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AWARD SCHEME of CCRUM 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

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Page 1: AWARD SCHEME of CCRUM - Ministry of AYUSH |  · PDF fileAWARD SCHEME of CCRUM 1. AYUSH Award Scheme-I : ... Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy ... The award

AWARD SCHEME

of

CCRUM

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

Page 2: AWARD SCHEME of CCRUM - Ministry of AYUSH |  · PDF fileAWARD SCHEME of CCRUM 1. AYUSH Award Scheme-I : ... Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy ... The award

Page 2 of 19

CENTRAL COUNCIL FOR RESEARCH IN UNANI MEDICINE

Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy Anusandhan Bhawan

No. 61-65, Institutional Area, Opp. ‘D’ Block, Janakpuri, New Delhi-110058

AYUSH AWARD SCHEME-I: BEST RESEARCH PAPER AWARD

1. Background:

The Central Council for Research in Unani Medicine (CCRUM) is an autonomous

body of the Ministry of AYUSH (Unani, 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 Unani

systems of medicine. The Council has been executing its research programmes with a

network of 23 peripheral Institutes/centres/units across the country with the

headquarters office responsible for control, monitoring and supervision. The broad

areas of Research comprise Pharmacological Research (Pre-clinical Safety/Toxicity

and Biological Activity Studies); Clinical Research; Literary Research; Drug

standardization Research and Survey, Cultivation of Medicinal Plants. The extension

activities include Tribal Health Care Research, Mobile Health Care Services, School

Health care services and Information, Education and Communication (IEC) etc. The

Central Council for Research in Unani Medicine (CCRUM) will invite nominations for

the Best Research Paper Award every year. The award will be given each year for

outstanding research contributions made primarily in the field of Unani 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 Unani 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 Unani 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.

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Page 3 of 19

iii. 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.

iv. 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

Unani research organization/ Unani PG Institution/ Director Unani/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 1,00,000 (Rupees one lakh

only) and a memento or plaque.

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 Unani

Medicine (CCRUM), 61-65, Institutional Area, Opp. „D‟ Block, Janakpuri, New Delhi-

110058 should be sent as per the prescribed proforma (original + five copies) latest by

23rd January 2017. 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.ccrum.res.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 nominations.

5. Procedure of Selection and Award:

i) The Prize is bestowed on a scientist and researcher working in any institution in

the country and abroad, who has made conspicuously important and

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Page 4 of 19

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 - An renowned Unani expert

2. Member - Representative from Min. of AYUSH not

lower than Advisor

3. Subject Expert - Three (as nominated by Member Secretary)

4. Member Secretary - DG, CCRUM

v) The names of the recipients are made public on National Unani Day

(celebrated on 11th February of every year) by the Director General, CCRUM.

vi) The Prizes are awarded at a formal presentation ceremony arranged by

CCRUM. At the ceremony, a suitable citation on work of the recipient of the

Prize is read out.

vii) The Best Research Paper Awardee should present his /her work in CCRUM

Hqrs. or a venue as will be intimated for the purpose of dissemination of

research work.

viii) In all matters of award, the decision of CCRUM shall be final.

Terms of Reference for Expert Committee:

1. The Committee will appraise the proposals and after critical examination will

recommend the suitable proposal for award.

2. The Committee will decide and recommend award based on essential

parameters such as: novelty, scientific relevance, methodology, translational

potential, contemporary relevance etc.

3. The Committee will finalize and recommend through a consultative process.

4. 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.

Page 5: AWARD SCHEME of CCRUM - Ministry of AYUSH |  · PDF fileAWARD SCHEME of CCRUM 1. AYUSH Award Scheme-I : ... Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy ... The award

Page 5 of 19

CENTRAL COUNCIL FOR RESEARCH IN UNANI MEDICINE

Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy Anusandhan Bhawan

No. 61-65, Institutional Area, Opp. ‘D’ Block, Janakpuri, New Delhi-110058

AYUSH AWARD SCHEME-II: YOUNG SCIENTIST AWARD

1. Background:

The Central Council for Research in Unani Medicine (CCRUM) is an autonomous

body of the Ministry of AYUSH (Unani, 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 Unani

systems of medicine. The Council has been executing its research programmes with a

network of 23 peripheral Institutes/centres/units across the country with the

headquarters office responsible for control, monitoring and supervision. The broad

areas of Research comprise Pharmacological Research (Pre-clinical Safety/Toxicity

and Biological Activity Studies); Clinical Research; Literary Research; Drug

standardization Research and Survey, Cultivation of Medicinal Plants. The extension

activities include Tribal Health Care Research, Mobile Health Care Services, School

Health care services and Information, Education and Communication (IEC) etc. The

Central Council for Research in Unani Medicine (CCRUM) will invite 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 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 Unani in clinical, literary, and drug research separately.

ii. The nominations may be supported by the original research work done for the

greater good of the humanity with contribution to the Unani field.

iii. The original research work submitted by the nominee should not have been

presented for any similar award elsewhere.

iv. The age limit for the award shall be up to 45 years on or before 31st July 2017.

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Page 6 of 19

v. A certificate shall be furnished from the organisation where the applicant scientist

works regarding his employment.

vi. The nominee should be referred by at least 3 authorities including Head of any

Unani research organization/ Unani PG Institution/ Director Unani/AYUSH of

State/Central Government/ UT Administration

vii. 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.

4. How to Apply:

Nominations addressed to Director General, Central Council for Research in Unani

Medicine (CCRUM), 61-65, Institutional Area, Opp. „D‟ Block, Janakpuri, New Delhi-

110058 should be sent as per the prescribed proforma (original + five copies) latest by

23rd January 2017. 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.ccrum.res.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 nominations.

5. Procedure of Selection and Award:

i) The Prize is bestowed on a scientist and 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) The Prize is awarded on the basis of contributions made through work done

during the preceding years of the Prize.

iii) An Expert Committee with the following composition will examine the proposal

Page 7: AWARD SCHEME of CCRUM - Ministry of AYUSH |  · PDF fileAWARD SCHEME of CCRUM 1. AYUSH Award Scheme-I : ... Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy ... The award

Page 7 of 19

and take the decision for Award:

1. Chairman - A renowned Unani expert

2. Member - Representative from Min. of AYUSH not

lower than Advisor

3. Subject Expert - Three (as nominated by Member Secretary)

4. Member Secretary - DG, CCRUM

iv) The names of the recipients are made public on National Unani Day

(celebrated on 11th February of every year) by the Director General, CCRUM.

v) The Prizes are awarded at a formal presentation ceremony arranged by

CCRUM. At the ceremony, a suitable citation on work of the recipient of the

Prize is read out.

vi) The Young Scientist Awardee should present his /her work in CCRUM Hqrs. or

a venue as will be intimated for the purpose of dissemination of research work.

vii) In all matters of award, the decision of CCRUM shall be final

Terms of Reference for Expert Committee:

1. The Committee will appraise the proposals and after critical examination will

recommend the suitable proposal for award.

2. The Committee will decide and recommend award based on essential

parameters such as: novelty, scientific relevance, methodology, translational

potential, contemporary relevance etc.

3. The Committee will finalize and recommend through a consultative process.

4. 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.

Page 8: AWARD SCHEME of CCRUM - Ministry of AYUSH |  · PDF fileAWARD SCHEME of CCRUM 1. AYUSH Award Scheme-I : ... Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy ... The award

Page 8 of 19

CENTRAL COUNCIL FOR RESEARCH IN UNANI MEDICINE

Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy Anusandhan Bhawan

No. 61-65, Institutional Area, Opp. ‘D’ Block, Janakpuri, New Delhi-110058

AYUSH AWARD SCHEME-III. LIFE TIME ACHIEVEMENT AWARD

1. Background:

The Central Council for Research in Unani Medicine (CCRUM) is an autonomous

body of the Ministry of AYUSH (Unani, 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 Unani

systems of medicine. The Council has been executing its research programmes with a

network of 23 peripheral Institutes/centres/units across the country with the

headquarters office responsible for control, monitoring and supervision. The broad

areas of Research comprise Pharmacological Research (Pre-clinical Safety/Toxicity

and Biological Activity Studies); Clinical Research; Literary Research; Drug

standardization Research and Survey, Cultivation of Medicinal Plants. The extension

activities include Tribal Health Care Research, Mobile Health Care Services, School

Health care services and Information, Education and Communication (IEC) etc. The

Central Council for Research in Unani Medicine (CCRUM) will invite 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 Unani knowledge and practices. The

award is to be given to the best practitioner, best researcher and best academician

separately in the field of Unani for contributing a great deal of service to the nation

in different spheres of activities in Unani.

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.

iii. Details of publications, if any.

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Page 9 of 19

iv. The nominee should be referred by at least 3 authorities including Head of any

Unani research organization/ Unani PG Institution/ Director Unani/ 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 5,00,000 (Rupees Five lakh

only) and a memento/plaque.

4. How to Apply:

Nominations addressed to Director General, Central Council for Research in Unani

Medicine (CCRUM), 61-65, Institutional Area, Opp. „D‟ Block, Janakpuri, New Delhi-

110058should be sent as per the prescribed proforma (original + five copies) latest by

23rd January 2017. 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.ccrum.res.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 nominations.

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.

Page 10: AWARD SCHEME of CCRUM - Ministry of AYUSH |  · PDF fileAWARD SCHEME of CCRUM 1. AYUSH Award Scheme-I : ... Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy ... The award

Page 10 of 19

iii) An Expert Committee with the following composition will examine the proposal and

take the decision for Award:

1. Chairman - An renowned Unani expert

2. Member - Representative from Min. of AYUSH not

lower than Advisor

3. Subject Expert - Three (as nominated by Member Secretary)

4. Member Secretary - DG, CCRUM

iv) The names of the recipients are made public on National Unani Day (celebrated on

11th February of every year) by the Director General, CCRUM.

v) The Prizes are awarded at a formal presentation ceremony arranged by CCRUM.

At the ceremony, a suitable citation on work of the recipient of the Prize is read out.

vi) The Life Time Achievement Awardee should present his /her work in CCRUM

Hqrs. or a venue as will be intimated for the purpose of dissemination of research

work.

vii) In all matters of award, the decision of CCRUM shall be final.

Terms of Reference for Expert Committee:

1. The Committee will appraise the proposals and after critical examination will

recommend the suitable proposal for award.

2. The Committee will decide and recommend award based on essential

parameters such as: novelty, scientific relevance, methodology, translational

potential, contemporary relevance etc.

3. The Committee will finalize and recommend through a consultative process.

4. 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.

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Page 11 of 19

CENTRAL COUNCIL FOR RESEARCH IN UNANI MEDICINE

Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy Anusandhan Bhawan

No. 61-65, Institutional Area, Opp. ‘D’ Block, Janakpuri, New Delhi-110058

CCRUM AWARD SCHEME IV. BEST TEACHER AWARD

1. Background:

The Central Council for Research in Unani Medicine (CCRUM) is an autonomous

body of the Ministry of AYUSH (Unani, 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 Unani

systems of medicine. The Council has been executing its research programmes with a

network of 23 peripheral Institutes/centres/units across the country with the

headquarters office responsible for control, monitoring and supervision. The broad

areas of Research comprise Pharmacological Research (Pre-clinical Safety/Toxicity

and Biological Activity Studies); Clinical Research; Literary Research; Drug

standardization Research and Survey, Cultivation of Medicinal Plants. The extension

activities include Tribal Health Care Research, Mobile Health Care Services, School

Health care services and Information, Education and Communication (IEC) etc. The

Central Council for Research in Unani Medicine (CCRUM) will invite nominations for

the Best Teacher Award every year in the field of pre-clinical, clinical, literary, and drug

research.

2. Eligibility:

i. The purpose of the award is to give recognition to the eminent teachers who have

contributed significantly for enhancing Unani knowledge and practices. The award

is to be given to the best teacher in the field of Unani for contributing a great deal

of service to the nation in different spheres of activities in Unani.

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.

iii. Details of publications.

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Page 12 of 19

iv. The nominee should be referred by at least 3 authorities including Head of any

Unani research organization/ Unani PG Institution/ Director Unani/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 5,00,000 (Rupees o lakh only)

and a memento/plaque.

4. How to Apply:

Nominations addressed to Director General, Central Council for Research in Unani

Medicine (CCRUM), 61-65, Institutional Area, Opp. „D‟ Block, Janakpuri, New Delhi-

110058should be sent as per the prescribed proforma (original + five copies) latest by

23rd January 2017. 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.ccrum.res.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 nominations.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 nominations.

5. Procedure of Selection and Award:

i) The Prize is bestowed on a teacher of Unani in the country or abroad, 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.

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Page 13 of 19

viii) An Expert Committee with the following composition will examine the proposal and

take the decision for Award:

1. Chairman - An renowned Unani expert

2. Member - Representative from Min. of AYUSH not

lower than Advisor

3. Subject Expert - Three (as nominated by Member Secretary)

4. Member Secretary - DG, CCRUM

ix) The names of the recipients are made public on National Unani Day (celebrated on

11th February of every year) by the Director General, CCRUM.

iii) The Prizes are awarded at a formal presentation ceremony arranged by CCRUM.

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 CCRUM Hqrs. or a venue as will be intimated for dissemination of research

work.

v) In all matters of award, the decision of CCRUM shall be final.

Terms of Reference for Expert Committee:

1. The Committee will appraise the proposals and after critical examination will

recommend the suitable proposal for award.

2. The Committee will decide and recommend award based on essential

parameters such as: novelty, scientific relevance, methodology, translational

potential, contemporary relevance etc.

3. The Committee will finalize and recommend through a consultative process.

4. 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.

Page 14: AWARD SCHEME of CCRUM - Ministry of AYUSH |  · PDF fileAWARD SCHEME of CCRUM 1. AYUSH Award Scheme-I : ... Jawahar Lal Nehru BharatiyaChikitsa Evam Homoeopathy ... The award

Page 14 of 19

CENTRAL COUNCIL FOR RESEARCH IN UNANI MEDICINE Jawahar Lal Nehru Bharatiya Chikitsa Evam Homoeopathy Anusandhan Bhawan

No. 61-65, Institutional Area, Opp. ‘D’ Block, Janakpuri, New Delhi-110058

NOMINATION PROFORMA FOR THE YEAR ________________

Original + 5 copies must be forwarded latest by 23

rd January 2017. 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)

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

5. Nominee's field of specialization/ Super-specialization:

Coloured

Passport size

Recent

Photograph of

Nominee

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6. Academic Qualifications (Please enclose a copy of each degree/certificate & mark-sheet):

Examination 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

(i) 10+2 or

equivalent

(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/ Post held From To Scale of Pay & Nature of Actual

Organisation Basic Pay Duties Duration (Years & Months)

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Page 16 of 19

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. Title of Project (s) Period ( From Budget Funding PI or Co-PI Status of

No. -To) / No. of agency (Status) Project years 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

Institute/ country visited Purpose of visit

From To

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(b) Total time spent abroad: _______Year______ Month______ Day

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:____________ (ii) Abroad:__________

13. Paper presented:

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.: ________________________________________________________________________

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__________________________________________________________________________

__________________________________________________________________________

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) Summarise the most significant work of the nominee on which the recommendation is

based (in 50 words):

(c) 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 Unani (As possible referees):

Sl. No.

Name Complete Address (with designation &

department)

Specialization Contact No. and E-

mail Id

(1)

(2)

(3)

20. Additional information of relevance, if any which you would like to mention:

__________________________________________________________________________

__________________________________________________________________________

_________________________________________________________________________

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(Enclose separate sheet, if the space is insufficient in any column)

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 Unani Medicine

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 nominations: 23rd January 2017