01 Name, address & status of the applicant Agri Life Plot No.23 FF, Sancharpuri Colony New Bowenpally Secunderabad – 500 011. Andhra Pradesh, India   02 Address of the premises where the manufacturing will be done Agri Life 154 A/5-1, SVCIE IDA Bollaram - 502 325. Medak Dist. Andhra Pradesh, India 03 The common name and Trade name of the Insecticide which the applicant proposes to import or manufacture Derris indica Seed Kernel Extract EC Containing min. 2% Karanjin Derisom (Trade Name) 04 Kind & name of active & other ingredients & percentage of each CHEMICAL IDENTITY Verticillium lecanii (i) Stability in storage (as per details specified by the Registration Committee) (ii) Shelf-life claim   Deriris indica Seed Kernel Extract in solvent alcohol Containing min. 4% Karanjin 50.00% W/W Emulsifier (Non-ionic) - 15.00% W/W Poly oxy ethylene ether Debitterised Derris indica oil 35.00% W/W ----------------- Total : 100.00% W/W ----------------- Stable at room temperature for 24 months. 2 Years   05 Toxicity of the products to human beings, wild life and aquatic animals Toxicological Evaluation detailed below revealed the product to be as low hazardous Class IV Compound Non – Toxic to Warm blood animals. Results of Acute Toxicological Studies: Particulars of Acute Toxicological Studies: - i. Acute Oral Toxicity/             : > *5800 mg/kg B.W Pathogenicity – Mouse ii. Acute Oral Toxicity/            : > *4100 mg/kg. B.W Pathogenicity – Rat iii.Acute Dermal Toxicity/        : > *3160 mg/kb B.W Pathogencity – Rat Vi. Primary Skin Irritation       : Non – Irritant - Rabbit vii. Irritation to Mucous           : Non – Irritant Membrance • Non – Toxic and Non – Virulent at the maximum recommended Test Dose level. Detailed Reports available • Data generated at Intox Pvt Ltd, Pune, India 06 The plant diseases, insects & other poisons animals and weeds against which it is intended to be used (Published/authentically report on bioeffiency of the Insecticides to be enclosed as per details specified by the registration Committee) Exhibits effective control on Pigeon pea mite Schizotetranichus cajani pest at 1200 ml/Ha (0.02%) when applied twice at 15 days intervals in Pigeon pea. Bio-efficacy report from Division of Entomology, ICAR Reseach Complex for NEH Region, Umiam (Meghalaya) is available. Summary of Report on bio-efficacy is provided below. Crop Pest Dose & spray Schedule Impact      Phytotoxicity Safety To Parasites & Predators Report No Pigeon Pea Mites Schizotetranichus cajani   1200ml/ha 15 days intreval Good control and increased in yields over control in Feb-Apr’04 season None   Yes ICAR Report dated