Sl. No.

Sub-category

No. of awards

Components of awards

(I)

Best Employee/Self Employed with Disabilities

(i)

Locomotor Disability

(Locomotor Disability,

Muscular Disability,

Dwarfism, Acid Attack Victims, Leprosy Cured Cerebral Palsy)

Two[One for Male and One for Female]

Cash of Rupees Fifty Thousand, a citation, certificate and a medal to every awardee

(ii)

Visual Impairment (Blindness, Low Vision)

Two[One for Male and One for Female]

-do-

(iii)

Hearing Impairment (Deaf, Hard of Hearing)

Two[One for Male and One for Female]

-do-

(iv)

Speech and Language Disability (Speech and Language Disability)

Two[One for Male and One for Female]

-do-

(v)

Developmental Disorder (Autism Spectrum Disorder, Specific Learning Disability)

Two[One for Male and One for Female]

-do-

(vi)

Intellectual Disability

(Earlier Known As Mental Retardation)

Two[One for Male and One for Female]

-do-

(vii)

Mental Behavior (Mental Illness)

Two[One for Male and One for Female]

-do-

(viii)

Disability caused due to blood disorder (Haemophilia, Thalassemia Sickle Cell Disease)

Two[One for Male and One for Female]

-do-

(ix)

Chronic Neurological Conditions (Multiple Sclerosis, Parkinson's Disease)

Two[One for Male and One for Female]

-do-

(x)

Multiple Disabilities

(Multiple Disabilities involving any two or more of the above broad categories)

Two[One for Male and One for Female]

-do-

(II)

Award for Best Employer and Placement Officer or Agency

(i)

Best Employer

Three-One each to:

(i) Government organization

(ii) Public Sector Undertaking or Autonomous or Local Government Body

(iii) Private or Non Governmental Organization

Cash of Rupees One Lakh, a citation, certificate and a medal to every awardee

(ii)

Best Placement Officer or Agency

Two-One each to:

(i) Autonomous Government Organization or Public Sector Undertaking

(ii) Private or Non-Governmental Organization or Office

Cash of Rupees Fifty Thousand, a citation, certificate and a shield to every awardee.

(III)

Award for Best Individual and Institution Working for the Cause of Persons with Disabilities

(i)

Best Individual

Two (One each for Professional and Non-Professional)

Cash of Rupees One Lakh, a citation and a certificate to every awardee.

(ii)

Best Institution

Two

One each for:

(i) An organization providing holistic comprehensive services to the persons with disabilities in a comprehensive manner. and

(ii) An organization promoting inclusive education to the children/persons with disabilities

Cash of Rupees Two Lakh, a citation and a certificate to every awardee.

(IV)

Role Model Awards

(i)

Locomotor Disability

(Locomotor Disability,

Muscular Disability,

Dwarfism Acid Attack Victims Leprosy Cured

Cerebral Palsy)

Two[One for Male and One for Female]

Cash of Rupees One Lakh, a citation and a certificate to every awardee.

(ii)

Visual Impairment (Blindness, Low Vision)

Two[One for Male and One for Female]

-do-

(iii)

Hearing Impairment (Deaf, Hard of Hearing)

Two[One for Male and One for Female]

-do-

(iv)

Speech and Language Disability (Speech and Language Disability)

Two[One for Male and One for Female]

-do-

(v)

Developmental Disorder

(Autism Spectrum Disorder, Specific Learning Disability)

Two[One for Male and One for Female]

-do-

(vi)

Intellectual Disability

(Earlier Known As Mental Retardation)

Two[One for Male and One for Female]

-do-

(vii)

Mental Behavior (Mental Illness)

Two[One for Male and One for Female]

-do-

(viii)

Disability caused due to blood disorder (Haemophilia, Thalassemia, Sickle Cell Disease)

Two[One for Male and One for Female]

-do-

(ix)

Chronic Neurological Conditions (Multiple Sclerosis, Parkinson's Disease)

Two[One for Male and One for Female]

-do-

(x)

Multiple Disabilities

(Multiple Disabilities involving any two or more of the above broad categories)

Two[One for Male and One for Female]

-do-

(V)

Awards for Best Applied Research or Innovation or Product Development Aimed at Improving the life of Persons with Disabilities

(i)

Best Applied Research or Technological Innovation Aimed at Improving the life of Persons with Disabilities.

One

Cash of Rupees One Lakh, a citation and a certificate.

(ii)

Development of new

Cost-effective product for manufacture Aimed at Improving the life of Persons with Disabilities.

Two

-do

(VI)

Award for the Outstanding Work in the Creation of Barrier-Free Environment for the Persons with Disabilities

(i)

Government Department or Offices or PSUs or Autonomous Bodies

One

A Citation and a certificate.

(ii)

Local Bodies

One

Cash of Rupees Two Lakh, a citation and a certificate.

(iii)

Private Sector or NGOs

One

Case of Rupees Two Lakh, a citation and a certificate.

(VII)

Award for the Best District in Providing Rehabilitation Service

Best District in Providing Rehabilitation Service

One

A Shield, a certificate and citation. No cash award

(VIII)

Best State Channelizing Agency of National Handicapped Finance and Development

Best State Channelizing Agency of National Handicapped Finance and Development Corporation.

One

A Shield, a certificate and citation.

(IX)

Award for the Outstanding Creative Adult Persons with Disabilities

Award for the Outstanding Creative Adult Persons with Disabilities

Two[one for Male and one for Female]

Cash of Rupees Fifty Thousand, a medal, a citation and a certificate to every awardee.

(X)

Award for the Best Creative Child with Disabilities

Award for the Best Creative Child with Disabilities

Two[one for Boy and one for Girl]

Cash of rupees Fifty Thousand, a medal, a citation and a certificate to every awardee.

(XI)

Best Braille Press

Best Braille Press

One

Cash of Rupees One Lakh, a citation and a certificate.

(XII)

Best Accessible Website

(i)

Govt.

One

A shield, a certificate & a citation

(ii)

PSU or Local Bodies

One

-do

(iii)

Pvt. Sector

One

-do-

(XIII)

Best State in promoting empowerment of persons with disabilities and for implementation of Accessible India Campaign

(ii) Best State for implementation of Accessible India Campaign

One

A shield, a certificate,a citation.

(XIV)

Best sports person with disability

Best sports person with disability

4 [two for Male and two for Female]

Cash of Rupees One lakh, a citation, certificate and a shield to every awardee.

(a)

Union Minister of Social Justice and Empowerment

Chairperson, ex-offico

(b)

Minister of State for Social Justice and Empowerment

Vice-Chairperson, ex-offico

(c)

Secretary, Department of Empowerment of Persons with Disabilities (Divangjan) M/o SJ&E

Member, ex-offico

(d)

Chairperson, National Commission for Women,

Member

(e)

Director, Lalit Kala Academy

Member

(f)

Representative of Confederation of Indian Industries (CII).

Member

(g)

Head of Department, Deptt. of Rehabilitation, Safdarjung Hospital, New Delhi

Member

(h)

Representative of CSIR not below the rank of JS

Member

(i)

Representative of Rehabilitation Wing of DRDO

Member

(j)

The Chief Commissioner for Persons with Disabilities

Member

(k)

Chairman, Rehabilitation Council of India

Member

(1)

Chairperson, National Trust, New Delhi

Member

(m)

Special Secretary/Additional Secretary, M/o Social Justice & Empowerment

Member

(n)

Joint Secretary, Department of Empowerment of Persons with Disabilities (Divangjan) M/o Social Justice and Empowerment

Convener

(i)

Locomotor Disability (Locomotor Disability, Muscular Disability, Dwarfism, Acid Attack Victims, Leprosy Cured, Cerebral Palsy)

(ii)

Visual Impairment (Blindness, Low Vision)

(iii)

Hearing Impairment (Deaf, Hard of Hearing)

(iv)

Speech and Language Disability

(v)

Developmental Disorder (Autism Spectrum Disorder, Specific Learning Disability

(vi)

Intellectual Disability

(Earlier Known As Mental Retardation)

(vii)

Mental Behavior - (Mental Illness)

(viii)

Disability caused due to blood disorder - (Haemophilia, Thalassemia, Sickle Cell Disease)

(ix)

Chronic Neurological Conditions (Multiple Sclerosis, Parkinson's Disease)

(x)

Multiple Disabilities(Multiple Disabilities involving any two or more of the above broad categories)

Sl. No.

Criteria

Weight

(i)

Punctuality and regularity in attendance

10%

(ii)

Cooperation with superiors and fellow-employees

10%

(iii)

Extent of mobility, self-care and independence etc.

10%

(iv)

No excessive demands for adjustment in physical Environment, equipment, machinery and process etc

10%

(v)

No extra demand for special remuneration in the context of disability.

10%

(vi)

Type of Disability

10%

(vii)

Extent of Disability

10%

(viii)

Output/Production in comparison to his/ her non-disabled colleagues

10%

(ix)

Education/Qualification acquired after Becoming disabled

10%

(x)

Growth in career after becoming disabled

10%

Sl. No.

Criteria

Weight

(i)

The business is either showing break even or making considerable profits

15%

(ii)

The persons with disabilities play important role in the management of business

10%

(iii)

The person with disabilities pays his employees and pays installments to financial institutions regularly towards payments of loans

10%

(iv)

Annual turnover for the last five years

15%

(v)

Innovation introduced in the enterprise

10%

(vi)

Extent of independence in holding the enterprise

10%

(vii)

The number of disabled persons employed in the enterprise

10%

(viii)

Extent & Type of disability despite which enterprise was established and run successfully

10%

(ix)

Socio-economic circumstances despite which the enterprise was established and run successfully

10%

Sl. No.

Criteria

Weight

(i)

That at least 10% of the employees are disabled subject To a minimum of disabled persons in a given Establishment. (In case of large Establishment employing 100 disabled persons or more, the condition of 10% need not be rigidly adhered to

20%

(ii)

That wherever necessary minor adjustment/modifications in the machinery have been made;

5%

(iii)

That necessary environmental modifications at the worksite have been made including barrier free access;

10%

(iv)

That the employees with disabilities are offered the same conditions in service, including the rates of pay as given to other employees for similar work;

15%

(v)

That the employers have shown sympathetic understanding of the problems of the disabled

10%

(vi)

that when necessary and feasible, such additional

facilities such as accommodation and transport etc, are provided

10%

(vii)

Retention rate

10%

(viii)

Employees assessment

10%

(ix)

Productivity ensured

10%

Sl. No.

Criteria

Weight

(i)

That he/she has placed at least 50% registered unemployed disabled persons in employment during the last five years and that at least 30% of them were women;

20%

(ii)

Total number of persons with disabilities placed during the last five years

10%

(iii)

His/her follow-up during the last five years coupled with placements of the people registered with him/her up to the end of the last year is outstanding;

25%

(iv)

That the attitude of the placement officer towards the registered persons with disabilities has been positive and helpful;

20%

(v)

The percentage of dropout employees should not exceed 20% in a given year;

15%

(vi)

The placement officer shall provide placement to all categories of disabled persons and maintain a balance amongst them while assisting for placement.

10%

Sl. No.

Criteria

Weight

(i)

Has started comprehensive service for people with various disabilities.

10%

(ii)

Has adapted new equipments.

10%

(iii)

Has provided new services.

15%

(iv)

Has undertaken new strategies for improving existing services

10%

(v)

Has followed-up the clients in rehabilitation.

5%

(vi)

Achievements in the area of education/training/ rehabilitation etc. should be outstanding.

10%

(vii)

The Institution should have at least 10 years' experience in the field

10%

(viii)

The contribution of the institution in extension of outreach services in and around its working headquarters.

5%

(ix)

Motivation, involvement and participation of community for rehabilitation of the disabled particularly in rural areas

10%

(x)

While selecting the institutions due weightage would be given to voluntary action through participation of local public and efforts for rendering rehabilitation services to the persons with disabilities.

5%

(xi)

The geographical area in which the Institution is providing services

5%

(xii)

The category(ies) of disability for which the institution is providing services

5%

Sl. No.

Criteria

Weight

(i)

Clarity in strategy and planning

30%

(ii)

Involvement of the district administration and local NGOs/ agencies;

20%

(iii)

Overall performance in terms of core services to be provided by a district centre;

20%

(iv)

Convergence of schemes and resources of different departments for the benefit of persons with disabilities including utilization of the ADIP Scheme; and

15%

(v)

Innovation in modes of provision of services especially with reference to prevention strategy namely, nutrition, health, sanitation, waste disposal, etc.

15%

Sl. No.

Criteria

Weight

(i)

Amount of loan disbursed during previous financial year

25%

(ii)

No. of beneficiaries to whom loan released during the previous financial year.

15%

(iii)

Percentage of recovery from the beneficiaries against the dues during the previous financial year

20%

(iv)

Percentage of utilization of funds released till the last financial year.

20%

(v)

Percentage of repayment of amount due to NHFDC

20%

Sl. No.

Criteria

Weight

(i)

The period for which the press has been publishing Braille material

5%

(ii)

Number of publications brought out

15%

(iii)

Number of languages in which publications are being brought out

15%

(iv)

Number of school/college books published

25%

(v)

Total number of pages printed in Braille annually in the last three years

10%

(vi)

Number of tactile sketches printed like graphs geometrical figures etc., annually in the last three years,

10%

(vii)

Financial status of the Braille press including turnover, expenditure and profit/loss

20%

Sl. No.

Criteria

Weight

(i)

Overall planning and strategy of the state in providing comprehensive rehabilitation services to the persons with disabilities and setting up good Institutional infrastructure including state commissioner for persons with disabilities (PwDs).

10%

(ii)

Percentage of persons with disabilities who have been issued disability certificates

10%

(iii)

Percentage coverage of identified persons with severe multiple disabilities under IGNDPS

10%

(iv)

Achievement of State (in percentage against their notional allocation) under the following Central Sector Schemes

(i) DDRS 5%

(ii) ADIP 5%

(iii) SIPDA-5%

15%

(v)

Percentage of government elementary and secondary schools having

(a) Ramps with railings

(b) Special teachers

(c) Disabled friendly toilets

10%

(vi)

PwDs who have been placed in Government jobs against the stipulated 3% quota for them

10%

(vii)

Special efforts made to provided barrier free environment in public spaces/ Implementation of AIC

10%

(viii)

Expenditure on State Sector schemes for PwDs as % of the total State Plan Outlay

10%

(ix)

Percentage of PwDs provided vocational training during last five years

5%

(x)

Loan availed by SCA from NHFDC as % notional of its allocation.

10%

Sl. No.

Criteria

Weight

1.

(i) Total number of Public buildings in the State*

(ii) Total Number of Public buildings*

identified for creation of barrier free environment.

(iii) Total number of public buildings out of the above made accessible from Accessible India Campaign funds.

* Offices, Cinema Halls, Theatre, Parks, Hospitals, Museums, Police Stations, Tourists places, Monuments, Educational Institutes, Banks, Post offices, ATMs, Commercial Complexes, Market places, Streets, Libraries, Courts etc.

5%

2.

(i) Total number of cost estimates sent to the Department of Empowerment of Persons with Disabilities

(ii) Total number of buildings for which funds have been given and utilized. (financial year-wise details to be given beginning 2015-16 onwards)

5%

3

Total number of buildings retrofitted with following details

(a) Accessible Parking with marking as per accessibility standards

(b) Accessible route connecting parking to alighting point

(c) Tactile tiles/pavers from parking to main accessible entrance and till rooms

(d) Accessible reception counter

(e) Accessible entrance/doors/corridors

(f) Ramps wherever there are level differences or lift is absent

(g) Accessible lift

(h) Signage (audio-visual) conspicuously placed

(i) Accessible toilet at each floor

(j) Accessible staircase (color contrasting strip and continuous handrails.

50%

4.

(ii) Other important initiatives taken up Improve accessibility of public buildings.

10%

5

(i) Total number of Terminals/Depots/buses (fleet)/bus Stops under Department.

(ii) Total number of Termina1/Depots/Buses (fleet)/bus Stops fully made accessible.

(iii) Total number of Termina1/Depots/Buses (fleet)/bus Stops not accessible

10%

6.

(i) Total number of state government websites.

(ii) Total numbers of websites identified and made accessible from Accessible India Campaign fund.

(iii) Total numbers of websites made accessible from state funds

(iv) Other important initiatives taken up to improve accessibility of information example annual reports in Braille, accessible content creation of documents.

10%

Sl. No.

Criteria

Weight

(i)

Number of international level sports events participated

20%

(ii)

Number of international medals won during last 3 years

30%

(iii)

Number of National level sports events participated

15%

(iv)

Number of National medals won during last 3 years

20%

(v)

Any other achievement in activities related to the sports for persons with disabilities

15%

1.

Name:

(a) in English (in BLOCK Capital letters)

(b) in Hindi

2.

Address:

(a) Residential

(b) Office

3.

Telephone numbers: (a) Residential

(b) Office

4.

FAX Number: (a) Residential

(b) Office

5.

E-mail address, if any

6.

Sex

7.

Date of Birth/Age

8.

Nature/Category of disability

9.

Percentage of disability (Certificate of competent authority to be attached)

10.

Qualification: (a)Academic

(b) Technical

Qualifications acquired after onset of disability should be clearly indicated. (Certificate and testimonial should be attached)

11.

Trainings received, if any:

(a) Name of the Institution/ Organization

(b) Name of the Course

(c) Duration of the course

12.

Details of experience gained informally

13.

Whether employee or self-employed

14.

If employee:

(a) Name of the Employer

(b) Designation or Post held

(c) Scale of pay and salary drawn

(d) Nature of work engaged on

(e) How does his/her productivity compare to that of his non- disabled counterparts in percentage of 10% more or less.

(f) Relations with fellow-employees

(g) Independence in work (encircle the grading option)

Very Good Good Poor

(h) Mobility and self-care remarks including a brief life sketch of about 200 words of the candidate highlighting his struggle against the disadvantage created by his disability (encircle the grading option)

Very Good Good Poor

(i) Punctuality and regularity in attendance(encircle the grading option)

Very Good Good Poor

(j) Whether any incentive/reward/ certificate given to the employee by the employer for his work during last three years. If yes, details thereof

(k) General assessment of the employee for last three years(encircle the grading option)

Very Good Good Poor

15.

If self-employed:

(a) Trade/Profession with which associated

(b) Monthly Income(Attach copy of last Income Tax Return filed/Income Certificate)

(c) How far you have upgraded your skill in that trade/profession with a view to absorb yourself fully as a self-employed entrepreneur?

(d) Socio-economic problems/ constraints being faced in the existing trade/profession to become a sustainable self- employed entrepreneur

(e) (i) Whether taken loan from any bank/financial institution of State/Central Government(give full details)

(ii) If yes, indicate the balance amount of loan to be repaid

(f) Have you ever been declared to be a defaulter to any nationalised bank/financial institution/cooperative bank

16.

If any National or State level Award received during last five years, then please mention:

(a) Name of the Award

(b) Conferring Agency

(c) Year of conferment

1.

Name in English (in BLOCK Capital letters) and Hindi

2.

Postal and telegraphic address of the organization with telephone & fax number.

3.

Web-site address, if any

4.

E-mail address, if any

5.

Whether Government/Public Sector Undertaking/Private.

6.

Nature of work undertaken by the Organization.

7.

Total number of employees in the organization

Total

8.

Number of employees with disability in the organization category-wise and sex-wise.

Total

9.

Nature of disability of the employees (if the organization has employees with various disabilities, please indicate the number of employees with each disability)

10.

Percentage of employees with disability as Compared with the total number of Employees

11.

Nature of work in which Persons with disability are employed.

12.

Whether their service conditions are the same as those for others?

13.

Whether any modifications are made in the machinery and access is provided in the built environment.

14.

Special effort made to train and employ persons with disability so far and plans for future.

15.

How does the productivity of Employees with disability compare with that of non- disabled employees?

16.

Remarks

1.

Name in English(in BLOCK Capital letters) and Hindi

2.

Date of Birth

3.

Educational qualification

4.

Postal address

5.

Telegraphic address/FAX No.

6.

Telephone Number (:Office) (:Residence)

7.

Web-site/E-mail address, if any

8.

Name of the employer with complete address (Give all the employers with Whom employed during the last five years, last name to be given first)

9.

Total service in the capacity.

Sl. No.

Year

No. of Persons with Disabilities (Disability-wise)

No./%age of placement to Registration

No. of cases followed up

% of dropouts from employment with brief reasons

Registered

Placed

Male

Female

Male

Female

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(i)

(ii)

(iii)

(iv)

(v)

1.

Name in English(in BLOCK Capital letters) and Hindi

2.

Address with telephone numbers/FAX number

3.

E-mail address, if any

4.

Date of Birth/Age

5.

Sex

6.

Institution with which the individual is associated including the local and field performances and the number of persons with disabilities covered.

7.

How is the performance of the individual adjudged as outstanding

8.

Remarks including a brief life sketch of the individual.

9.

No. of years working for the persons with disabilities.

10.

Details of her/his contribution during last ten years supported by documentary evidence.

11.

Whether received any awards in the past, if so specify and furnish a brief account.

12.

Name of the Area/District/State in which outstanding work has been done for the welfare of persons with disabilities.

13.

Details of outstanding professional achievements, if any

1.

Name of the Institution in

English (In BLOCK Capital letters) and Hindi

2.

Postal and Telegraphic address of Institution with telephone and fax number.

3.

Web-site/E-mail address, if any

4.

Year of establishment

5.

Whether recognized or aided by State/Central Govt./ Local bodies

6.

Nature of work undertaken by the Institution

7.

Total number of employees in the Institution (also indicate the number of employees with disabilities, disability- wise).

Male

Female

Total

8.

Details of work done by the Institution including places and the number of disabled persons covered by the Institution.

9.

Specify the outstanding achievements/ Contribution of the Institution in the Past ten years in the area of welfare of persons with disabilities and rehabilitation/ education including technical education and vocational training to persons with disabilities.

10.

Whether Institution have received any Award in the past. If so, specify and give brief account.

11.

No. of persons with disabilities are on Governing Body. Give their names and addresses.

12.

The number of disabled population served and area of work including District/State.

13.

Give details showing various activities done by the Institution with numerical output.

1.

Name in English (in BLOCK Capital letters) and in Hindi

2.

Address along with telephone & fax number, if any.

3.

E-mail address, if any

4.

Nature and degree of Disability (Attach Disability Certificate)

5.

Indicate percentage of disability and since when

6.

Date of birth

7.

Educational qualifications

8.

Brief details/particulars of the achievements made which may be considered original and exemplar for persons with disabilities

9.

Whether any National or International award received and if so, the details thereof

1.

Name in English and in Hindi (in BLOCK Capital letters)

2.

Address of the applicant with telephone and fax number.

3.

Web-site/E-mail address, if any

4.

Date of birth

5.

Educational qualifications

6.

Professiona1/Official Designation & Address of Organization with telephone & fax numbers.

7.

Title of Invention/Innovation

8.

(i) When and where the development work was carried out.

(ii) Was the proposal undertaken as a research project in a Research Laboratory/Institute or any other Organization.

9.

Detailed technical description (Use separate sheets)

10.

Present stage of development (Strike out items which do not apply)

Idea/Mode1/Working

11.

Claim of Originality

(a) How it is different from known Indigenous and imported PinPoint in detail, the originality/ novelty claimed (Use separate sheet).

b) Has it been patented? If so give patent no. and dates of application/ acceptance and sealing?

12.

Advantage claimed over alternative products (Strike out whichever is not applicable).

(a) Reduced capital cost/operating cost/Weight/volume.

(b) Improved performance/safety/ output serviceability/ran of applications/utility directly or as attachment.

(c) Aiding import substitution and self-reliance. Any other special merits.

13.

Tests/Demonstrations carried out:

(a) Give details of the tests carried out and results obtained (Use separate sheets)

(b) Has the working mode1/prototype been demonstrated/supplied for use? If yes, give names(s) and address of the persons/testing agencies and details of their Observations/test results/opinions obtained.

14.

Details about commercialization, has it been exploited commercially?

(a) If yes, date(s) of commercialization, names and addresses of the parties manufacturing and annual sales.

(b) Name and address of the users, if any.

15.

Has your invention/innovation been Published in technical or scientific Magazine? If so, enclose reprints/Cuttings.

16.

Has the invention/innovation been submitted for consideration or consideration for any Internationa1/ National Awards? If so, give particulars.

17.

State how the invention will benefit people with disabilities in their education/employment/training/rehabilitation or any other aspect of living.

18.

Comment on its affordability by a common person with disabilities or by an institution/organization.

19.

Whether received any award in the past. Specify and give a brief account.

1.

Name of the Agency in English (in Block Capital letters) and in Hindi

2.

Address of the agency along with telephone & fax number, if any.

3.

Web-site/E-mail address, if any

4.

Nature of the agency

5.

Particulars of access facilities provided

6.

Number of the people benefited annually category-wise.

7.

Comment on the replicability of the facilities given.

8.

Whether toilets have been modified, doors are modified keeping in view the needs of disabled and ramps are provided in the building.

9.

Whether facilities for visually and hearing Impaired are provided at work site and protective devices are used for their physical safeguard. Give full details

1.

Name of the district

2.

Name of the state

3.

Since when District Rehabilitation Centre is in operation

4.

Details of activities undertaken in the area of disability rehabilitation

5.

Involvement of District administration NGOs/Local level

bodies and public Representatives in functioning of District Center.

6.

Special efforts made in the provision of services including for prevention of disability

7.

Details of convergence of various development schemes for benefit of Persons with Disabilities.

8.

Coverage under ADIP Scheme

9.

Details of awareness generating activities

10.

Any other

1.

Name of the State

2.

Name of State Channelising Agency in English(in BLOCK Capital letters) and Hindi

3.

Year of nomination as SCA of NHFDC

4.

Date of execution of GLA

5.

Date of Government Guarantee

6.

Quantum of Government Guarantee

7.

Number of Projects received in NHFDC from SCA in the previous financial year

8.

Number of projects sanctioned by NHFDC during previous financial year

9.

Amount released by NHFDC to SCA during previous financial year.

10.

Amount disbursed to beneficiaries by SCA during previous financial year.

11.

Number of Persons with Disability to whom loan disbursed by the SCA during previous financial year.

12.

Recovery due from the SCA till the end of previous financial year.

13.

Recovery received from SCA till the end of previous financial year.

14.

Recovery percentage at the end of previous financial year.

15.

Funds refunded by SCA during the previous financial year

16.

Utilisation certificates received from SCA during the previous financial year.

17.

Utilization percentage during previous financial year for the amount due for utilization.

1.

Name of the person in Hindi & English (In BLOCK Capital letters)

2.

Residential address along

with telephone no. and fax number, if any.

3.

E-mail address, if any

4.

Web-site address, if any

5.

Date of Birth/Age

6.

Nature and degree of

disability (attach Disability Certificate)

7.

Occupation

8.

Monthly income

9.

Particulars of the creative

work for which award is to be considered

Name of the child in English (in BLOCK Capital letters),

And In Hindi

Date of Birth (Attach Certificate)

Residential address alongwith telephone : & fax number, if any.

& fax number if any

E-mail address, if any

web-site address, if any

Nature and degree of disability

Class in which studying

Particulars of the creative work for which award is to be considered

Sl. No.

Type of printer

Speed (Characters per second)

Functiona1/Non functional

1.

2.

Sl. No.

Item

2015-16

2016-17

2017-18

1.

No. of titles by language

(a) Hindi

(b) English

(c) Other languages

Total

2.

No. of volumes (copies)

3.

No. of pages

4.

No. of School Books

5.

No. of tactile sketches, graphs, geometrical figures etc.

6.

No. of volumes sold

(a) Subsidized

(b) Non-subsidized Total

Financial year

Expenditure

Sale proceeds

Profit/loss

2015-16

2016-17

2017-18

1.

Name of the Organization / Agency in English (in Block Capital letters) and in Hindi

2.

Address of the Organization / agency along with telephone & fax number, if any.

3.

Web-site/E-mail address, if any

4.

Nature of the agency

5.

Brief of features of accessible facilities provided

6.

Number of the people benefited annually category-wise.

7.

Comments on replicability of the Accessibility features of website.

8.

Does it meet level AA of WCAG 2.0 guidelines

9.

Can a person with visual disability use a screen reader software on this website

10.

Can a person who has difficulty in using a mouse, use voice recognition software which enables working on computer with verbal commands

11.

Does it has facilities to change the size and spacing of the text

12.

Does it has facilities to change the colour scheme of the text

13.

Can the website be accessed through mobile phone

14.

Is website updated regularly

1.

Name of the State

2.

Overall planning and strategy of the state in providing comprehensive rehabilitation services to the persons with disabilities and setting up good Institutional infrastructure including State Commissioner for Persons with Disabilities.

3.

Percentage of persons with disabilities who have been issued disability certificates

4.

Percentage coverage of identified persons with severe multiple disabilities under IGNDPS

5.

Achievement of State (in percentage against their notional allocation) under the following Central Sector Schemes:-

(i) DDRS 5%

(ii) ADIP 5%

(iii) SIPDA-5%

6.

Percentage of Government elementary and secondary schools having:-

(a) Ramps with railings

(b) Special teachers

(c) Disabled friendly toilets

7.

PwD who have been placed in Government jobs against the stipulated 3% quota for them

8.

Special efforts made to provide barrier free environment in public spaces and Implementation of AIC

9.

Expenditure on State Sector schemes for PwDs as % of the total State Plan Outlay

10.

Percentage of PwDs provided vocational training during last five years

11.

Loan availed by SCA from NHFDC as % of its notional allocation.

1.

Name of the State

2.

(i) Total number of Public buildings* in the State

(ii) Total Number of Public buildings* identified for creation of barrier free environment.

(iii) Total number of public buildings out of (ii) above made accessible from Accessible India Campaign funds.

(iv) Total number of cost estimates sent to the Department of Empowerment of Persons with Disabilities

(v) Total number of buildings for which funds are released (financial year- wise details to be given 2015-16 onwards.

(vi) Total number of buildings retrofitted with following details:

(a) Accessible Parking with marking as per accessibility standards

(b) Accessible route connecting parking to alighting point

(c) Tactile tiles/pavers from parking to main accessible entrance and upto rooms

(d) Accessible reception counter

(e) Accessible entrance/doors/corridors

(f) Ramps wherever there are level differences or lift is absent

(g) Accessible lift

(h) Signage (audio-visual) conspicuously placed

(i) Accessible toilet at each floor

(j) Accessible staircase (color contrasting strip and continuous handrails.

(vii) Total number of buildings made accessible from state funds.

(viii) Other important initiatives taken up Improve accessibility of public buildings.

* Offices, Cinema Halls, Theatre, Parks, Hospitals, Museums, Police Stations, Tourists places, Monuments, Educational Institutes, Banks, Post offices, ATMs, Commercial Complexes, Market places, Streets, Libraries, Courts etc.

3.

(i) Total number of Terminals/Depots/buses (fleet)/bus Stops under Department.

(ii) Total number of Termina1/Depots/Buses (fleet)/bus Stops fully made accessible.

(iii) Total number of Termina1/Depots/Buses (fleet)/bus Stops not accessible

4.

(i) Total number of state government websites.

(ii) Total numbers of websites identified and made accessible from Accessible India Campaign fund.

(iii) Total numbers of websites made accessible from state funds

(iv) Other important initiatives taken up to

improve accessibility of information example

annual reports in Braille, accessible content

creation of documents.

1.

Name in English (in BLOCK Capital letters) and in Hindi

2.

Address along with telephone & fax number, if any.

3.

E-mail address, if any

4.

Nature and degree of Disability (Attach Disability Certificate)

5.

Indicate percentage of disability and since when

6.

Date of birth

7.

Educational qualifications

8.

Number of international level sports events participated

9.

Number of international medals won during last 3 years

10.

Number of National level sports events participated

11.

Number of National medals won during last 3 years

12.

Any other achievement in activities related to the sports for persons with disabilities

Sl. No.

Activities

Date and Month

1.

Advertisement of National Awards

15th June

2.

Last date of receipt of applications

15th July

3.

Constitution of Screening Committees and National Selection Committees

30th June

4.

Meetings of the Screening Committees

31st July

5.

Meeting of the National Selection Committee

31st August

6.

Verification of short-listed candidates

15th October

7.

Information/confirmation to awardees

31st October

8.

Presentation of National Awards

3rd December