PROFORMA FOR TEACHING STAFF (Session 2021-2022) Name of College : 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 Dr. Pramod Kumar Bhatra Mr. Chouthmal Bhatra 2 Prof. Gori Mr. Kashi Nath Shankar Indoriya Sharma 3 Prof. Krishan Mr. Shri Niwas Murari Agarwal Agarwal 4 Prof. Pramod Mr. Deen Dayal Kumar Sharma Sharma 26.07.1969 BAMS Jaipur 1996) 02.05.1957 BAMS Jaipur 1981) 07.10.1959 BAMS Jaipur 1984) 05.10.1960 BAMS Jaipur 1983) Jaipur 2006) M.D. Sharir Rachana Jaipur 1985) Jaipur 1988) Jaipur 1992) 07.05.07 to 27.10.07 15.03.11 to 31.10.11 01.12.11 to 30.11.12 01.12.12 to 13.04.13 17.04.13 to 07.02.16 08.02.16 to 15.02.21 16.02.21 to 27.03.89 to 07.10.02 08.10.02 to 31.05.17 29.07.19 to 28.02.21 01.03.21 to 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 - - - - - Acharya Gyan AMC, Indore --- S.D.P.D.S. AMC, Mandsaur --- S.A.M. College, Pilani --- S.S.S.B. AMC, Renwal --- --- --- - Pt. S.S.I., Sharma Ayu. College, Ratlam Kala Ashram AMC, - Sri Sai Institute of ARM, Bhopal Kala Ashram AMC, Kala Ashram AMC, Kala Ashram AMC, AYKC02585 Principal cum Kaya Chikitsa 205, Shri Nagar, Rampura Chouraha,, AYRS00711 Sharir Rachana F-20, Ashirwad Nagar, University Road, (Raj.) AYKC02124 Panchkarma 128, J-Block, Sector 14, (Raj.) AYKC02791 Kaya Chikitsa 3/197, Government Quarters, OTC Area, Charak Marg, (Raj.) 205, Shri Nagar, Rampura Chouraha,, F-20, Ashirwad Nagar, University Road, (Raj.) 128, J-Block, Sector 14, (Raj.) Village Jhilaya, Tehsil Niwai, District Tonk (Raj.) 304021 22614 16919 19262 19046
5 Prof. Manoj Kumar Sharma 6 Prof. Sanjay L. Londhe 7 Prof. Ram Veer Sharma Mr. Bhagwat Prasad Sharma Mr. Laxman Londhe Mr. Ram Naresh Sharma 09.03.1961 BAMS Jaipur 1986) 02.11.1972 BAMS Bombay 1993) 10.07.1960 BAMS (Gujrat Jamnagar 1983) M.D. Samhita & Siddhant Jaiupr 1990) 2002) M.D. Prasuti Tantra (Gujrat Jamnagar 1988) 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 10.03.03 to 15.11.09 16.11.09 to 20.09.12 01.07.13 to 31.07.15 01.08.15 to 26.11.16 23.12.16 to 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 - Parasurampuria Ayu. College, Sikar UCA, RAU, Jodhpur UCA, RAU, Jodhpur UCA, RAU, Jodhpur Kala Ashram AMC, Mahavidhyalya, Pusad ---- Mahavidhyalya, Pusad -- Aditya Mahavidhyalya, Beed -- SUD College, Hoshiarpur - -- Kala Ashram Med. Coll. & Hos, SBLD, Sardarshahar BLNSS, MIAER, Mandsaur Kala Ashram AMC, AYSS00965 Samhita & Siddhant AYKC01593 Bal Rog- Kaumarbhrittya AYPS00997 Prasuti Tantra evam Striroga Kala Ashram, Staff Village-Bansada, Tehsil- ) Kachhaba, Gogunda, Distt- ) 98, Block-I, Sector 14 Hiran Magri, (Raj.) 62, Madhuwan, Bank Colony, Alwar (Raj.) 301001 Maskati Building, Shop No-2, Satrasta Byculla,,, 400011 98, Block-I, Sector 14 Hiran Magri, (Raj.) 19581 I-27689-A 23443
8 Prof. Sunil Jain Mr. Shantilal Jain 19.09.1977 BAMS (Norh Jalgaon 2000) M.D. 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 -- -- AYRB00795 Rasa Shastra evum Bhaisajya Kalpana Kachhaba, Gogunda, Distt- ) 21, Housing Society, Shahu Nagar, Jalgaon,, 425001 I-40290-A 9 Prof. Vishnu Kumar Mittal 10 Dr. Santosh Kodag Mr. Jagdish Prasad Mittal 15.10.1973 BAMS Jaipur 1997) Mr. Dattatraya 26.05.1981 BAMS ( 2003) Jaipur 2003) health Bangalore 2010) 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 26.07.10 to 02.02.14 20.11.14 to 30.09.15 01.01.16 to 31.10.16 01.11.16 to 22.12.16 23.12.16 to CDC AMC, Yamuna Nagar CAMCH, Gwallior Mansarovar AMC, Bhopal Kala Ashram AMC, Sri Siddhivinayak Rural Ayu. Med. College, Harugeri --- Dr. J.J.M.A.M. College, Jaysingpur, Kolhapur --- Kala Ashram Ayur. Med. Coll. & Hos., --- Kala Ashram Ayur. Med. Coll. & Hos., Kala Ashram Ayur. Med. Coll. & Hos., AYKC01140 Swasthvritta & Yoga 39, Hanuman Nagar, Jhamar Kotra Road, Manwakheda, (Raj.) 313002 AYKC02717 Kriya Sharir Devado Ka Guda, ) 39, Hanuman Nagar, Jhamar Kotra Road, Manwakheda, (Raj.) 313002 105/106, Near Balaji Temple, Panvel- Matheran Road, Sukapur, New Panvel, Raigad,, 410206 23149 I-47882-A 11 Dr. Meera Bhatt Mr. Krishna Gopal Sharma 30.09.1957 BAMS Jaipur 1982) M.D. 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 12 Dr. Tushar Patil Mr. Vaman Patil 28.04.1980 BAMS ( 2006) Science, Karnatka 2011) 23.03.11 to 22.03.16 23.03.16 to 31.12.16 02.01.17 to - - S.U.D. A. College & Hospital, Hoshiarpur --- S.U.D. A. College & Hospital, Hoshiarpur --- AYST01351 Shalakya Tantra Kachhaba, Gogunda, Distt- ) Patil Hospital, Savda, Tal- Revar, Distt- Jalgaon (Mah.) 425502 I-49951-A
13 Dr. Ashwini Ramgir Mr. Prakash Ramgir 19.11.1981 BAMS ( 2005) ( 2011) 24.11.11 to 04.05.13 24.11.13 to 09.07.14 01.01.16 to 31.12.19 ---- 01.01.20 to 29.02.20 ---- 01.03.20 to - - - -- S.B.V.J.V.M.G.A.M.C.T., Bagalkot --- Dr. G.D.P.F.Y.M.T.A. M.C. & Hospital, Navi --- -- -- AYST00338 Shalya Tantra Devado Ka Guda, ) 105/106, Near Balaji Temple, Panvel- Matheran road, Sukapur, New Panvel (Mah.) 410206 I-47875-A 14 Dr. Shruty Dumbre Mr. Kondaji A. Benke 30.06.1971 BAMS Bombay 1993) 1998) 01.01.2000 to 31.12.2005 01.01.06 to 31.12.11 01.08.16 to 31.12.19. 01.01.20 to - - Jammu Institute of a, Jammu --- Jammu Institute of a, Jammu --- Divya Jyoti AMC, Ghaziabad. AYKC02807 Rog Nidan Avum Vikriti Vigyana Kachhaba, Gogunda, Distt- ) D- 3/402, Shivsagar Phase-2, Brahma Garden Lane, Anandnagar, Pune,, 411051 Certificate of I-26361-A-1 15 Dr. Anish Viswanadhan Mr. Vishwanadhan K.K. 12.02.1986 BAMS Karnataka 2012) Karnataka 2014) 15.11.17 to 30.10.18 05.11.18 to 04.07.19 24.12.19 to - - Mahaveer AMC, Meerut --- Shiv Shakti AMC, Mansa AYST01292 Rachana Sharir Bus Stand, Gogunda, Distt- ) Kochuveettil, Nellikuzhi P O, Kothamangalam, Ernakulam (Kerala) 686691 The Travancore- Cochin Medical Council for Indian Systems of Thiruvanathapura m 13879
16 Dr. Kamlesh Kumar Gurjar Mr. Hari Vallabh Gurjar 26.11.1987 BAMS (Dr. S.R. Ayu. Univ. Jodhpur 2014) (Dr. S.R. Ayu. Univ. Jodhpur 2018) 12.12.18 to AYKC00084 Kriya Sharir C/o Mr. Pannalal Katariya, 114-C, Ambamata Scheme,,, Village Nimoda, Distt- Kota (Raj.) 325201 Rajsthan, Jaipur 26125 17 Dr. Rameshwar Lal Mr. Uma Ram 01.06.1984 BAMS Jodhpur 2012) M.D. Samhita & Siddhant Jodhpur 2019) 13.12.19 to 17.07.20 01.01.21 to Jyoti Vidhyapeeth, Jaipur Kala Ashram AMC, AYSS01231 Samhita & Siddhant Bus Stand, Gogunda, Distt- ) Gudha Bhagwandass Khurd, Tehsil Khinwsar, District Nagour (Raj.) 341001 25576 18 Dr. Manish Kumar Meena Mr. Radhe Shyam Meena 12.10.1992 BAMS Jodhpur 2015) M.D. Dravyaguna Jodhpur 2019) 21.12.19 to14.10.20 02.11.20 to Dr. KGD AMC, Jhansi Kala Ashram AMC, AYDG01235 Dravyaguna 26-B, Ambamata Scheme, (Raj.) Village Kishanpura, Tehsil Piplda, Post Itawa, District Kota (Raj.) 325004 26691 19 Dr. Rajalakshmi R. Mr. K. Rajappan 11.02.1986 BAMS (Calicut Calicut, Kerala 2011) M.D. Agad Tantra Vaidyaka (R.G. Science, Banglore 2016) 01.05.17 to AYAT00021 Agad Tantra Vaidyaka Kala Ashram, Staff Village-Bansada, Tehsil- ) "Moozhiyil", Perumbillissery, Cherpu, Trissur (Kerala) 680561 The Travancore Cochim Council of Indian System of 12652 20 Dr. Priyanka Bohra Mr. Samrth Lal Bohra 23.01.1993 BAMS (DSRRA M.D. Rasa Shastra & Jodhpur Raj. Bhaishajya Kalpana 2016) (DSRRA Jodhpur Raj. 2020) 01.03.2021 to 15.04.2021 16.08.21 to PD Shiv Shaktilal Sharma AMC, Ratlam AYRB01503 Agad Tantra Vaidyaka Kala Ashram, Staff Village-Bansada, Tehsil- ) Village- Brahmano Ki Sareri Tashil - Asind, District - Bhilwara ) Pin No. 311026 27325 21 Dr. Vasundhara Jaluthariya Mr. Radhey Shyam Jaluthariya 17.10.1998 BAMS (Dr.S.R.Rajast M.D. Rasa Shastra & Bhaishajya hanu Kalpana (I.P.G.T & niversity, R.A., Gujarat 2019) Jodhpur 2014) 16.08.21 to Applied Agad Tantra Vaidyaka 264-E, B-Block, Meera Nagar, Bhuwana, (Raj.) 86, Ashok Vihar, Mahal Road, Jagatpura, Jaipur, - 302017 26513 22 Dr. Sani Mol Sunny Mr. Sunny V.J. 30.04.1992 BAMS Jodhpur 2015) M.D. Rasa Shastra & Bhaisjya (Uttarakhand Dehradun 2019) 25.01.21 to AYRB01488 Rasa Shastra & Bhaisajya Kalpana 16, Parshwanath Nagar, Sector 3, Hiran Magri, (Raj.) 313002 16, Parshwanath Nagar, Sector 3, Hiran Magri, (Raj.) 313002 26917 23 Dr. Charu Roat Mr. Deenabandhu Roat 12.08.1991 BAMS (Dr. S.R. Jodhpur 2017) (Gujarat Jamnagar 2019) 14.12.19 to AYKC02412 Bal Roga (Kaumarbhrittya) 3/26, C-Class, Housing Board Colony, Near Old Happy Home School, Pratap Nagar,,, 325, College Road, Shastri Colony, Dungarpur (Raj.) 314001 26939
26 Dr. Pooja Sinha Mr. Birendra Kumar Sinha 26.07.1991 BAMS (Barkatullah Bhopal 2016) M.D. Shalya (Uttarakhand Dehradun 2020) 23.03.21 to AYST01745 Prasuti Tantra & Striroga Pratap Chouk, Gogunda, District (Raj.) 34/B, Pratap Nagar, Chittorgarh (Raj.) 312001 28777 27 Dr. Hemanshu Jain Mr. Mahaveer Prasad Jain 14.07.1991 BAMS Jodhpur 2016) Jodhpur 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 28 Dr. Shuruti Prakash Mr. Shiv Prasad 20.11.1987 BAMS (Bharati Vidyapeeth Deemed Pune (India) 2013) M.D. Rog Nidan Avum Vikriti Vigyana (, India 2017) 01.11.18 to 03.12.19 05.12.19 to ---- Prem Raghu A.M.C. & Hospital, Hathras ---- AYRN00115 Rog Nidan Avum Vikriti Vigyana Flat No 402, Vinayak Residency, New Keshav Nagar,,, 1-H-5, Mahaveer Nagar-3, Indrapura, Kota,, 324005 28737 31 Dr. Sanjay M. Mr. Jayarajan M. 25.05.1986 BAMS (Kannur Kannur 2011) M.D. Panchkarma Science, Banglore 2015) 23.12.16 to AYPK00042 Panchkarma Kala Ashram, Staff Dholighati, Gogunda, Distt-,, Abhayam, Near MVHSS Ariyallur, Malappuram (Kerala) 676312 Travancore Cochin Medical Council, Thiruvananthapur am, Kerala 11391 32 Dr. Norangi Vishnoi Mr. Babu Lal Vishnoi 30.06.1992 BAMS Jodhpur 2016) Jodhpur 2020) 01.02.21 to AYKC03060 Kaya Chikitsa Pratap Chouk, Gogunda, District (Raj.) 163, Vishnoi Vas, Udasar, Tehsil Nokha, District Bikaner (Raj.) 334802 27279 33 Dr. Vinod Kumar Mr. Bhawani Lal 01.06.1990 BAMS (Dr. S.R. Jodhpur 2015) (Banaras Hindu Banaras 2019) 20.11.19 to AYST01349 Shalya Tantra 28, Swami Nagar, Bhuwana,,, Village- Karanpura, Tehsil- Pachpahad, District- Jhalawar (Raj.) 326501 26825 34 Dr. Pradeep Badakh Mr. Dnyandeo Badakh 20.06.1986 BAMS ( 2009) Samanya ( 2013) 01.09.21 to Applied Shalya Tantra Kala Ashram, Staff Dholighati, Gogunda, Distt-,, Karajgaon, Karajgaon, Ahmadnagar,, 414105 I- 60173-A 36 Dr. Manfool Puniya Mr. Mahipal Puniya 20.01.1994 BAMS Jodhpur 2016) M.S. Shalya Samanya (Banaras Hindu Varanasi 2020) 01.01.21 to AYST01720 Shalakya Tantra Pratap Chouk, Gogunda, District (Raj.) Village Puniyo Ki Dhani, Kheri Salwa, Tehsil Pipad Shahar, District Jodhpur (Raj.) 342606 27208 39 Mrs. Suryabala Choubisa Mr. Ramesh Chandra Choubisa 10.02.1987 B.A. (Mohan Lal Sukhadia, 2008) M.A. Sanskrit Literature (Mohan Lal Sukhadia, 2010) 17.06.19 to AYSN00200 Sanskrit 49, Brahmpole Marg, Out Side Chandpole, Girwa,,, 49, Brahmpole Marg, Out Side Chandpole, Girwa,,, Not Applicable