ANNEXURE-I. PROFORMA FOR TEACHING STAFF
Sl. No
Name of the
Teacher
Father’s
Name
Date of
Birth
UG
Qu
alif
icat
ion
. (U
niv
ersi
ty
& Y
ear)
PG
Qu
alif
icat
ion
w
ith
su
bje
ct
(Un
iver
sity
& y
ear)
Date wise details of Experience in chronological Order
Tea
cher
C
od
e
Dep
artm
ent
Nat
ure
o
f p
rese
nt
app
oin
tmen
t R
egu
lar/
Co
ntr
act)
Pre
sen
t
Wo
rkin
g A
dd
ress
Per
man
ent
A
dd
ress
s
Sta
te B
oar
d R
eg. N
o
Tel
ph
on
e N
o
Ph
oto
Sig
n o
f T
he
Tea
cher
Vis
ito
r’s
Sig
n
Duration
Desig- nation
Name of the College
1
Dr.
Ah
aly
a S
Sit
ara
m S
ha
rma
9/
11
/1
96
5
BA
MS
Ba
ng
alo
re U
niv
ers
ity
, B
an
ga
lore
1
98
8
rguhs 19-11-2006 24-06-2014
25-06-2014 20-10-2014
21-10-2014 25-02-2016
26-02-2016 31-12-2016
31-12-2016 24-05-2018
24-05-2018 Till date
Professor
Professor
Deputy Registrar
Professor
Joint
Director
Principal
Govt. Ayurveda Medical College, Bangalore
GAMC Mysore
Rajiv Gandhi University of Health Sciences, Bangalore
GAMC, Bangalore
Dept. of Ayush, HFW, Govt of Karnataka
GAMC, Bangalore
AY
US
T0
89
8
Sh
ala
ky
a
tan
tra
Re
gu
lar
GA
MC
, B
'lo
re
#1
71
, 6th
cro
ss,
Ga
nd
hin
ag
ar,
Ba
ng
alo
re-0
9
10
10
0
98
45
45
85
63
2
Dr.
B.R
.Lal
ith
a
A M
Ram
ach
and
raia
h
2/8/
1961
BA
MS
B
ang
alo
re U
niv
ersi
ty,
1984
MD
(Dra
vy
a G
un
a)
RG
UH
S
2001
07/07/1992
to 28/06/2001
29/06/2001
to 23/03/2011
24/03/2011
to till
Lecturer
Asst. Prof
Prof
GAMC, B'lore
GAMC, B'lore
GAMC, B'lore
AY
DG
0032
1
Dra
vy
agu
na
Reg
ula
r
GA
MC
, B
'lo
re
No
-4,
Ch
ikk
ann
a C
ott
ages
, L
oo
pli
ne,
rac
e C
ou
rse
Ro
ad,
Blo
re-0
9
9195
9343
7077
22
3
Dr.
Su
rek
ha
S M
edik
eri
S C
ME
DIK
ER
I
22/0
5/19
67
BA
MS
20
00
Kar
nat
aka
Un
iver
sity
, D
har
wad
MD
(R
asa
shas
tra a
nd
B
hai
shaj
ya)
RG
UH
S 2
003
19/10/2003 20/03/2011
21/03/2011 03/08/2016
04/08/2016 Till
date
Associate Prof
Professor
Professor
Taranath Govt. Ayurveda Medical College, Ballari
Taranath Govt. Ayurveda Medical College, Ballari
Govt. Ayurveda Medical
College, Bangalore
AY
RB
0034
9
Ras
ash
atra
an
d B
hais
haj
ya
K
alp
ana
Reg
ula
r
GA
MC
, B'l
ore
#55
/16,
5th
Cro
ss, 3
rd M
ain
, B
asav
esh
war
a L
ayo
yt
Vij
ayan
agar
.Ban
gal
ore
-40
9946
9449
1341
12
4
Dr.
S.M
.Sri
dh
ar R
ao
N M
oh
an R
ao
2/9/
1962
BA
MS
, M
yso
re U
niv
erst
y,
1987
MS
(Sh
aly
a ta
ntr
a) R
GU
HS
200
4
07/09/1994 to 26/06/2001 27/06/2001 to 30/06/2004 30/06/2004 to 23/03/2011 24/03/2011 to till
Lecturer
Asst. Prof
Asst. Prof
prof
GAMC, B'lore
TGAMC, Bellary
GAMC, B'lore
GAMC, B'lore
AY
S
T01
297
Sh
aly
atan
tra
Reg
ula
r
GA
MC
, B'l
ore
#47
/2, 6
th C
ross
, Nag
arb
hav
i M
ain
Ro
ad, B
ang
alo
re-4
0
9777
9740
2979
42
5
Dr.
N.G
.Sh
iva
ram
N R
Ga
ya
thri
26
/03
/19
62
BA
MS
G
ulb
arg
a U
niv
ers
ity
1
98
5
MD
(D
rav
ya
gu
na
) B
an
ga
lore
un
ive
rsit
y 1
99
5
12/07/1999 to
26/02/2005
28/02/2005 to
04/06/2005
06/06/2005 to
25/03/2011
26/03/2011 to
13/06/2012
22/06/2012 to
09/07/2014
10/07/2014 to till
Lecturer
Asst. Prof
Asst. Prof
prof
Prof
Prof
GAMC Blore
TGAMC, Bellary
GAMC, Blore
GAMC, Blore
TGAMC Bellary
GAMC, Blore
AY
DG
01
17
4
Sa
mh
ith
a S
idd
ha
nth
a
Re
gu
lar
GA
MC
, B
'lo
re
10
7,
1st
Flo
or,
SM
R E
mb
ass
y,
3rd
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ss,
BS
K 3
rd S
tag
e.
Ka
tra
gu
pp
e,
Blo
re-8
5
10
02
4
94
48
68
93
10
6
Dr.
M.S
.Ve
en
a
S S
idd
alin
ga
iah
25/1
2/19
70
BA
MS
B
ang
lore
U
niv
ersi
ty
1994
MD
(D
rav
ya
gu
na)
Ba
ng
alo
re
un
iver
sity
199
9
13/03/2000 to
05/04/2001
06/04/2001 to
04/10/2005
05/10/2006 to
24/11/2011
25/11/2011 to till
Lecturer
Lecturer
Asst. Prof
Prof & HOD
GAMC, Mysore
GAMC, B'lore
GAMC, B'lore
GAMC, B'lore
AY
DG
003
93
Ras
ash
ast
ra
Bh
aish
ajy
a
Kal
pa
na
PG
D
rav
yag
un
a
Reg
ula
r
GA
MC
, B'l
ore
-38/
6, M
F P
WD
qtr
, N
an
dh
ini
Lay
ou
t, B
lore
-96
1086
0
9591
0306
98
7
Dr.
Mam
ath
a M
urt
hy
BS
N M
urt
hy
9/11
/196
6
BA
MS
B
ang
alo
re
Un
iver
sity
19
89
MS
(S
hal
ya
tan
tra)
Ban
gal
ore
u
niv
ersi
ty 1
993
17/04/2000
to 05/10/2005
06/10/2005
to 25/03/2011
26/03/2011
to till
Lecturer
Lecturer
Prof
GAMC, B'lore
GAMC, B'lore
GAMC, B'lore
AY
ST
0033
9
Rac
han
a S
har
eera
Reg
ula
r
GA
MC
, B
'lo
re
-17
NH
CS
Lay
ou
t, 8
th M
ain
, V
ijay
a n
agar
, B
lore
-40
1003
7
9481
2471
99
8
Dr.
M.G
.Nar
mad
a
M G
Rao
2/1/
1961
BA
MS
B
ang
alo
re
Un
iver
sity
19
85
MS
(Sh
aly
a ta
ntr
a) B
ang
alo
re u
niv
ersi
ty
1996
25/08/2000 to
15/09/2005
16/09/2005 to
23/09/2009
24/09/2009 to
23/03/2011
24/03/2011 to
27/02/2012
28/02/2012 to till
Lecturer
Lecturer
Asst. Prof
Prof
Prof
GAMC, B'lore
GAMC, B'lore
TGAMC, Bellary
TGAMC, Bellary
GAMC, B'lore
AY
ST
0034
1
Sh
aly
atan
tra
Reg
ula
r
GA
MC
, B'l
ore
No
-15
T B
lock
, Jay
anag
ar, B
lore
-41
9163
9448
9494
99
9
Dr.
Y.S
.Jan
aki
Y S
hiv
aram
ulu
2/11
/197
3
BA
MS
B
ang
alo
re
Un
iver
sity
, 19
97
MD
(K
ayac
hik
itsa
) R
GU
HS
200
3
16/06/2006 to
15/07/2011
16/07/2011 to till
Lecturer
Asst. Prof
GAMC, B'lore
GAMC, B'lore
AY
KC
0060
1
Kay
ach
ikit
sa
Reg
ula
r
GA
MC
, B'l
ore
468,
Pra
shan
th
Mu
thy
alan
agar
, Blo
re-5
4
1174
5
9741
1400
53
10
Dr.
SE
EM
A M
B
M S
BA
LA
NA
AG
RE
DD
Y
1/6
/19
74
BA
MS
1
99
7 G
ulb
arg
a U
niv
ers
ity
,Gu
lba
rga
MD
(Ra
sash
ast
ra a
nd
Bh
ais
ha
jya
) G
ulb
arg
a u
niv
ers
ity
20
01
28/11/2001 23/04/2007
26/04/2007 30/06/2009
01/07/2009 21/03/2018
22/03/2018 21/12/2018
22/12/2018 Till
date
Lecturer
Asst Prof
Professor
Asso. Professor
Professor
BVVS AMC Bagalkot
SDM.Colege of Ayurveda Udupi
SDM.Colege of Ayurveda
Udupi
Faculty of Ayurveda, Main Campus, Dehradun.
Uttarakhand Govt. Ayurveda Medical
College, Bangalore
AY
RB
00
83
4
Ra
sash
ast
ra &
Bh
ais
ha
jya
Ka
lpan
a
Re
gu
lar
GA
MC
, B
'lo
re
10
7/1
2,
Re
dd
y s
tre
et,
ne
ar
Ka
lma
t,
Ba
lla
ri
11
82
8
94
49
53
46
00
11
Dr.
SA
ND
HY
A K
Ven
kat
Ra
o K
24
/11
/19
70
BA
MS
1
99
4 M
yso
re U
niv
ers
ity
, M
yso
re
MD
(Pra
suti
ta
ntr
a)
Un
ive
rsit
y o
f K
era
la 2
00
0
01/03/1999 31/07/2002
01/08/2002 29/07/2009
30/07/2009 30/11/2011
01/12/2011 31/07/2013
01/08/2013 01/06/2017
02/06/2017 18/12/2018
19/12/2018 Till date
Lecturer
Asst. Prof
Professor
Professor
Professor
Professor
Professor
SDM College Ayurveda,
Hassan
Sri Kalabhaira veshwar Ayu Med College,B’lore
Sushruta Ayu Med College
Bangalore Sri Sri College of Ayurveda
Bangalore
SDM College Of Ayurveda, Hassan
Sri Sri College of Ayurveda Bangalore
Govt. Ayurveda Medical
College, Bangalore
AY
PS
00
27
4
Pra
soo
thi
Ta
ntr
a &
Str
ee
rog
a
Re
gu
lar
GA
MC
, B
'lo
re
Nid
him
un
da
Ho
use
, P
O K
av
, P
utt
ur
Ta
luk
, D
K D
ist-
57
4 2
23
10
83
3
12
Dr.
VA
SU
DH
A A
PA
DM
AN
AB
HA
9/9/
1979
BA
MS
20
02
Raj
iv G
and
hi
Un
iver
sity
OF
H
ealt
h S
cien
ces,
Ban
gal
ore
MS
(S
hal
ya
tan
tra)
RG
UH
S 2
006
26/02/2007 26/02/2012
27/02/2012 26/02/2017
26/02/2017 01/03/2017
02/03/2017 09/02/2019
14/02/2019 Till
date
Lecturer
Asst prof Professor
Professor
Professor
Professor
Sushruta AMC& Hospital,
Bangalore
Sushruta AMC & Hospital, Bangalore Sushruta AMC& Hospital,
Bangalore
Sushruta AMC& Hospital, Bangalore
GAMC
Bangalore
AY
ST
0047
4
Sh
aly
atan
tra
Reg
ula
r
GA
MC
, B
'lo
re
#12
74,S
ri D
han
van
tari
,
20th
Cro
ss, D
Gro
up
La
yo
ut,
Sri
g
an
dh
ad
a k
av
al,
Na
ga
rab
ha
vi
2n
d
Sta
ge
, B
an
ga
lore
-91
1512
8
9480
3652
91
13
Dr.
An
anth
a S
Des
ai
Sh
ival
lab
ha
Rao
Des
ia
30/0
5/19
70
BA
MS
K
arn
atak
a U
niv
ersi
ty
Dh
arw
ad
1995
MD
( K
ayac
hik
itsa
) R
GU
HS
200
4 08/11/2006 30/10/2008
01/02/2010 31/05/2013
01-06-2013 Till date
Lecturer
Asst. Prof
Asso Prof
GAMC, Mysore
GAMC, B'lore
GAMC, B'lore A
YK
C00
708
Ro
gan
idan
a
Reg
ula
r
GA
MC
, B'l
ore
Dev
ikru
pa,
Nea
r M
aham
aya
Tem
ple
, Ku
kan
oo
r, K
op
pal
a.
1064
1
9448
1858
96
14
Dr
S A
Do
dd
am
an
i
AB
DU
L R
AH
AM
AN
SA
HE
B
23
/05
/19
69
BA
MS
1
99
6 K
arn
ata
ka
Un
ive
rsit
y D
ha
rwa
d
MD
(R
asa
sh
astr
a a
nd
Bh
ais
ha
jya
) R
GU
HS
200
6
14/10/1996 26/04/2007
27/04/2007 22/11/2016
23/11/2016 Till
date
Lecturer
Assistant Professor
Associate Prof
KLE,S BMK Ayurveda Medical
College, BELAGAVI
KLE,S BMK Ayurveda Medical College, BELAGAVI
Govt. Ayurveda Medical
College, Bangalore
AY
RB
00
45
4
Ra
sash
ast
ra &
Bh
ais
ha
jya
Ka
lpan
a
Re
gu
lar
GA
MC
, B
'lo
re
# 1
08
/A,
OC
H G
AR
DE
N,
Ne
w g
oo
dsh
ed
ro
ad
, S
ha
stri
na
ga
r, B
ela
ga
vi
11
06
4
94
80
31
37
07
15
Dr
Sri
niv
as
Ma
sale
ka
r
RA
GH
AV
EN
DR
A R
AO
23
/09
/19
79
BA
MS
2
00
2 R
aji
v G
an
dh
i U
niv
ers
ity
Of
He
alt
h
Sci
en
ces,
Ba
ng
alo
re
MS
(Sh
aly
ata
ntr
a)
RG
UH
S
Ba
ng
alo
re
Se
p, 2
006
01/02/2007 14/07/2014
24/07/2014 14/06/2016
15/06/2016 24/09/2017
25/09/2017 Till
date
Lecturer
Lecturer
Lecturer/Asst
Professor
Associate Professor
GAMC Bangalore
TGAMC Ballari
GAMC Bangalore
GAMC, Bangalore
AY
ST
003
40
Sh
aly
aT
an
tra
Re
gu
lar
GA
MC
, B
'lo
re
# 4
08, a
dit
ya,
lax
man
atee
rth
a ro
ad,
smv
nag
ar,8
th b
lock,
gid
adakonena h
alli,
bangalo
re-9
1
1511
6
98
86
63
29
66
16
Dr.
Dh
aran
i
K L
aksh
man
a G
ow
da
12/8
/197
9
BA
MS
R
GU
HS
B
ang
alo
re
2002
MD
(Dra
vy
agu
na)
R
GU
HS
B
ang
alo
re
Sep
, 200
6
01/02/2007 to Till
Lecturer/AsstProfessor
GAMC, B'lore
AY
DG
0032
0
Dra
vy
agu
na
Reg
ula
r
GA
MC
, B
'lo
re
No
-41,
Sh
arad
hi
AE
CS
Lay
ou
t,
1st
Sta
ge,
Ash
wat
hn
agar
, S
anja
yan
agar
, B
lore
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1523
6
9886
6330
09
17
Dr.
Sh
ilp
a.P
.N
P U
Nar
asim
ha
Mu
rth
y
23/0
9/19
79
BA
MS
200
2 R
ajiv
Gan
dh
i U
niv
ersi
ty
Of
Hea
lth
S
cien
ces,
Ban
gal
ore
MS
(S
hal
ya
tan
tra)
RG
UH
S 2
006
02/02/2007 19/04/2012
20/04/2012 24/09/2017
25/09/2017 Till
date
Lecturer
Lecturer/Asst. Professor
Associate Professor
GAMC Mysore
GAMC Bangalore
GAMC Bangalore AY
ST
0040
8
Sh
aly
aTan
tra
Reg
ula
r
GA
MC
, B'l
ore
# F
A 5
01, G
old
en G
ran
d,
Yas
hv
antp
ur,
Ban
gal
ore
-22
1517
1
9886
7921
13
18
Dr.
SY
ED
MU
NW
ER
PA
SH
A
SY
ED
MU
RT
UZ
A
6/7/
1978
BA
MS
20
01
Raj
iv G
and
hi
Un
iver
sity
Of
H
ealt
h S
cien
ces,
Ban
gal
ore
MS
(S
hal
aky
a ta
ntr
a )
RG
UH
S
2005
21/11/2005 03/02/2007
08/02/2007 14/07/2014
15/07/2014 26/09/2017
27/09/2017 Till
date
Lecturer
Lecturer Lecturer/Asst
Professor
Associate Professor
SJG Ayu Medical College,
Koppal
Govt. Ayurveda Medical College, Bangalore
Taranath Govt. Ayurveda Medical College, Ballari
Govt. Ayurveda Medical
College, Bangalore
AY
SK
0022
9
Sh
alak
ya
Tan
tra
Reg
ula
r
GA
MC
, B'l
ore
# 0
06, A
ryan
Fai
ry, 3
rd M
ain
Anam
E
ncla
ve, A
shw
ath
Naga
r,
Than
isan
dra,
Ban
galo
re-7
7
1492
3
9886
5939
32
19
Dr.
Nik
hit
ha
Sir
ige
re
E U
Sir
ige
re
28
/12
/19
78
BA
MS
R
GU
HS
B
an
ga
lore
2
00
2
MS
( P
RA
SU
TI
EV
UM
ST
RE
E
RO
GA
) R
GU
HS
20
06
05/02/2007
to Till
Lecturer
GAMC, B'lore
AY
PS
00
30
7
Pra
soo
thi
Ta
ntr
a &
S
tre
ero
ga
Re
gu
lar
GA
MC
, B
'lo
re
No
-15
52
, M
CC
B B
lock
1
1th
Ma
in,
5th
Cro
ss,
Da
va
na
ge
re-5
77
001
15
64
2
99
80
16
01
99
20
Dr.
Sh
iva
na
nd
Ga
na
cha
ri
B.V
.Ga
na
cha
ri
13
/11
/19
79
BA
MS
2
00
2 R
aji
v G
an
dh
i U
niv
ers
ity
Of
He
alt
h S
cie
nce
s, B
an
ga
lore
MD
(Ra
cha
na
Sh
ari
r)
RG
UH
S
Ba
ng
alo
re,
Sep
, 20
06
15/12/2006 05/02/2007
06/02/2007 24/09/2017
25/09/2017 Till date
Lecturer
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JSS Ayurveda Medical College
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HS
20
15
08/01/2016 24/04/2018
26/04/2018 Till date
Assistant Professor
Assistant Professor
Shri J G Co-Operative Hospital
Societies Ayurvedic Medical College, Ghataprabha
Govt Ayurveda Medical College, Bengaluru
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GU
HS
2
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6
07/02/2017 21/04/2018
23/04/2018 Till date
Assistant Professor
Assistant Professor
Sri Raghavendra Ayurveda
medical college, Malladihalli, Holalkere
Govt. Ayurveda Medical
College, Bangalore
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09/09/2017 23/04/2018
24/04/2018 Till date
Asst Prof
Asst prof
Ashwini Ayurvedic Medical
College Research center, Tumakur
Govt. Ayurveda Medical
College, Bangalore
AY
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21/04/2018 Till
Date
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GOVERNMENT AYURVEDA MEDICAL COLLEGE, Bangalore
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GU
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201
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01/01/2018 21/04/2018
23/04/2018 Till date
Assistant Professor
Assistant Professor
Sushrutha Ayurveda Medical
College, Bengaluru.
Govt. Ayurveda Medical College, Bangalore
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GU
HS
20
17
30/12/2017 22/04/2018
23/04/2018 Till date
Assistant Professor
Assistant Professor
Tapovana Ayurveda Medical
College, Davengere
Govt. Ayurveda Medical College, Bangalore
AY
KC
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23/12/2015 23/04/2018
24/04/2018 Till date
Assistant Professor
Assistant Professor
Indian institute of Ayur.
Medicine & research Bangalore
Govt. Ayurveda Medical College, Bangalore
AY
ST
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UH
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09/09/2017 23/04/2018
24/04/2018 Till date
Assistant Professor
Assistant Professor
Ashwini Ayurvedic Medical
College Research center, Tumakur
Govt. Ayurveda Medical
College, Bangalore
AY
SK
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GU
HS
20
16
24/11/2017 24-04-
2018
25/04/2018 Till date
Assistant Professor
Assistant Professor
Sri Sri Ayurveda Medical
College and research Bengaluru
Govt. Ayurveda Medical College, Bangalore
AY
PK
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Of
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3
01/08/2017 24-04-2018
26/04/2018 Till date
Assistant Professor
Assistant Professor
S D M College Of Ayurveda &
Hospital Hassan
Govt. Ayurveda Medical College, Bangalore
AY
PK
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20
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Un
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Of
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gal
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UH
S 2
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31/12/2014 5/12/2017
25/04/2018 Till date
Assistant Professor
Assistant Professor
Sri Hingulambika Ayurvedic
medical college , Kalburgi.
Govt. Ayurveda Medical College, Bangalore
AY
ST
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27/06/2010 to 02/11/2012
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14/12/2012 to
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2/11/2017 to 31/10/2018
27/01/2019 to 30/07/2019
02/08/2019 to till date
Assistant Professor
Assistant Professor
Assistant Professor
Associate Professor
Associate Professor
Professor
Professor
Professor
Ashwini Ayurveda Medical College Davangere
Bapuji Ayurvedic College Chitradurga
Shri Raghavendra Ayurveda Medical College Chitradurga
Shri Raghavendra Ayurveda Medical College Chitradurga
Dhanvantari Ayurveda College and Hospital Uttara Kannada
Dhanvantari Ayurveda College and Hospital Uttara Kannada
Haridwar Ayurveda Medical College and Research Centre
Haridwar Uttarkand
Government Ayurveda Medical College and Hospital Bangalore
AY
SK
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BA
MS
Mah
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tra
Un
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of
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ash
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2003
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30/05/2013
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05/03/2016
12/03/2016 to
26/03/2019
28/08/2019 to
till date
Assistant Professor
Assistant Professor
Associate Professor
Associate Professor
Professor
Shri Raghavendra Ayurveda Medical College Chitradurga
Bapuji Ayurvedic College Chitradurga
Shri Raghavendra Ayurveda Medical College Chitradurga
Suryamukhi Dinesh Ayurvedic Medical college and Hospital ,
Ranchi ,Jharkhand
Government Ayurveda Medical College and Hospital ,
Bangalore
AY
PK
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