Certification Form

Certificate - Pest Control Services

AIPM Agriclinic & Integrated Pest Management Private Limited ®

Address: SF 04, Second Floor, Jaiwant Complex, Sonarpeth, Bicholim, North Goa - 403504

This is to certify that AIPM Agriclinic and Integrated Pest Management Private Limited has successfully carried out Pest Control Treatment at the premises of:

Customer Name

Address

Address Line 1

City

State

Zip Code

Phone/Mobile

Service Details :

Type of Service

Select Frequency

Date of Service

Time of Service

Chemicals / Methods Used:

All products used are CIB & RC Registered under the Insecticides Act, 1968
Treatments follow ISPM-15, WHO, FAO and CPCB safety norms
Application done by trained & certified technicians

Certification Statement:

AIPM hereby confirms that pest control treatment has been completed as per Indian standards, using approved chemicals, equipment, and safety protocols.
The treatment was carried out following all guidelines under:

The Insecticides Act, 1968
CIB & RC (Central Insecticides Board & Registration Committee)
CPCB (Central Pollution Control Board) norms
Safety & Hygiene Standards applicable for residential, commercial, hospitality, warehouse, and industrial premises.

Warranty / Validity (If Applicable):

Warranty Start Period

Warranty End Period

Technician Details:

Technician Name

Date :

Certification Form

AIPM Agriclinic & Integrated Pest Management Private Limited ®

This is to certify that AIPM Agriclinic and Integrated Pest Management Private Limited has successfully carried out Pest Control Treatment at the premises of:

Service Details :

Chemicals / Methods Used:

Certification Statement:

AIPM hereby confirms that pest control treatment has been completed as per Indian standards, using approved chemicals, equipment, and safety protocols.
The treatment was carried out following all guidelines under:

Warranty / Validity (If Applicable):

Technician Details:

Quick Links

Navigation

Pesticide Antidote

Customer Feedback Form

Customer Declaration Form

AIPM tricks & tips

Important Links

Certification Form

AIPM Agriclinic & Integrated Pest Management Private Limited ®

This is to certify that AIPM Agriclinic and Integrated Pest Management Private Limited has successfully carried out Pest Control Treatment at the premises of:

Service Details :

Chemicals / Methods Used:

Certification Statement:

AIPM hereby confirms that pest control treatment has been completed as per Indian standards, using approved chemicals, equipment, and safety protocols.The treatment was carried out following all guidelines under:

Warranty / Validity (If Applicable):

Technician Details:

AIPM hereby confirms that pest control treatment has been completed as per Indian standards, using approved chemicals, equipment, and safety protocols.
The treatment was carried out following all guidelines under: