PROFORMA : Details of Certificate Course on Insecticides Management for Insecticides Dealers/Distributors Name of the NTI : KVK, Ujjain District : 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 : 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 District : 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 TARANA , 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