINGH TARANA , Ujjain , MADHYA PRADESH - 456665 12 VISHAL PATEL MAA GAYATARI KRISHI 9691663056 Male BC No Yes Pesticides Graduate SEWA KENDAR KARANJ , Ujjain , MADHYA PRADESH - 456665

13 SANDEEP PATIDAR PATIL AGRO SELSE 9826019975 Male BC No Yes Pesticides SSC/HSC/Matriculation TARANA , Ujjain , MADHYA PRADESH - 456665

14 RAJNEES KUMAR SWASTIK KRISHI SEVA 9340707669 Male BC No Yes Pesticides Graduate KENDAR KANASIYA NAKA , Ujjain , MADHYA PRADESH - 456665

15 SUNIL KUMAR SARITA KRISHI SEWA 9179238753 Male BC No Yes Pesticides SSC/HSC/Matriculation KACHANRIYA , Ujjain , MADHYA PRADESH - 456668

16 SATYNARAYAN PATIDAR POOJA KRISHI SEWA 9589755821 Male BC No Yes Pesticides SSC/HSC/Matriculation KACHANARIYA , Ujjain , MADHYA PRADESH - 456668

17 VIJAY RATHORE SHRI NARAYAN KRISHI 9981079555 Male BC No Yes Pesticides SSC/HSC/Matriculation SEWA KENDAR , Ujjain , MADHYA PRADESH - 456665

18 SUKHDEV GOTHI GOTHI AGRO SELSA 6267544436 Male BC No Yes Pesticides SSC/HSC/Matriculation TARANA , Ujjain , MADHYA PRADESH - 456665 19 MOKAM SINGH CHOUHAN HARI OM KRISHI SEWA 9098488706 Male Others No Yes Pesticides Graduate KENDAR TILAWAD BADI , Ujjain , MADHYA PRADESH - 456665

20 GAJENDAR PALOTRA PALOTRATRADARS 9893497779 Male BC No Yes Pesticides SSC/HSC/Matriculation TARANA , Ujjain , MADHYA PRADESH - 456665

21 VISHANU PRASAD MS SHYAM SUNDAR AGRO 9926037142 Male BC No Yes Pesticides SSC/HSC/Matriculation SLES TARANA , Ujjain , MADHYA PRADESH - 456665

22 VISHNU PATIDAR AANAND ENTARPRIESE , 9993938243 Male BC No Yes Pesticides SSC/HSC/Matriculation Ujjain , MADHYA PRADESH - 456665

23 SHARAD KUNAR NAHAR MHAKALI AGRO AGENCY 9424511939 Male BC No Yes Pesticides Graduate MAKDON , Ujjain , MADHYA PRADESH - 456668

24 RAKESH RAWAL SHRI RAM TRADARS 9575320501 Male Others No Yes Pesticides Graduate MAKDON , Ujjain , MADHYA PRADESH - 456668

25 VIRENDAR SINGH RAJPUT SHIV SHAKTI K.S.K 9752912070 Male Others No Yes Pesticides SSC/HSC/Matriculation MAKDON , Ujjain , MADHYA PRADESH - 456668 26 FIROJ SHIKHA SAGAR TREDENG 8889797972 Male Others No Yes Pesticides SSC/HSC/Matriculation COMPANY MAKDON , Ujjain , MADHYA PRADESH - 456668

27 MOHAN SINGH DEV SHRI AGRO SELS 9893228807 Male BC No Yes Pesticides SSC/HSC/Matriculation TARANA , Ujjain , MADHYA PRADESH - 456665

28 KAILASH CHANDAR KESHAV AGRO AGENCY 9575940680 Male BC No Yes Pesticides SSC/HSC/Matriculation KANARDI VILLAGE KANARDI THESIL TARANA , Ujjain , MADHYA PRADESH - 456665

29 PRDEEP NAGAR VARDAN K.S.K. KANARDI , 9179978221 Male Others No Yes Pesticides SSC/HSC/Matriculation Ujjain , MADHYA PRADESH - 456665

30 SANTOSH PATIDAR AMRATYA AGRO SLES 9893963590 Male BC No Yes Pesticides SSC/HSC/Matriculation TARANA , Ujjain , MADHYA PRADESH - 456665

31 MADAN LAL PATEL PATEL K.S.K.KANASIYA , 8889783401 Male BC No Yes Pesticides SSC/HSC/Matriculation Ujjain , MADHYA PRADESH - 456665

32 JITENDR KUMAR MAA GAYATRI K.S.K 9977563808 Male BC No Yes Pesticides SSC/HSC/Matriculation KANASIYA NAKA , Ujjain , MADHYA PRADESH - 456665 33 MANGAL SINGH PATIDAR PATIDAR AGENCY 7000255196 Male BC No Yes Pesticides SSC/HSC/Matriculation MAKDON , Ujjain , MADHYA PRADESH - 456665

34 VIJAY PATIDAR KRISHI 7000156959 Male BC No Yes Pesticides SSC/HSC/Matriculation SEWA KENDAR MAKDON , Ujjain , MADHYA PRADESH - 456668

35 DINESH AANJANA K.S.K. 8085062268 Male BC No Yes Pesticides SSC/HSC/Matriculation SUMRAKHEDA , Ujjain , MADHYA PRADESH - 456665

36 TAKHAT SINGH RAJPUT MHAKAL K.S.K. 9981352135 Male Others No Yes Pesticides SSC/HSC/Matriculation RUPAKHEDI , Ujjain , MADHYA PRADESH - 456668

37 RUPESH JAYASWAL MHAKAL K.SK. TARANA , 9893230863 Male BC No Yes Pesticides SSC/HSC/Matriculation Ujjain , MADHYA PRADESH - 456665

38 KHEMCHAND PATIDAR NAHAR SALES AGENCY 9893061405 Male BC No Yes Pesticides SSC/HSC/Matriculation TARANA , Ujjain , MADHYA PRADESH - 456665

39 RAKESH MAKODIYA MHAKAL ELE . MAKDON , 9630283030 Male BC No Yes Pesticides SSC/HSC/Matriculation Ujjain , MADHYA PRADESH - 456668 40 MUKESH PARMAR SHRI NATH K.S.K. TARANA , 9893754475 Male BC No Yes Pesticides SSC/HSC/Matriculation Ujjain , MADHYA PRADESH - 456665

This is to certify that total of 40 candidates were enrolled as stated above and their applications were collected, documents were verified and filed at KVK, Ujjain . An amount of Rs. 7600/- (Self Finance) per candidate has been received towards 100 % of course fee.

Signature of Coordinator/Facilitator : Director (Signature) : Name : Name : NTI Seal Place : Place : Date : Date :