PROFORMA FOR TEACHING STAFF (Session 2022-2023) Name of College : Kala Ashram Medical College and Hospital, Gogunda, Details of experience UG Nature of PG Qualification in chronological order Qualification Present Name of with subject Teacher Code Department Present Working S.N. Father's Name Date of Birth (University Designation appointment : Permanent Address Teacher (University & year Number (Subject) Address & year) (/Contra ctual) Duration (d/m/y) Designation Name of the College State Board Registration Number Photo 1 Prof. Krishan Mr. Shri Niwas Murari Agarwal Agarwal 2 Prof. Pramod Kumar Sharma Mr. Deen Dayal Sharma 07.10.1959 BAMS Jaipur 1984) 05.10.1960 BAMS Jaipur 1983) Jaipur 1988) Jaipur 1992) 17.05.90 to 15.02.12 16.02.12 to 13.04.15 14.04.15 to 04.10.16 05.10.16 to 31.10.19 01.11.19 to 03.02.21 30.10.93 to 15.02.12 16.02.12 to 28.01.15 29.01.15 to 04.10.16 05.10.16 to 31.10.20 07.04.21 08.04.21 to - Sri Sai Institute of ARM, Bhopal Kala Ashram AMC, Kala Ashram AMC, Kala Ashram AMC, AYKC02124 Principal cum Kaya Chikitsa 128, J-Block, Sector 14, (Raj.) AYKC02791 Kriya Sharir 3/197, Government Quarters, OTC Area, Charak Marg, (Raj.) 128, J-Block, Sector 14, (Raj.) Village Jhilaya, Tehsil Niwai, District Tonk (Raj.) 304021 19262 19046 3 Prof. Manoj Kumar Sharma Mr. Bhagwat Prasad Sharma 09.03.1961 BAMS Jaipur 1986) Samhita & Siddhant Jaiupr 1990) 08.12.90 to 02.02.91 17.11.04 to 18.11.10 20.11.10 to 21.02.21 22.02.21 to 31.03.21 07.04.21 to Parasurampuria Ayu. College, Sikar UCA, RAU, UCA, RAU, UCA, RAU, Kala Ashram AMC, AYSS00965 Samhita & Siddhant Kala Ashram, Staff Village-Bansada, Tehsil- Gogunda, Distt- ) 313705 62, Madhuwan, Bank Colony, Alwar (Raj.) 301001 19581
4 Prof. Ram Veer Sharma Mr. Ram Naresh Sharma 10.07.1960 BAMS (Gujrat Jamnagar 1983) Prasuti Tantra (Gujrat Jamnagar 1988) 17.12.90 to 04.04.96 29.08.07 to 15.02.12 16.12.12 to 27.01.15 28.01.15 to 04.10.16 05.10.16 to 29.04.18 30.04.18 to 31.07.20 04.08.20 to 23.02.21 01.03.21 to SBLD, Sardarshahar BLNSS, MIAER, Mandsaur Kala Ashram AMC, AYPS00997 Prasuti Tantra evam Striroga 98, Block-I, Sector 14 Hiran Magri, (Raj.) 98, Block-I, Sector 14 Hiran Magri, (Raj.) 23443 5 Prof. Sunil S. Jain Mr. Shantilal Jain 19.09.1977 BAMS (Norh Jalgaon 2000) R.S. & B.K. (Rajiv Gandhi University of Science Bangalore 2005) 01.12.08 to 31.08.09 08.10.09 to 13.04.14 14.04.14 to 21.01.15 22.01.15 to 06.01.19 07.01.19 to Vishnu College, Shoranur Rajiv Gandhi College, Bhopal Rajiv Gandhi College, Bhopal Kala Ashram Medical College & Hospital, Kala Ashram Medical College & Hospital, AYRB00795 Rasa Shastra evum Bhaisajya Kalpana Kachhaba, Gogunda, Distt- ) 313705 21, Housing Society, Shahu Nagar, Jalgaon,, 425001 I-40290-A 6 Prof. Vishnu Kumar Mittal Mr. Jagdish Prasad Mittal 15.10.1973 BAMS Jaipur 1997) Kaya Chikitsa Jaipur 2003) 01.02.04 to 30.09.06 01.10.06 to 31.01.09 01.02.09 to 04.07.11 05.07.11 to 30.09.11 01.10.11 to 02.09.12 03.09.12 to 09.08.16 - - 10.08.16 to 26.02.21 - - CDC AMC, Yamuna Nagar CAMCH, Gwallior Mansarovar AMC, Bhop Kala Ashram AMC, AYKC01140 Swasthvritta & Yoga 39, Hanuman Nagar, Jhamar Kotra Road, Manwakheda, (Raj.) 313002 39, Hanuman Nagar, Jhamar Kotra Road, Manwakheda, (Raj.) 313002 23149
7 Prof. Arun Kumar Tyagi Mr. Om Prakash Tyagi 15.12.1962 BAMS Jaipur 1988) Kaya Chikitsa University Jaipur 1993) 07.03.05 to 17.11.10 20.11.10 to 04.06.16 02.12.19 to 13.02.20 15.02.20 to 18.04.22 19.04.22 to - - Dr. S.R. Ayur. - Dr. S.R. Ayur. - Dhanwantri Ayur. Medical Coll. & Research Centre Mahatma Jyotiba Fule Ayur. Mahavidyalaya, Harota, Chomu, Jaipur Kala Ashram Ayur. Med. Coll. & Hos., AYKC02705 Bal Roga Bus Stand, Gogunda, Distt- ) 313705 67, Ajeet Colony, Bal Niketan Road, Ratanada,,, 342011 Jaipur 19985 8 Dr. Meera Bhatt Mr. Krishna Gopal Sharma 30.09.1957 BAMS Jaipur 1982) Dravyaguna Jaipur 1990) 03.05.08 to 30.09.17 01.01.18 to 09.11.20 01.03.21 to Dev Bhumi AMC, Dehradun Kala Ashram AMC, AYDG00178 Dravyaguna 83/2, Ray Magri, Near Government Tubewell, Badgaon, (Raj.) 83/2, Ray Magri, Near Government Tubewell, Badgaon, (Raj.) 18430 9 Dr. Sanjay M. Mr. Jayarajan M. 25.05.1986 BAMS (Kannur Kannur 2011) Panchkarma Science, Banglore 2015) 23.12.16 to 23.12.21 24.12.21 to Kala Ashram Medical College & Hospital, Kala Ashram Medical College & Hospital, AYPK00042 Panchkarma Kala Ashram, Staff Distt-, Abhayam, Near MVHSS Ariyallur, Malappuram (Kerala) 676312 Travancore Cochin Medical Council, Thiruvananthapur am, Kerala 11391 10 Dr. Shashi Kant Sachan Mr. Babu Ram Sachan 14.10.1961 BAMS Jaipur 1986) Rachana Sharir Jaipur 1992) 04.12.04 to 05.03.11 01.02.22 to Kala Ashram Medical College & Hospital, AYRS01196 Rachana Sharir Bus Stand, Gogunda, Distt- ) 313705 29, Ekta Nagar, Ramjanji ka Hattha, Banar Road,, 342027, 19408 11 Dr. Rajalakshmi R. Mr. K. Rajappan 11.02.1986 BAMS (Calicut Calicut, Kerala 2011) Agad Tantra avum Vidhi Vaidyaka (R.G. Science, Banglore 2016) 01.05.17 to 01.05.22 02.05.22 to till date Kala Ashram Medical College & Hospital, Kala Ashram Medical College & Hospital, AYAT00021 Agad Tantra avum Vidhi Vaidyaka Bus Stand, Gogunda, Distt- ) 313705 "Moozhiyil", Perumbillissery, Cherpu, Trissur (Kerala) 680561 The Travancore Cochim Council of Indian System of 12652
12 Dr. Anant Kumar Shindhe Mr. Rajaram Shindhe 13 Dr. Rekha Mr. Om Prakash 16.06.1984 BAMS 2009) 12.10.1992 BAMS 2019 M.S. Shalya Tantra Science, 2012) 18.08.11 to 31.10.11 01.11.11 to 16.04.12 18.04.12 to 01.01.15 20.08.15 to 19.12.16 22.12.16 to 01.07.18 02.07.18 to 28.12.18 29.12.18 to 22.03.21 18.04.22 to - - Ashwini Ayur. Medical College Hos. & Research Centre, Dharma Ayur.. Med. Coll. & Hospital, Tamil Nadu JSS a Medical College, Mysore Ramakrishna Ayur. Medi. Coll. Hos. & Research Centre, Banglore Desh Bhagat ic Medical Coll. & Hospital, Mandi Gobindgarh Desh Bhagat Ayur. Med. Coll. & Hospital, Mandi Gobindgarh Shiva Ayur. Med. College & Hospital, Bilaspur Kala Ashram Ayur. Med. Coll. & Hospital, Samhita Evum Siddhant (Gujarat Jamnagar 09.12.21 to Kala Ashram Medical College & Hospital, AYST00514 Shalya Tantra Bus Stand, Gogunda, Distt- ) 313705 AYSS01551 Samhita Evum Siddhant Bus Stand, Gogunda, Distt- ) 313705 74, Jwalamukhi, Chamundeshwari Block, 2nd Stage Siddarthanagar, Mysore () 570011 98, Chimana Bari, Old Bus Stand Ke Pas, Piper City,,, 342601 The ic & Unani Practitioners Board, 23173 27102 14 Dr. Urvashi Sharma Mr. Chandra Prakash Sharma 08.12.1992 BAMS 2019 Kriya Sharir 06.12.21 to Kala Ashram Medical College & Hospital, AYKS00953 Kriya Sharir Bus Stand, Gogunda, Distt- ) 313705 1111/28, gali no. 2, hanuman nagar, bihari ganj, Ajmer,, 305001 27175 15 Dr. Anamika Vyas Mr. Surendra Vyas 20.06.1989 BAMS 2019 Rachana Sharir 18.12.21 to Kala Ashram Medical College & Hospital, AYRS01135 Rachana Sharir Bus Stand, Gogunda, Distt- ) 313705 Chotta Bazar, Mangrol, Baran,, 325215 27346 16 Dr. Priyanka Bohra Mr. Samrth Lal Bohra 23.01.1993 BAMS (DSRRA Raj. 2016) Rasa Shastra & Bhaishajya Kalpana (DSRRA Raj. 2020) 01.03.2021 to 15.04.2021 16.08.21 to PD Shiv Shaktilal Sharma AMC, Ratlam Kala Ashram Medical College & Hospital, AYRB01503 Rasa Shastra & Bhaishajya Kalpana Kala Ashram, Staff Village- Brahmano Ki Sareri Village-Bansada, Tehsil- Tashil - Asind, Gogunda, Distt- District - Bhilwara ) ) 313705 Pin No. 311026 27325 17 Dr. Vasundhara Jaluthariya Mr. Radhey Shyam Jaluthariya 17.10.1998 BAMS (Dr.S.R.Rajast hanu niversity, 2014) Rasa Shastra & Bhaishajya Kalpana (I.P.G.T & R.A., Gujarat 2019) 16.08.21 to Kala Ashram Medical College & Hospital, AYRB01649 Agad Tantra avum Vidhi Vaidyaka 264-E, B-Block, Meera Nagar, Bhuwana, (Raj.) 86, Ashok Vihar, Mahal Road, Jagatpura, Jaipur, - 302017 26513
18 Dr. Abhay Vyas Mr. Narsingh Dev Vyas 03.05.1989 BAMS 2017) Dravyaguna 18.12.21 to Kala Ashram Medical College & Hospital, AYDG01597 Dravyaguna Bus Stand, Gogunda, Distt- ) 313705 372, Vasundhara Colony, Tonk Road, Jaipur, Durgapura,, 302018 26401 19 Dr. Shuruti Prakash Mr. Shiv Prasad 20.11.1987 BAMS (Bharati Vidyapeeth Deemed Pune (India) 2013) Rog Nidan Avum Vikriti Vigyana ( Nashik, India 2017) 01.11.18 to 03.12.19 05.12.19 to - Prem Raghu A.M.C. & Hospital, Hathras - Kala Ashram Medical College & Hospital, AYRN00115 Rog Nidan Avum Vikriti Vigyana Flat No 402, Vinayak Residency, New Keshav Nagar,,, 1-H-5, Mahaveer Nagar-3, Indrapura, Kota,, 324005 28737 20 Dr. Shishir Shirsath Mr. Eknath N. Shirsath 31.12.1986 BAMS ( Nashik 2010) Rog Nidan Avum Vikriti Vigyana ( Nashik, India 2016) 02.05.18 to 08.01.21 27.08.21 to - B.N.M. Educational Trust, Vijayapur - Kala Ashram Medical College & Hospital, AYRN00605 Rog Nidan Avum Vikriti Vigyan Kala Ashram, Staff Distt-, Vimal Niwas, Khandoba Nagar, Shevgaon, Ahmednagar, Mah. 414502 Mumbai I-66806-A 21 Dr. Raviraj Nikam Mr. Vasant Shankar Nikam 02.02.1990 BAMS ( Nashik, 2013) Rog Nidan Avum Vikriti Vigyana ( Nashik, India 2019) 01.09.21 to Kala Ashram Medical College & Hospital, AYRN00912 Rog Nidan Avum Vikriti Vigyana Kala Ashram, Staff Distt-, a/p-apashinge, District- Satara, State-, Pin Code 415518 Mumbai I-76686-A 22 Dr. Hemanshu Jain Mr. Mahaveer Prasad Jain 14.07.1991 BAMS 2016) 2019) 13.01.20 to 12.03.21 Divya Jyoti AMC, Modi Nagar Kala Ashram AMC, AYKC02839 Swasthvritta & Yoga 33-A, Road No 4-A, Ashok Nagar, (Raj.) B-7, Mohan Bari, Surajpole Gate, Jaipur (Raj.) 302003 26887 23 Dr. Anish Viswanadhan Mr. Vishwanadhan K.K. 12.02.1986 BAMS 2012) M.S. Shalya Tantra 2014) 15.11.17 to 30.10.18 05.11.18 to 04.07.19 24.12.19 to 28.02.21 01.03.21 to 31.12.21 01.01.22 to - - Mahaveer AMC, Meerut Shiv Shakti AMC, Mansa AYST01292 Prasuti Tantra Evum Stri Roga Bus Stand, Gogunda, Distt- ) 313705 Kochuveettil, Nellikuzhi P O, Kothamangalam, Ernakulam (Kerala) 686691 The Travancore- Cochin Medical Council for Indian Systems of Thiruvanathapura m 13879 24 Dr. Priyanka Kumari Mr. Ramjas 22.07.1994 BAMS (Pt. B.D.S. Science, Rohtak 2017) M.S. Prasuti Evum Stri Roga (Rajiv Gandhi University of 16.06.22 to till date AYPS01346 Prasuti Tantra Evum Stri Roga C/o Dr. Manoj Agarwal, Flat No 304, The Orbit-2 Apartment, New Bhupalpura, ) W/o Dr. Utsava Nandwana, Bohara Mohalla, Pani Ki Khel Ke Pass, Kaithoon, Kota ) 325001 Haryana, Panchkula 26216
25 Dr. Neetu Singh Siyag Mr. Mohan Ram Siyag 05.02.1992 BAMS 2017) Bal Roga 02.12.21 to AYKB00792 Bal Roga Bus Stand, Gogunda, Distt- ) 313705 C-12, Krishna Nagar, New Pali Road, Basni, K.U.M. Bhagat Ki Kothi,,, 342005 26741 26 Dr. Kamlesh Kumar Gurjar Mr. Hari Vallabh Gurjar 26.11.1987 BAMS 2014) 2018) 12.12.18 to 31.12.21 01.01.22 to - AYKC00084 Kaya Chikitsa C/o Mr. Pannalal Katariya, 114-C, Ambamata Scheme,,, Village Nimoda, Distt- Kota (Raj.) 325201 26125 27 Dr. Norangi Vishnoi Mr. Babu Lal Vishnoi 30.06.1992 BAMS 2016) Kaya Chikitsa 2020) 01.02.21 to Kala Ashram Medical College & Hospital, AYKC03060 Kaya Chikitsa Pratap Chouk, Gogunda, District (Raj.) 313705 163, Vishnoi Vas, Udasar, Tehsil Nokha, District Bikaner (Raj.) 334802 27279 28 Dr. Shreyas Kumbhar Mr. Bapurao Gangaram Kumbhar 02.12.1987 BAMS ( Nashik 2012) ( Nashik 2016) 01.03.22 to Kala Ashram Medical College & Hospital, AYKC03402 Kaya Chikitsa Kala Ashram, Staff Distt-, Bapurao Gangaram Kumbhar, Gajanan Krupa, Behind Pharmacy College, Saldapur, Vidyanagar Karad, Satara,, 415124 Mumbai, I-73697-A 29 Dr. Shikha Mr. Dharamabir 08.12.1992 BAMS ( Delhi 2017) Kaya Chikitsa ( Delhi 09.12.21 to 27.04.22 28.04.22 to 12.06.22 13.06.22 to Kala Ashram AMC, Kala Ashram AMC, Kala Ashram AMC, AYKC03408 Panchkarma Bus Stand, Gogunda, Distt- ) 313705 T 10, Samudayik Bhawan Ke Pichhe Ambedkar Colony, Kunhadi, Kota (Raj.) 324008 Delhi Bharatiya Chikitsa Parishad New Delhi DBCP/A/8760 30 Dr. Chhagan Lal Mr. Harman Ram 15.11.1994 BAMS 2019) M.S. Shalya Tantra (Dr. S.R. 01.12.21 to Kala Ashram Medical College & Hospital, AYST02020 Shalya Tantra Bus Stand, Gogunda, Distt- ) 313705 Village Dhundhara, Tehsil Luni, Disttict (Raj.) 342801 Jaipur 27643 31 Dr. Hemant Kumar Nagar Mr. Bal Kishan 08.05.1992 BAMS 2019) M.S. Shalakya Tantra (Gujarat Jamnagar 06.12.21 to Kala Ashram Medical College & Hospital, AYSK00989 Shalakya Tantra Bus Stand, Gogunda, Distt- ) 313705 Village Lakdai, Tehsil Kishanganj, District Baran (Raj.) 325216 Jaipur 27600
38 Dr. Nilam Bangar Mr. Chhagan Rao Bangar 15.09.1991 BAMS ( Nashik, India, 2016) M.S. Shalakya Tantra ( Nashik, India,, 01.02.22 to Kala Ashram Medical College & Hospital, AYSK01000 Shalakya Tantra Bus Stand, Gogunda, Distt- ) 313705 Ranbhai Newas, Lonar Pura, Juna Bid, Beed,, 431122 I-82434-A 33 Dr. Sonali Narke Mr. Anil Narke 27.03.1992 BAMS ( Nashik, India, 2016) M.S. Shalakya Tantra ( Nashik, India,, 2020) 01.03.22 to Kala Ashram Medical College & Hospital, AYSK00995 Shalakya Tantra Bus Stand, Gogunda, Distt- ) 313705 10, Samrudhee Apts, Sanewadi, Aundh, Pune City, Pune,, 411007 I-82422-A 34 Mrs. Suryabala Choubisa Mr. Ramesh Chandra Choubisa 10.02.1987 BA ((Mohanlal Sukhadia 2008) M.A. Sanskrit (Mohanlal Sukhadia 2010) 17.06.19 to Kala Ashram Medical College & Hospital, AYSN00200 Sanskrit 49, Brahmpole Marg, Outside Chandpole, Girwa, (Raj.) 49, Brahmpole Marg, Outside Chandpole, Girwa, (Raj.) Not Applicable