AYUSH AWARD SCHEMES CCRAS

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AYUSH AWARD SCHEMES of CCRAS 2017 1. AYUSH Award Scheme-I : Best Research Paper Award 2. AYUSH Award Scheme-II : Young Scientist Award 3. AYUSH Award Scheme-III : Life Time Achievement Award 4. AYUSH Award Scheme-IV : Best Teacher Award 5. Application Proforma for nomination of Awards

CENTRAL COUNCIL FOR RESEARCH IN AYURVEDIC SCIENCES Jawahar Lal Nehru Bharatiya Chikitsa Evam Homoeopathy Anusandhan Bhawan No. 61-65, Institutional Area, Opp. D Block, Janakpuri, New Delhi-110058 AYUSH AWARD SCHEME OF CCRAS, 2017 I: BEST RESEARCH PAPER AWARD 1. Background: The Central Council for Research in Ayurvedic Sciences (CCRAS) is an autonomous body of the Ministry of AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy), Government of India. It is an apex body in India for the formulation, co-ordination, development and promotion of research on scientific lines in Ayurveda and Sowa-Rigpa systems of medicine. The Council has been executing its research programmes with a network of 30 peripheral Institutes/centres/units across the country with the headquarters office responsible for control, monitoring and supervision. The broad areas of Research comprise Medicinal Plant Research (Medico-ethno Botanical survey, cultivation, Pharmacognosy), Drug standardization Research; Pharmacology Research (Pre clinical Safety/Toxicity and Biological Activity Studies); Clinical Research and Literary Research & Documentation. The extension activities include Tribal Health Care Research, Health Care Services, Information, Education and Communication (IEC) etc. The Central Council for Research in Ayurvedic Sciences (CCRAS) invites nominations for the Best Research Paper Award every year. The award is given each year for outstanding research contributions made primarily in the field of Ayurveda in clinical, literary and drug research separately. 2. Eligibility: i) The award is to be given to the scientists and researchers working in any institution in the country and abroad for original and outstanding research contributions made primarily in the field of Ayurveda in clinical, literary and drug research separately. The nominations may be supported by the original research work done for the greater good of the humanity with contribution to the Ayurvedic field in clinical, literary and drug research separately. ii) The original research work submitted by the nominee should not have been presented for any similar award elsewhere. AYUSH AWARD SCHEME OF CCRAS, 2017 Page 1 of 18

iii) iv) In case of a joint research work, the applicant for award shall furnish a No Objection Certificate from other contributors for application. If NOC is not available then the affidavit may be submitted by the applicant indicating the same. The original research work should only be of during last three calendar years from the year of award. v) The nominee should be referred by at least 3 authorities including Head of any research/teaching/training organization of Ayurveda/Allied Sciences with Ayurvedic wing/ Ayurvedic PG Institution/ Director Ayurveda/AYUSH of State/Central Government/ UT Administration. vi) The Nominee should not be related either by blood, marriage or adoption to the person making the nomination provided that such a person has not played any direct part in the nominee s work. 3. Incentives: i) The Award comprises a certificate, a cash award of Rs 50,000 (Rupees fifty thousand only) and a memento or plaque for each category. ii) The award certificate shall indicate the title of research paper along with all names of contributors, if any, in the same sequence as given in the paper. 4. How to Apply: Nominations addressed to Director General, Central Council for Research in Ayurvedic Sciences (CCRAS), 61-65, Institutional Area, Opp. D Block, Janakpuri, New Delhi-110058 should be sent as per the prescribed proforma (original + five copies) latest by 31 st December 2017 application year. A CD/DVD/USB flash drive is also required containing digital photograph (in JPEG format), duly filled proforma and significant publications (in PDF format) of the nominee. The details of the Best Research Paper Award and the prescribed proforma for nomination may be obtained from above address or may also be downloaded from website: www.ccras.nic.in. The application should be sent in an envelope super scribed Application/ Nomination for Best Research Paper Award by registered / speed post. In case of nominee from abroad, the form should be forwarded through Ministry of AYUSH, Government of India fulfilling all the requirements as per guidelines for foreign nomination. AYUSH AWARD SCHEME OF CCRAS, 2017 Page 2 of 18

5. Procedure of Selection and Award: i) The Prize is bestowed on a scientist/researcher working in any institution in the country and abroad, who has made conspicuously important and outstanding contributions to human knowledge and progress fundamental and applied in the particular field of endeavour, which is his/her specialization. ii) In case of a joint research work, the applicant for award shall furnish a No Objection Certificate from other contributors for application or an affidavit indicating the same. iii) The Prize is awarded on the basis of contributions made through work done during last three calendar years from the year of award. iv) An Expert Committee with the following composition will examine the proposal and take the decision for Award: 1. Chairman - A renowned Ayurveda expert 2. Member - A representative from Ministry of AYUSH not lower than Advisor 3. Subject Experts - Three (as nominated by Member Secretary) 4. Member Secretary - DG, CCRAS v) The names of the recipients are made public by the Director General, CCRAS. vi) The Prizes are awarded at a formal presentation ceremony arranged by CCRAS. At the ceremony, a suitable citation on work of the recipient of the Prize is read out. vii) The Best Research Paper Awardee should give a lecture in the area of the award in CCRAS Hqrs. or a venue as will be intimated for dissemination of research work. viii) In all matters of award, the decision of CCRAS shall be final. 6. Terms of Reference for Expert Committee: i) The Committee will appraise the proposals and after critical examination will recommend the suitable proposal for award. ii) The Committee will decide and recommend award based on essential parameters such as: novelty, scientific relevance, methodology, translational potential, contemporary relevance etc. iii) The Committee will finalize and recommend through a consultative process. iv) The Committee may or may not recommend for award, if no any suitable proposal is found up to the mark in all or any of the fields. AYUSH AWARD SCHEME OF CCRAS, 2017 Page 3 of 18

CENTRAL COUNCIL FOR RESEARCH IN AYURVEDIC SCIENCES Jawahar Lal Nehru Bharatiya Chikitsa Evam Homoeopathy Anusandhan Bhawan No. 61-65, Institutional Area, Opp. D Block, Janakpuri, New Delhi-110058 AYUSH AWARD SCHEME OF CCRAS, 2017 II: YOUNG SCIENTIST AWARD 1. Background: The Central Council for Research in Ayurvedic Sciences (CCRAS) is an autonomous body of the Ministry of AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy), Government of India. It is an apex body in India for the formulation, co-ordination, development and promotion of research on scientific lines in Ayurveda and Sowa-Rigpa systems of medicine. The Council has been executing its research programmes with a network of 30 peripheral Institutes/centres/units across the country with the headquarters office responsible for control, monitoring and supervision. The broad areas of Research comprise Medicinal Plant Research (Medico-ethno Botanical survey, cultivation, Pharmacognosy), Drug standardization Research; Pharmacology Research (Pre clinical Safety/Toxicity and Biological Activity Studies); Clinical Research and Literary Research & Documentation. The extension activities include Tribal Health Care Research, Health Care Services, Information, Education and Communication (IEC) etc. The Central Council for Research in Ayurvedic Sciences (CCRAS) invites nominations for the Young Scientist Award every year in clinical, literary and drug research, separately. 2. Eligibility: i) The award is to be given to the scientists and researchers working in any institution in the country and abroad for original and outstanding research contribution(s) made primarily in the field of Ayurveda in clinical, literary and drug research separately. ii) iii) The nominations may be supported by the original research work done for the greater good of the humanity with contribution to the Ayurvedic field. The original research work submitted by the nominee should not have been presented for any similar award elsewhere. AYUSH AWARD SCHEME OF CCRAS, 2017 Page 4 of 18

iv) The age limit for the award shall be up to 45 years on or before 1 st January of the year of application. v) A certificate shall be furnished from the organisation where the applicant scientist works regarding his employment. vi) vii) The nominee should be referred by at least 3 authorities including Head of any research/teaching/training organization of Ayurveda/Allied Sciences with Ayurvedic wing/ Ayurvedic PG Institution/ Director Ayurveda/AYUSH of State/Central Government/ UT Administration. The Nominee should not be related either by blood, marriage or adoption to the person making the nomination provided that such a person has not played any direct part in the nominee s work. 3. Incentives: The Award comprises a certificate, a cash award of Rs 1,00,000 (Rupees One lakh only) and a memento or plaque for each category. 4. How to Apply: Nominations addressed to Director General, Central Council for Research in Ayurvedic Sciences (CCRAS), 61-65, Institutional Area, Opp. D Block, Janakpuri, New Delhi-110058 should be sent as per the prescribed proforma (original + five copies) latest by 31 st December 2017 of the application year. A CD/DVD/USB flash drive is also required containing digital photograph (in JPEG format), duly filled proforma and significant publications (in PDF format) of the nominee. The details of the Young Scientist Award and the prescribed proforma for nomination may be obtained from above address or may also be downloaded from website: www.ccras.nic.in. The application should be sent in an envelope super scribed Application/ Nomination for Young Scientist Award by registered / speed post. In case of nominee from abroad, the form should be forwarded through Ministry of AYUSH, Government of India fulfilling all the requirements as per guidelines for foreign nomination. 5. Procedure of Selection and Award: i) The Prize is bestowed on a scientist/researcher working in any institution in the country and abroad, who made conspicuously important and outstanding AYUSH AWARD SCHEME OF CCRAS, 2017 Page 5 of 18

contributions to human knowledge and progress fundamental and applied in the particular field of endeavour, which is his/her specialization. ii) The Prize is awarded on the basis of contributions made through work done during the preceding years of the Prize. v) An Expert Committee with the following composition will examine the proposal and take the decision for Award: (1) Chairman - A renowned Ayurveda expert (2) Member - A representative from Ministry of AYUSH not lower than Advisor (3) Subject Experts - Three (as nominated by Member Secretary) (4) Member Secretary - DG, CCRAS iii) The names of the recipients are made public by the Director General, CCRAS. iv) The Prizes are awarded at a formal presentation ceremony arranged by CCRAS. At the ceremony, a suitable citation on work of the recipient of the Prize is read out. v) The Young Scientist Awardee should give a lecture in the area of the award in CCRAS Hqrs. or a venue as will be intimated for dissemination of research work. vi) In all matters of award, the decision of CCRAS shall be final 6. Terms of Reference for Expert Committee: i) The Committee will appraise the proposals and after critical examination will recommend the suitable proposal for award. ii) The Committee will decide and recommend award based on essential parameters such as: novelty, scientific relevance, methodology, translational potential, contemporary relevance etc. iii) The Committee will finalize and recommend through a consultative process. iv) The Committee may or may not recommend for award, if no any suitable proposal is found up to the mark in all or any of the fields. AYUSH AWARD SCHEME OF CCRAS, 2017 Page 6 of 18

CENTRAL COUNCIL FOR RESEARCH IN AYURVEDIC SCIENCES Jawahar Lal Nehru Bharatiya Chikitsa Evam Homoeopathy Anusandhan Bhawan No. 61-65, Institutional Area, Opp. D Block, Janakpuri, New Delhi-110058 AYUSH AWARD SCHEME OF CCRAS, 2017 III: LIFE TIME ACHIEVEMENT AWARD 1. Background: The Central Council for Research in Ayurvedic Sciences (CCRAS) is an autonomous body of the Ministry of AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy), Government of India. It is an apex body in India for the formulation, co-ordination, development and promotion of research on scientific lines in Ayurveda and Sowa-Rigpa systems of medicine. The Council has been executing its research programmes with a network of 30 peripheral Institutes/centres/units across the country with the headquarters office responsible for control, monitoring and supervision. The broad areas of Research comprise Medicinal Plant Research (Medico-ethno Botanical survey, cultivation, Pharmacognosy), Drug standardization Research; Pharmacology Research (Pre clinical Safety/Toxicity and Biological Activity Studies); Clinical Research and Literary Research & Documentation. The extension activities include Tribal Health Care Research, Health Care Services, Information, Education and Communication (IEC) etc. The Central Council for Research in Ayurvedic Sciences (CCRAS) invites nominations for the Life Time Achievement Award every year for the best practitioner, best researcher and best academician, separately. 2. Eligibility: i) The purpose of the award is to give recognition to individuals whose life time work has contributed significantly for enhancing Ayurvedic knowledge and practices. The award is to be given to the best practitioner, the best researcher and the best academician, separately, working in any institution in the country and abroad in the field of Ayurveda for contributing a great deal of service to the nation in different spheres of activities in Ayurveda. ii) The nominations may be supported by a bio data along with statement of work, achievement, accomplishment or performance on which the claim to the award is based. AYUSH AWARD SCHEME OF CCRAS, 2017 Page 7 of 18

iii) iv) Details of publications, if any. The nominee should be referred by at least 3 authorities including Head of any research/teaching/training organization of Ayurveda/Allied Sciences with Ayurvedic wing/ Ayurvedic PG Institution/ Director Ayurveda/AYUSH of State/Central Government/ UT Administration. v) The Nominee should not be related either by blood, marriage or adoption to the person making the nomination provided that such a person has not played any direct part in the nominee s work. 3. Incentives: The Award comprises of a certificate, a cash award of Rs 2,00,000 (Rupees Two lakh only) and a memento/plaque for each category. 4. How to Apply: Nominations addressed to Director General, Central Council for Research in Ayurvedic Sciences (CCRAS), 61-65, Institutional Area, Opp. D Block, Janakpuri, New Delhi-110058 should be sent as per the prescribed proforma (original + five copies) latest by 31 st December 2017 of the application year. A CD/DVD/USB flash drive is also required containing digital photograph (in JPEG format), duly filled proforma and significant publications (in PDF format) of the nominee. The details of the Life Time Achievement Award and the prescribed proforma for nomination may be obtained from above address or may also be downloaded from website: www.ccras.nic.in. The application should be sent in an envelope super scribed Application/ Nomination for Life Time Achievement Award by registered / speed post. In case of nominee from abroad, the form should be forwarded through Ministry of AYUSH, Government of India fulfilling all the requirements as per guidelines for foreign nomination. 5. Procedure of Selection and Award: i) The Prize is bestowed on a person who has made conspicuously important and outstanding contributions to human knowledge and progress fundamental and applied in the particular field of endeavour, which is his/her specialization. ii) The Prize is awarded on the basis of contributions made through work done during the preceding years of the Prize. AYUSH AWARD SCHEME OF CCRAS, 2017 Page 8 of 18

iii) An Expert Committee with the following composition will examine the proposal and take the decision for Award: (1) Chairman - A renowned Ayurveda expert (2) Member - A representative from Ministry of AYUSH not lower than Advisor (3) Subject Experts - Three (as nominated by Member Secretary) (4) Member Secretary - DG, CCRAS iv) The names of the recipients are made public by the Director General, CCRAS. v) The Prizes are awarded at a formal presentation ceremony arranged by CCRAS. At the ceremony, a suitable citation on work of the recipient of the Prize is read out. vi) The Life Time Achievement Awardee should give a lecture in the area of the award in CCRAS Hqrs. or a venue as will be intimated for dissemination of research work. vii) In all matters of award, the decision of CCRAS shall be final. 6. Terms of Reference for Expert Committee: i) The Committee will appraise the proposals and after critical examination will recommend the suitable proposal for award. ii) The Committee will decide and recommend award based on essential parameters such as: novelty, scientific relevance, methodology, translational potential, contemporary relevance etc. iii) The Committee will finalize and recommend through a consultative process. iv) The Committee may or may not recommend for award, if no any suitable proposal is found up to the mark in all or any of the fields. AYUSH AWARD SCHEME OF CCRAS, 2017 Page 9 of 18

CENTRAL COUNCIL FOR RESEARCH IN AYURVEDIC SCIENCES Jawahar Lal Nehru Bharatiya Chikitsa Evam Homoeopathy Anusandhan Bhawan No. 61-65, Institutional Area, Opp. D Block, Janakpuri, New Delhi-110058 AYUSH AWARD SCHEME OF CCRAS, 2017 IV: BEST TEACHER AWARD 1. Background: The Central Council for Research in Ayurvedic Sciences (CCRAS) is an autonomous body of the Ministry of AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy), Government of India. It is an apex body in India for the formulation, co-ordination, development and promotion of research on scientific lines in Ayurveda and Sowa-Rigpa systems of medicine. The Council has been executing its research programmes with a network of 30 peripheral Institutes/centres/units across the country with the headquarters office responsible for control, monitoring and supervision. The broad areas of Research comprise Medicinal Plant Research (Medico-ethno Botanical survey, cultivation, Pharmacognosy), Drug standardization Research; Pharmacology Research (Pre clinical Safety/Toxicity and Biological Activity Studies); Clinical Research and Literary Research & Documentation. The extension activities include Tribal Health Care Research, Health Care Services, Information, Education and Communication (IEC) etc. The Central Council for Research in Ayurvedic Sciences (CCRAS) invites nominations for the Best Teacher Award every year in the field of Ayurveda in clinical, literary and drug research, separately. 2. Eligibility: i) The purpose of the award is to give recognition to the eminent teacher who has contributed significantly for enhancing Ayurvedic knowledge and practices. The award is to be given to the best teacher in the field of Ayurveda for contributing a great deal of service in different spheres of activities in Ayurveda in clinical, literary and drug research, separately. ii) iii) The nominations may be supported by a bio data along with statement of work, achievement, accomplishment or performance on which the claim to the award is based. Details of publications. AYUSH AWARD SCHEME OF CCRAS, 2017 Page 10 of 18

iv) The nominee should be referred by at least 3 authorities including Head of any research/teaching/training organization of Ayurveda/Allied Sciences with Ayurvedic wing/ Ayurvedic PG Institution/ Director Ayurveda/AYUSH of State/Central Government/ UT Administration. v) The Nominee should not be related either by blood, marriage or adoption to the person making the nomination provided that such a person has not played any direct part in the nominee s work. 3. Incentives: The Award comprises a certificate, a cash award of Rs 2,00,000 (Rupees Two lakh only) and a memento or plaque for each category. 4. How to Apply: Nominations addressed to Director General, Central Council for Research in Ayurvedic Sciences (CCRAS), 61-65, Institutional Area, Opp. D Block, Janakpuri, New Delhi-110058 should be sent as per the prescribed proforma (original + five copies) latest by 31 st December 2017 of the application year. A CD/DVD/USB flash drive is also required containing digital photograph (in JPEG format), duly filled proforma and significant publications (in PDF format) of the nominee. The details of the Best Teacher Award and the prescribed proforma for nomination may be obtained from above address or may also be downloaded from website: www.ccras.nic.in. The application should be sent in an envelope super scribed Application/ Nomination for Best Teacher Award by registered / speed post. In case of nominee from abroad, the form should be forwarded through Ministry of AYUSH, Government of India fulfilling all the requirements as per guidelines for foreign nomination. 5. Procedure of Selection and Award: i) The Prize is bestowed on a teacher of Ayurveda in the country or abroad, who has made conspicuously important and outstanding contributions to human knowledge and progress fundamental and applied in the particular field of endeavour, which is his/her specialization. ii) The Prize is awarded on the basis of contributions made through work done during the preceding years of the Prize. v) An Expert Committee with the following composition will examine the proposal and AYUSH AWARD SCHEME OF CCRAS, 2017 Page 11 of 18

take the decision for Award: (1) Chairman - A renowned Ayurveda expert (2) Member - A representative from Ministry of AYUSH not lower than Advisor (3) Subject Experts - Three (as nominated by Member Secretary) (4) Member Secretary - DG, CCRAS vi) The names of the recipients are made public by the Director General, CCRAS. iii) The Prizes are awarded at a formal presentation ceremony arranged by CCRAS. At the ceremony, a suitable citation on work of the recipient of the Prize is read out. iv) The Best Teacher Awardee should give a speech to share his work & experiences in CCRAS Hqrs. or a venue as will be intimated for dissemination of research work. v) In all matters of award, the decision of CCRAS shall be final. 6. Terms of Reference for Expert Committee: i) The Committee will appraise the proposals and after critical examination will recommend the suitable proposal for award. ii) The Committee will decide and recommend award based on essential parameters such as: novelty, scientific relevance, methodology, translational potential, contemporary relevance etc. iii) The Committee will finalize and recommend through a consultative process. iv) The Committee may or may not recommend for award, if no any suitable proposal is found up to the mark in all or any of the fields. AYUSH AWARD SCHEME OF CCRAS, 2017 Page 12 of 18

CENTRAL COUNCIL FOR RESEARCH IN AYURVEDIC SCIENCES Jawahar Lal Nehru Bharatiya Chikitsa Evam Homoeopathy Anusandhan Bhawan No. 61-65, Institutional Area, Opp. D Block, Janakpuri, New Delhi-110058 NOMINATION PROFORMA FOR AYUSH AWARD SCHEME OF CCRAS, 2017 Original + 5 copies must be forwarded latest by 31 st December 2017 of the year of application. Digital photograph (preferably in JPEG), softcopy of duly filled proforma (preferably in MS- WORD) and soft/ scanned copy of significant publications (preferably in PDF) of the nominee on a single CD/DVD are also required. 1. Name of the Nominee in Full : (Both in English and Hindi - for Indian nominee) Coloured Passport size Recent Photograph of Nominee 2. (a) Date and place of birth : (Enclose certificate of the age duly attested) (b) Nationality: (c) Gender: M/F (d) Age as on 1st January of the year of application: Year(s) Month(s) Day(s) 3. Address with Telephone /Mobile/Fax /e-mail: (a) Official: (b) Residential Address: (Present designation, department, institute etc.) 4. Discipline under which to be considered (only one to be marked ): (fill one form for one award only) AWARD FIELD (i) Best Research Paper Award : Literary Clinical Drug (ii) Young Scientist Award : Literary Clinical Drug (iii) Life Time Achievement Award: Practitioner Researcher Academician (iv) Best Teacher Award : Literary Clinical Drug AYUSH AWARD SCHEME OF CCRAS, 2017 Page 13 of 18

5. Nominee's field of specialization/ Super-specialization: 6. Academic Qualifications (Please enclose a copy of each degree/certificate & marksheet): Examination (i) 10+2 or equivalent Name of the examination/ degree/diploma Name of University/ Board Percentage of marks obtained (%) Division obtained Year of passing Subject(s) (Major) / Specialization Distinction, if any/ Additional Particulars (ii) Bachelor degree (iii) Master Degree (iv) Doctorate degree (v) Any other examination(s) 7. Details of any Scholarship /Fellowship/ Associateship/ Awards held, if any or from other sources/ agencies. (Indicate dates of joining & leaving): (a) Scholarships / Fellowships/Associateship received with details: (b) Honours/Medals/Awards, etc. with details: 8. Working Experience (Starting from the present position): Office/Institute/ Organisation Post held From To Scale of Pay & Basic Pay Nature of Duties Actual Duration (Years & Months) AYUSH AWARD SCHEME OF CCRAS, 2017 Page 14 of 18

Total experience a. Teaching: Years Months b. Research: Years Months c. Research Guide/ Supervisor: Years Months d. Other: Years Months (Specify) 9. Research: a) Research Projects: S. No. Title of Project (s) Period ( From -To) / No. of years Budget Funding agency PI or Co-PI (Status) Status of Project completed /ongoing b) Patent/ Innovation/Technology developed/commercialized: c) No. of candidates (MD/MS/Ph.D.) Supervised: 10. (a) Significant foreign assignments: S. No. Period of visit From To Institute/ country visited Purpose of visit (b) Total time spent abroad: Year Month Day AYUSH AWARD SCHEME OF CCRAS, 2017 Page 15 of 18

11. Scientific publications (published or accepted): (One set of reprints to be enclosed. Softcopy of reprints preferably in PDF are also required) (a) Research papers and Reviews (published in peer review & indexed journals only) * S. No. Authors Title Journal with year, volume & page no. Index (ISSN) Impact factor of Journal Citation (b) Books/Manual/Monograph/ Research Bulletins/Extension Bulletins/ Chapters in Scientific Books, Training/Teaching Manuals* S. No. Authors/ Co- author Title Publisher/Journal with page number Year *Enclose separate sheet in the prescribed format (if required) 12. Conference/workshop- Total Attended: a. National: b. International: (i) In the country: 13. Paper presented: (ii) Abroad: a. National: b. International: (i) In the Country: (ii) Abroad: 14. Extra-curricular activities e.g. Games, sports, NCC, NSS, Community health service/ activities etc.: AYUSH AWARD SCHEME OF CCRAS, 2017 Page 16 of 18

15. Membership/Fellowship of Scientific Societies/Bodies, if any (Give details): 16. (a) Significant Academic/Research contributions to science and/ or technology development by the nominee based on the work done (in about 500 words). (b) (c) Summarise the most significant work of the nominee on which the recommendation is based (in 50 words): Impact of the contributions in the field concerned, basic or applied: 17. Have the achievements already been recognized by Awards by any learned body. If so, the name of the body, award and the year of award may be given. (A copy of the citation should be enclosed): 18. Has the nominee delivered invited lecture(s) in India / abroad and/ or chaired any scientific National/ International Conference Symposium (give details): 19. Names, correspondence address (with contact No. & email IDs) and broad area of specialization of 3 Distinguished Scientists/ Authorities of Ayurveda (As possible referees): Sl. No. (1) Name Complete Address (with designation & department) Specialization Contact No. and E-mail Id (2) (3) 20. Additional information of relevance, if any which you would like to mention: (Enclose separate sheet, if the space is insufficient in any column) AYUSH AWARD SCHEME OF CCRAS, 2017 Page 17 of 18

Certified that information given in the above proforma is correct. Place Sponsor s Signature Date Sponsor s Name, Designation and complete address with email address NOTE: The prescribed pro-forma (Original + 5 copies) should be neatly typewritten giving complete information about the nominee should be sent to: Director General Central Council for Research in Ayurvedic Sciences Jawahar Lal Nehru Bharatiya Chikitsa Evam Homoeopathy Anusandhan Bhawan No. 61-65, Institutional Area, Opp. D Block Janakpuri, New Delhi-110058 In case of nominee from abroad, the form should be forwarded through Ministry of AYUSH, Government of India fulfilling all the requirements as per guidelines for foreign nomination. Please strictly follow prescribed format for filling up nomination proforma. Incomplete nomination proforma will not be considered. Only one Proforma is to be filled up for each award separately. No field is to be left blank. Strike out the fields not applicable. Digital photograph (preferably in JPEG), softcopy of duly filled proforma (preferably in MS-WORD) and soft copy of the reprints (preferably in PDF) of the nominee on single CD/DVD are also required. Please mention current correspondence address, email IDs and broad area of specialization of the 3 Distinguished Scientists as possible referees under Serial no 18. Each copy of the pro-forma should be properly tagged. Please do not attach any testimonial in original (attach only attested photocopies). Enclose attested copy of certificate of age CHECK LIST Dully filled proforma (Original + 5 copies) A CD/ DVD /Pen-drive containing I. Digital photograph (preferably in JPEG format) II. Softcopy of duly filled proforma (preferably in MS-WORD format) III. Soft copy of publications/reprints (preferably in PDF format) Attested copy of certificate of Age, academic qualification, experience, services etc. LAST DATE for receipt of application(s) for nominations: 31 st December, 2017 AYUSH AWARD SCHEME OF CCRAS, 2017 Page 18 of 18