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4. BEST INSTITUTION/NGO’S WORKING FOR THE INTEREST OF PERSONS WITH DISABILITIES Application form
1 Name of the Institution , Address, Phone number, E-mail ID
2 . Year of establishment 3 Whether recognized or aided by State/Central Govt./
Local bodies
4 Nature of work undertaken by the Institution ‍ 5 Total number of employees in the Institution (also
indicate the number of employees with disabilities, disability- wise).
6 Details of work done by the Institution including places and the number of disabled persons covered by the Institution.
7 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
8 Whether Institution have received any Award in the past. If so, specify and give brief account.
9 No. of persons with disabilities are on Governing Body. Give their names and addresses
10 The number of disabled population served and area of work including District/State
11 Give details showing various activities done by the Institution with numerical output
12 Institution Bank a/c number, Branch, IFSC code (Bank passbook copy)
Signature of President/Secretary of the Institution with date
Signature of the recommending authority with date
5. Best State Role Model Person with Disability Application form
1 Name, Address, Phone number, E-mail ID
2 Nature and degree of Disability (Attach Disability Certificate
3 Indicate percentage of disability and since when
4 Age & Date of birth
5 Educational qualifications
6 Brief details/particulars of the achievements made which may be considered original and exemplar for persons with disabilities
7 Whether any National or International award received and if so, the details thereof
8 Bank a/c number, Branch, IFSC code (Bank passbook copy)
Signature of the applicant with date
6. Best Creative Child with Disability Application form
1 Name, Address,
3 Class in which studying
5 Particulars of the creative work for which award is to be considered
Signature of Applicant Name Address Relationship with Candidate
Signature, name & designation of the Recommending authority with date
7. BEST SPORTS PERSON WITH DISABILITY Application form
1 Name, Address,
6 Number of National /international level sports events participated
7 Number of National /international medals won during last 3 years
8 Any other achievement in activities related to the sports for persons with disabilities
Signature of Applicant Name Address ,Relationship with Candidate
Signature, name & designation of the recommending authority with date
8. Outstanding National / International achievers from State
Application form
2 Nature and degree of Disability (Attach Disability Certificate
7 Number of National /international level achievements won
8 Particulars of the creative work for which award is to be considered
Signature of Applicant Name Address ,Relationship with Candidate
Signature, name & designation of the recommending authority with date
9. Best District Administration who rendered services for Disability sector Application form
1 Name of the district
2 Since when District Rehabilitation Centre is in operation
3 Details of activities undertaken in the area of disability rehabilitation
4 Involvement of District administration NGOs/Local level bodies and public Representatives in functioning of District Center
5 Special efforts made in the provision of services including for prevention of disability
6 Details of convergence of various development schemes for benefit of Persons with Disabilities
7 Coverage under ADIP Scheme
8 Details of awareness generating activities
9 Any other activities
Signature with date
10. Best Corporation who rendered services for Disability sector
Application form 1 Name of the Corporation
2 Since when Corporation is in operation
4 Involvement of Corporation NGOs/Local level bodies and public Representatives in functioning of District Center
7 Coverage under ADIP Scheme
Signature with date
11. Best Municipality who rendered services for Disability sector Application form
1 Name of the Muncipality
2 Since when Muncipality is in operation
4 Involvement of Muncipality NGOs/Local level bodies and public Representatives in functioning of District Center
7 Plan projects implemented for PWDs with percentage of plan fund used under this head
8 Expenditure towards mandatory projects for PwDs
Signature with date
12. Best Block Panchayath who rendered services for Disability sector Application form
1 Name of the Block Panchayath
2 Since when Block Panchayath is in operation
4 Involvement of Block Panchayath NGOs/Local level bodies and public Representatives in functioning of District Center
Signature with date
13. Best Grama Panchayath who rendered services for Disability sector Application form
1 Name of the Grama Panchayath
2 Since when Grama Panchayath is in operation
4 Involvement of Grama Panchayath NGOs/Local level bodies and public Representatives in functioning of District Center
Signature with date
14. Best Rehabilitaion Centres for Persons with Disabilities maintained by NGOs Application form
2 Year of establishment 3 Whether recognized or aided by State/Central Govt./
Local bodies
4 Nature of work undertaken by the Institution 5 Total number of employees in the Institution (also
indicate the number of employees with disabilities, disability- wise).
6 Details of Rehabilitation work done by the Institution including places and the number of persons covered by the Institution.
7 Specify the outstanding achievements/ Contribution of the Institution in the Past years in the area of Rehabilitation work to persons with disabilities
8 Placement Assistance provided
9 Skill Development and vocational training facilities provided
Signature of President/Secretary of the Institution with date
15. Best Welfare Institution under Social Justice Department Application form
2 Year of establishment 4 Nature of the Institution 5 Total number of inmates in the Institution (also indicate
the number of inmates with disabilities, disability- wise).
6 Skill Development and vocational training facilities provided
7 Individual Care Plan provided
8 Therapeutical Services available
9 Activity report for the last Year
Signature of of the Institution Head with date
16. Best Govt / Private Institution with accessibility for Persons with Disabilities Application form
2 Year of establishment
4 Is there Accessible Parking with marking as per accessibility
5 Is there Accessibility to main Entrance through ramps
6 Is there Availability of signage boards
7 Is there Ramps, Railings and light arrangements
8 Is there Facility for wheel chair passages
9 Is there Facility for wheel chair passages
10 Is there Accessibility arrangements in toilets / Washrooms
11 Other important initiatives taken up to improve accessibility.
Signature of of the authorized person with date
17. Best PwD Accessible website maintained under Govt Departments in the State Application form
1 Name of the Organization ,
Address, Phone number, E-mail ID
3 Nature of the Organization
4 Brief of features of accessible facilities provided 5 Number of the people benefited annually
6 Does it meet level AA of WCAG 2.0 guidelines
7 Can a person with visual disability use a screen reader
software on this website
8 Can a person who has difficulty in using a mouse, use
voice recognition software which enables working on co
mputer with verbal commands
9 Does it has facilities to change the size and spacing of the text
10 Can the website be accessed through mobile phone
11 Is website updated regularly
12 Organization Bank a/c number, Branch, IFSC code (Bank passbook copy)
18. Best Recreational Place accessible for Persons with Disabilities maintained by Govt Departments/LSGIs/Public Sector Undertakings/ Educational Institutions and other organizations
Application form
6 Does it has colour contrast scheme and guiding blocks,
where ever there is change in level
7 Does the Approaches and pathways wide enough for w
heelchair users (min.900 mm. with regular passing place
s 1800 mm. Wide).
ties for persons with impaired hearing
9 Does the Benches, dustbins and drinking fountains installed with adequate space around them for wheel chair ueres .
10 Does the Guiding blocks provided for persons with visu
al impairment.
11 Other important Recreational initiatives taken up to improve accessibility.
Signature of of the authorized person
with date
19. Best Innovation / Research designed for improving the life of Persons with Disability ( Instituion / Individual)
Application form 1 Name of the person/organization designed the Innovation
/ Research .
4 Details of the outstanding device, aid or adaptation which
substantially improves the lives of PwDs
5 Details of the effectiveness of the device in increasing th
e mobility, productivity and employment prospects of the
6 Other important aspects of the Device
7 person/organization Bank a/c number, Branch, IFSC code (Bank passbook copy)
Applications Should Be Submitted To Directorate Of Social Justice
CRITERIA
State Awards for the Empowerment of Persons with Disabilities
Sl No Award Category Prize No of Awar ds Criteria Total Amount Required
Individual Awards
1
Best Employee with Disab ilities in Govt Sector/ Pub lic Sector Undertakings
(Enterprises)
25000 & Certifi cate 5
-All categories of disabilities as per RPWD Act,2016 can be consi dered--Medical Board certificate indicating 40% and above disa bility is required
-should be an employee working for more than 3 years in Govt or Govt aided institutions
Specific recommendation from the Head of Office indicating th
e following-
b)Punctuality and regularity in attendance
c)Cooperation with superiors and fellow-employees
d)Extent of mobility, self-care and independence etc.
e)No excessive demands for adjustment in physical Environmen
t, equipment, machinery and process f)Type of Disability and
Extent of Disability
leagues
i)Growth in career after becoming disabled
j) Recognitions recieved
All categories of disabilities as per RPWD Act,2016 can be consid
ered--Medical Board certificate indicating 40% and above disab
ility is required
e following-
b)Punctuality and regularity in attendance
c)Cooperation with superiors and fellow-employees
d)Extent of mobility, self-care and independence etc.
e)No excessive demands for adjustment in physical Environmen
t, equipment, machinery and process f)Type of Disability and
Extent of Disability
leagues
i)Growth in career after becoming disabled
j Recognitions recieved
ed Employees
2
One award is for providing job opportunities for PWDs under Nat
ional Trust Act and one for other disabilities included in RPWD A
ct, 2016
ned by the LSGI in which the institution is located
a) At least 10% of the employees are disabled
b) Environmental modifications at the worksite have been made
including barrier free access;
c) That the employees with disabilities are offered the same co
nditions in service, including the rates of pay as given to other
employees for similar work;
c, are provided
f) Productivity ensured
f) Recognition received
40000
4
Best NGOs/Institutions (Non Governmental) worki ng in the interest of pers
ons with disabilities
One award is for providing services for PWDs under National Tr
ust Act, one for institutions working for PwDs with mental illnes
s and one for other disabilities included in RPWD
Act, 2016
A profile incorporating the following countersigned by the LSGI i
n which the NGO is situated-
a)Registration details of NGO with objectives of formation , peri
od of service in disability sector
b) Details of PwD registration is must c) Details of interventions
in disability sector
ent of children with disabilities.
f) Innovations in disability sector
f) Recognitions received.
A profile incorporating the following countersigned by the LSGI i
n which the DSJO concerned should submit verification report
a)Regarding the outcomes, the research shows that role models
can (1) address the negative self-esteem of youth with disabiliti
es, (2) stimulate their pro-active attitude, (3) strengthen their a
bility to speak out and (4) enhance group solidarity.
transformational – role in the lives of PwDs/CwDs
b) Details of medical board disability certificate c) Details of inte
rventions in disability sector
ent of children with disabilities.
f) Innovations in disability sector
f) Recognitions received.
One award each to
2. PWDs with mental Illness
3. Other categories of PwDs included in RPWD Act, 2016
Given to the outstanding creative children with disabilities bel
ow the age of 18 years (with 40% and above percentage of D
isability) in the field of art, literature, culture and any other o
utstanding creative work/contribution made by them as decid
ed by the Selection Committee.
75000
One award each to
2. PWDs with mental Illness
3. Other categories of PwDs included in RPWD Act, 2016
Given to the person with disabilities (with 40% and above per
centage of Disability) in the field of sports for their outstand
ing achievements in State/National/International events as d
ecided by the Selection Committee.
75000
State
Given to the PwDs (with 40% and above percentage of Disabi
lity) for their outstanding creative work/contribution /acheiv
ements /research as decided by the Selection Committee. 25000
Institutional Awards
for Disability sector
100000 & Certif icate 1
a) All activities done in the previous financial year for the welfa
re of PwDs
c) Functioning of Committees related to PwDs
d) Status of co-ordination of SJ Department Schemes
e) National Trust Activities
f) Welfare Institutions well maitained in the District including mo
nitoring of NGO run Institutions
g) No of initiatives through District Planning and Jilla Panchayat
h
h) Initiatives for making the district barrier free and accessible t o PwDS
100000
ty Sector
re of PwDs
c) Status of SJ Department Schemes
e)Implementation of RpwD Act and National Trust Act.
d) Involvement and role in the functioning of welfare institutions
/special schools/BRCs/ Bud Schools
e) Plan projects implemented for PWDs with percentage of plan
fund used under this head
f) Expenditure towards mandatory projects for PwDs
g) Availability of LSGI wise Data relating to disability Sector and
utilization of such data in planning process.
50000
ty Sector
re of PwDs
c) Status of SJ Department Schemes e)Implementation of Rpw
D Act and National Trust Act.
50000
Disability Sector
re of PwDs
50000
r Disability Sector
re of PwDs
I) Initiatives on PwD friendly Panchayath.
50000
14 Best Rehabilitaion Centre s for Persons with Disabili ties maintained by NGOs
a) All activities done in the previous financial year for the welfa 50000
re of PwDs b)Infrastructure facilities including barrier free acces
sibility.
c) Skill Development and vocational training facilities
d) Role in the Implementation of RpwD Act and National Trust A
ct.
e) Details of OUT REACH ACTIVITIES for PwDs
f) Activity report for the last FY
g) Placement Assistance provided
tment
re of PwDs b) Infrastructure facilities including barrier free acce
ssibility.
d) Details of rehabilitation activities.
d) Availability of Individual Care Plan
e) Therapeutical Services available
g) Recommendation of DSJO
50000
16 Best Govt / Private Instit ution with accessibility fo r Persons with Disabilities
Parking Facility—Blue parking
Availability of signage boards 50000
Tactile Flooring
Braillie information boards
17
Best PwD Accessible web site maintained under Go vt Departments in the St
ate
--It meets level AA of WCAG 2.0guidelines
–-The person with visual disability can use a screen reader soft
ware
n use voice recognition software which enables wor
king on computer with verbal commands
–-It has facilities to change the size and spacing of the text
–-It has facilities to change the colour scheme of the text
–-Can the website be accessed through mobile phone
–-Is website updated regularly
50000
18
Best Recreational Place a ccessible for Persons wit h Disabilities maintained b y Govt Departments/LSGI s/Public Sector Undertaki ngs/ Educational Institutio ns and other organization
s
_Adherence to accessibility norms.
-If a level difference is unavoidable, a ramp or a staircase plus
a ramp is needed.
--Paved surfaces should be made of a non-slip material. *
–- colour contrast scheme and guiding blocks, whereever there
is change in level
chair users (min.900 mm. with regular passing places 1800 mm.
Wide).
–-Drainage ditches should not be constructed in park road area
s.
uld be provided forpersons with impaired hearing. Theinformati
on should also be in Braille.
–--Benches, dustbins and drinking fountains should be installed
with adequate spacearound them for wheelchair users to mano
euvre.
–-Benches should be installed along the side of park roads.
–--Guiding blocks should be provided for persons with a visual i
mpairment.
50000
19
Best Innovation / Resear ch designed for improvin g the life of Persons with Disability ( Instituion / Indi
vidual)
ch substantially improves the chances of the persons with disa
bilities in receiving education, obtaining or retaining employment
and in being totally integrated in the socio-economic life of the
community; and –--The effectiveness of the device in increasin
g the mobility, productivity and employment prospects of the p
ersons with disability, maintainability of the device and its repar
ability
25000

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