Date: Fri, 7 Nov 2008 10:47:02 +0000From: [EMAIL PROTECTED]: Late Mrs. P.D. 
Khambatta/B.D. Pallonji AwardTo: [EMAIL PROTECTED]
Ref: EMP:SVK/PDK/2008/234                                                       
       September 25, 2008
 To,
 
 
Dear Sir,
Sub: The Annual 15th Mrs. P.D. Khambatta Memorial Award
You may be aware that the National Association for the Blind, India has 
instituted 3 Awards in the Honour of Late Mrs. Piloo D. Khambatta, Former Hon. 
Secretary.  It is our tribute to her for rendering yeomen services towards the 
Socio-Economic Rehabilitation of the Visually Challenged Persons, when she was 
the Hon. Secretary.  The Awards will be presented in the following category:
1.      BEST EMPLOYER – A Company, Firm or Business House who has employed the 
largest number of blind persons in a year (Form ‘A’ / A-1)
2.      BEST BLIND EMPLOYEE/ S – A Visually Challenged Person who had made a 
mark in successfully overcoming Visual Handicap and carved out a successful 
career (Form ‘B’)
3.      BEST SELF-EMPLOYED BLIND ENTREPRENEUR – A Visually Challenged Person 
who had succeeded in his business (Form ‘C’)
For selecting the Awardees, the performance of last 5 years is taken into 
consideration.  Therefore, the period under consideration for this Award will 
be from April 2003 to March 2008.  The Awardees will receive a Cash 
Prize/Shield along with a Citation.  This Award Function is generally held on 
14th March every year which happens to be the Birth Anniversary of Late Mrs. 
Khambatta.  However, from this year the Award Function will take place on 
Monday 19th January 2009 on the occasion of Foundation Day of National 
Association for the Blind, (India).
We are enclosing Recommendation Forms A/A-1, B, C and shall appreciate if you 
recommend the name of Organisations who have recruited blind persons, and also 
request them to recommend the candidature of Best Blind Employees working in 
their Establishments.   Forms A and B are to be filled by various Companies.  
We also request you to do some recommendations for Form ‘C’ along with 
photographs and testimonials of blind persons who have been successfully 
Self-Employed on various Schemes like Public Call Office’s, Stalls, LPG or 
Petrol/Kerosene Agency etc.  
We shall be grateful if you will kindly arrange to get additional xerox copies 
of the Forms taken out at your end for sending more than one nomination.  Your 
recommendations should reach our office latest by November 30, 2008.
Thanking you,
Yours faithfully,
 
SUHAS V. KARNIK (HON. SECRETARY)
 
   
 
                                                                                
                                                                                
                               
 
 
National Association for the Blind, India
Department of Employment,
11-12, Khan Abdul Gaffar Khan Road,
Worli Seaface, Mumbai – 400 030
Tel: 2498 8134 (Direct) / 2493 5365 /  2493 2820 / 2496 0074  Ext. 242 / 243 / 
244
 
Form ‘A’
 
Mrs. Piloo D. Khambatta Memorial Award
Particulars of Employers of the Blind in India
 
1.      Name, Postal & Telegraphic                       :
Address of the Organisation                        
 
 
 
2.      Whether Government/Public                       :
Sector Undertaking / Private                       
 
3.   Nature of work undertaken             :
 
 
 
4.      No. of Disabled Employees                        :
in the Organisation, according
to the type of Disability                   
 
5a) Totally Blind / Partially                                :
      Sighted persons employed from
      April 2003 to March 2008 (Please
      refer to definition of blindness
      given overleaf)
 
5b) Please attach copies of Medical                  :
      Certificates duly attested by Civil
      Surgeon (Govt.) or Registered
      Ophthalmologist
 
6.   Total number of employees in                      :
      the Organisation
 
7.   Nature/type of work on which the   :
      blind persons are employed (Please
      give complete job description – 
     attach additional paper if required)
                                                                                
                                                    
8.       Whether any Adaptations /             :
Modifications are made such
as jigs & fixtures for the benefit
of the blind employees, If so,
please specify
 
 
 
9.   Please list special facilities               :
      if any, given to the blind in
      addition to those available
      under the existing service conditions
 
 
 
10. General comments regarding the                  :
      work performance, discipline and
      punctuality of the blind employees
 
 
 
 
                                                                                
                Signature of the Employer
 
Name               :           
___________________________________________________
 
Designation       :           
___________________________________________________
 
Seal                  :
 
 
Definition:
 
Visually Handicapped (Blind): subject to fulfillment of any below conditions in 
the better eye
i)                    Total Absence of Sight
 
ii)                   Visual acuity not exceeding 20/200 (Snellen)
in the better eye with correcting lens
            
iii)                 Limitation of the field of vision subtending on
Angle of 20 degrees or worse
 
Note: Person blind in one eye does not fall under the above Definition of 
blindness 
                                 
 
 
 
 
 

National Association for the Blind, India
Mrs. Piloo D. Khambatta Memorial Award
 
Form ‘A-1’
 
Details of Blind Persons Employed by the Organisation
 
S.No.               Name of the Blind/Partially                    Dept.where 
posted &              Salary drawn &            Residential
                        Sighted person                                      
Nature of job done                      Date of Appnt.                Address
 
 
 
 






 
 
 
PASSPORT
PHOTONational Association for the Blind, India
Department of Employment
11-12, Khan Abdul Gaffar Khan Road,
Worli Seaface, Mumbai – 400 030.
Tel: 2498 8134 (Direct) 2493 5365 / 2493 2820 / 2496 0074 (Ext. 242 / 243)
 
Form ‘B’
 
Mrs. Piloo D. Khambatta Memorial Award
Particulars of the Blind Employees
 
1.   Name                                             :
 
2.   Address & Tel. No.                        :
      Office
 
 
 
 
      Residence                                       :
 
 
 
 
3.   Age:                                                           Date of 
Birth:
 
4.   Sex                                                :
 
5.  Nature of Blindness             :
 
a)      Totally Blind
 
b)      Partially Sighted
 
Enclose: (a)  1 copy of photograph
               (b)  1 copy of Blindness Certificate
                     attested by Govt. Civil Surgeon
                     or registered Ophthalmologist
 
6.   Academic Qualification                   :
 
 
7.   Last Examination passed                 :
 
     Technical Training undertaken          :
 
8.    Date of joining the Establishment:
 
9.    Gross emoluments per month         :
                                                                                
    
10.    Nature of present job                    :
(Please give complete job description –
attach additional paper if required)
 
 
 
 
11.   Number of blind persons               :
        working in the Establishment
 
12.    Attendance –                                :
 Regularity/Punctuality
 
13.   How does his/her productivity       :
        compare with that of the
        Non-Disabled Employees
 
14.    His/Her attitude towards:
 
a)      Non-Disabled colleagues
 
b)      Supervisors
 
c)      Sub-ordinates
 
15.   Whether the disability                    :
        interferes in the performance     
 
 
 
 
 
 
 
 
National Association for the Blind, India






 
 
 
PASSPORT
PHOTODepartment of Employment,                           
11-12, Khan Abdul Gaffar Khan Road,                                Worli 
Seaface, Mumbai – 400 030                                               
Tel: 2498 8134 (Direct) 2493 2820 / 2493 6930 / 2496 0074 (Ext. 242 / 243 / 244)
 
Form ‘C’
 
Mrs. Piloo D. Khambatta Memorial Award
Particulars of the Blind Self-Employed
 
 
1. Name                                               :
 
2. Address of place of Work &            :
    Telephone No.
 
 
 
 
3. Address of Residence                       :
 
 
 
 
4. Date of Birth                                     :
 
5. Age                                                  :
 
6. Sex                                                  :
 
7. Nature of Blindness                          :
 
a)      Totally Blind
b)      Partially Sighted
 
8. Please enclose 1 copy of Photograph along with 
PCO/Stall/Machinery/conducting the business etc. and Copy of Blindness 
Certificate attested by Govt. Civil Surgeon or Registered Ophthalmologist
 
9. Academic & Vocational                    :
    Qualification
 
 
 
 
 
 
10. Previous Experience if any, specify:
 
 
 
11. Nature of business &                      :
      date of commencement
 
 
 
 
12. Average monthly income                 :
 
13. Any Outstanding Achievements       :
 
 
 
 
 
14. Name & Address of the                  :
      Sponsoring NAB State/District
      Branch, along with letter of
      Recommendation
 
 
 
 
 
Seal of Institution                                  :
 
 
 
 
Date     :                                                           Signature 
of blind applicant _____________  
 
 
PCO: Those who operate a Public Telephone Booth and earn some income
 
Vending Stall: Those who conduct business in a specially made stall and earn 
their livelihood by selling various items
 
Flour Grinding Machine: Those who operate the machines and earn some income
 

 
Ref: EMP:SVK/BDP/2008/235                                                       
       September 25, 2008
To,
The Special / Sub-Regional Employment Exchanges for
the Physically Handicapped,
NAB State & District Branches, Affiliates of NAB &
Other Institutions working for the welfare of the Disabled in India.
Dear Friends,
Sub: Dr. Burjor Dorabshah Pallonji Memorial Awards – 2009
We take pleasure in inviting you to participate in the Dr. Burjor Dorabshah 
Pallonji Memorial Award 2009 for the Best Employment Officer for the year 
ending December 2008. This will be the 29th year, when we shall be presenting 
the above Award in memory of our Late Placement Officer, Dr. Burjor Dorabshah 
Pallonji.  The Award Function is generally held on 14th March every year which 
happens to be the Birth Anniversary of Late Mrs. Khambatta.  However, from this 
year the Award Function will take place on Monday January 19, 2009  on the 
occasion of Foundation Day of National Association for the Blind, (I).  
May I request you to kindly send us your recommendations in the attached 
proforma so as to positively reach us before November 30, 2008 at the latest.  
(Kindly send in duplicate). Please fill in the enclosed copy of the proforma, 
after following the Rules governing it, as per the attached copy of the Rules 
governing the Award.
The Employment/Rehabilitation Officer, from any part of India who has placed 
the highest number of blind persons during the year April 2007 to March 2008 
will be selected for the Award.
We look forward to hearing from you at the earliest and joining us in paying a 
tribute to the one who had dedicated his life towards the welfare of the blind 
for over 25 years.  Kindly return the attached slip for our information.
With warm regards,
Yours truly,
For NATIONAL ASSOCIATION FOR THE BLIND, (I)
 
 
 
SUHAS V. KARNIK
HON. SECRETARY
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
The Burjor Dorabshah Pallonji Memorial Award – 2008
 
Date:
Mr. Suhas V. Karnik
Hon. Secretary,
NAB Department of Employment,
National Association for the Blind,
11/12, Khan Abdul Gaffar Khan Road,
Worli Seaface,
MUMBAI – 400 030.
Dear Sir,
We have to acknowledge receipt of your letter No. EMP:SVK/BDP/2008/235 dated 
September 25, 2008 along with the attachments.  We confirm we have **/we do not 
have Employment Officers/Rehabilitation Officers for Employment/Self-Employment 
of the blind in our areas.
We shall send you the required information at the earliest in any case before 
November 30, 2008.
Thanking you,
Yours faithfully,
                                                                                
                Address Stamp
___________________                                                             
         

(**Cancel whichever is not applicable)
 
The Burjor Dorabshah Pallonji Memorial Award – 2008
 
Date:
Mr. Suhas V. Karnik
Hon. Secretary,
NAB Department of Employment,
National Association for the Blind,
11/12, Khan Abdul Gaffar Khan Road,
Worli Seaface,
MUMBAI – 400 030.
Dear Sir,
We have to acknowledge receipt of your letter No. EMP:SVK/BDP/2008/235 dated 
September 25, 2008 along with the attachments.  We confirm we have **/we do not 
have Employment Officers/Rehabilitation Officers for Employment/Self-Employment 
of the blind in our areas.
We shall send you the required information at the earliest in any case before 
November 30, 2008.
Thanking you,
Yours faithfully,
                                                                        Address 
Stamp 
__________________
(**Cancel whichever is not applicable)
 
 
 
 
 
 

 
National Association for the Blind, India
Department of Employment
 
The Dr. Burjor Dorabshah Pallonji Memorial Award – 2008
 
Particulars of the Blind/Partially Sighted Self-Employed in the year April 2007 
to March 2008
 
S.No.  Name of the Blind/          Address from       Approx.Monthly   Type of 
work                 Date of starting             Remarks
           Partially Sighted            which operating   income                
       (give details)                & whether he/she          
           Persons who have                                                     
                                                     is doing it on
           Secured Self-Employment                                              
                                                31-03-2008

           (Whether Male/Female)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
National Association for the Blind, India
Department of Employment
 
The Dr. Burjor Dorabshah Pallonji Memorial Award – 2008
 
Particulars of the Blind/Partially Sighted Employed in various Companies or 
Organisations during the year 
April 2007 to March 2008
 
S.No.      Name of the blind/        Name & full         Jobs in which        
Monthly emolu.    Present Status       Date of Emp.   General 
                  Partially Sighted           address of the        employed    
          including              -Whether               of the blind     
Remarks                           
                  Persons employed        Employer                              
               allowances    working or
                  During the year                                               
                                                           retrenched     
                  April 2007 to March 2008 
                  (Male/Female)                                                 
                                              
 
 
 

National Association for the Blind
Department of Employment
11-12, Khan Abdul Gaffar Khan Road,
Worli Seaface, Mumbai – 400 030.
Tel: 2498 8134 (Direct) 2493 5365 / 2493 2820 / 2496 0074 (Ext. 242 / 243 / 244)
 
The Dr. Burjor Dorabshah Pallonji Memorial Award 2008
 
Particulars of the Employment Officer recommended for the Award:
 
1.  Name                                              :
 
2.  Date of Birth                                    :
 
3.  Educational Qualification                  :
 
4.  Postal Address                                :
 
 
 
5.  Telegraphic Address                        :
 
 
 
 
6.  Telephone Numbers                        :
      Office:
      Residence:
      E-Mail Address
 
7.   Name & Address of the                  :
      Sponsoring Agency
 
 
 
 
 
8.    From what date to what date         :
       the person recommended has
       worked under the Sponsoring
       Agency
 
 
 
                                                                                
                                        …2…
 
                                                …2…
 
 
9.   Attach a Statement giving                :
      names of the Employers, with
      their complete addresses, names
      of all blind/partially sighted
      employed during the period 1st
      April 2007 to 31st March 2008
      giving details of their wages,
      Nature of work, Date of employment,
      Degree of vision, remarks etc.
      (Proforma of Statement attached
       herewith)
 
10.  Give names and details in the                      :
       attached Statement of blind/
       partially sighted persons for
       whom Self-Employment is secured
 
 
 
 
11.      Attestation of the Head
of the Dept./Institution
 
 
 
 
I have personally verified the particulars furnished in the above Proforma and 
the Statements attached thereto, and I hereby certify that they are correct
 
 
 
Dated:                          :2008               Signature of the Sponsoring 
Authority
 
                                                            Name of the 
Institution
 
 
 
Address/Rubber Stamp:
 
 
Please fill in the above form in duplicate and return it by November 30, 2008.  
The Award function will be held on Monday 19th January 2009 and we shall 
intimate the venue etc. later
          
                        
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The National Association for the Blind, (I)
Committee on Employment
 
Dr. Burjor Dorabshah Pallonji Memorial Awards
 
1.      Name of the Fund
 
a)      The Fund shall be named Dr. Burjor Dorabshah Pallonji Memorial Awards 
Fund
 
b)      The Fund is created with a view to perpetuating the memory of the Late 
Dr. Burjor Dorabshah Pallonji, the first Placement Officer of the National 
Association for the Blind, and later it’s Chief Placement Officer.  Dr. 
Pallonji rendered outstanding and meritorious services by placing over one 
thousand blind persons in competitive Employment.
 
2.      Objects of the Fund:
 
The Object of the Fund shall be to give Annual Awards to the best Employment 
Officers of the blind, whose contribution in placing the blind in open 
competitive employment in a year is outstanding.  Only one Annual Award shall 
be given on all India basis.  The Award shall be given for outstanding 
contributions in placing the highest number of blind persons from April to 
March. 
 
3.      Rules Governing the Award:
 
a)        Eligilibity:
 
1.         Any Officer working in the Department of Employment of National 
Association for the Blind or the NAB State District Branches, or in any 
Voluntary Agency or Government Organisation and placing the blind in Open or in 
Self-Employment shall be eligible for consideration for the grant of the Award. 
 Here, Self-Employment means PCO’s/Vending Stalls allotted or any other scheme 
which provides a permanent source of income to the blind.  This will not 
include selling of cutlery items, or caning work on piece rate basis.
 
2.         For the purpose of assessing outstanding placements by the 
Employment Officers, his/her work shall be considered over the period of one 
year from 1st April 2007 to 31st March 2008.
 
b)       Inviting Proposals:
 
1.       The Secretary of Dr. Burjor Dorabshah Pallonji Memorial Award 
Committee shall give the widest possible publicity by issuing circulars, news 
items etc. and by inviting proposals for the grant of the Award
 
 
 
 
2.       The Proposals shall be called so as to reach the Secretary by November 
30, 2008.  
 
3.       The Award shall be presented on 19th January 2009.  
 
c.         Consideration of Proposals:
 
1.         The Sponsoring Authority shall fill up the attached Proforma and 
certify the precise number of placements effected by the candidate in the year 
April 2007 to March 2008. 
 
2.         Notwithstanding the receipt or non-receipt of proposals, the Awards 
Committee shall have the right to consider granting the Award to any Officer 
for Employment of the blind whose contribution they may be aware of but for 
whom a formal Proposal has not been received
 
3.         All Employment Officers irrespective of the fact whether they have 
received an Award in the earlier three years or not shall become eligible for 
the Award, if they happen to have made the highest placements during April 2007 
to March 2008.    The minimum number of placements, however, be not less than 
25, as per the decision taken at the last NAB Employment Committee Meeting      
    
 
d.         Number of Awards:
 
1.         Every year, only one Award shall be given to the Best Employment 
Officer on all India basis. The Committee shall take steps as it may deem 
appropriate to verify the particulars furnished by the Sponsoring Authorities.
 
2.         In the event of a tie, the Chairman shall have the right to a 
casting vote or to declare, joint Award Winners.  In such an event both shall 
receive Scrolls of Honour.  The prize money shall be divided.
 
3.         In the event of there being no suitable candidate for the Award in 
any given year, the income for that year shall be added to the corpus of the 
fund after deducting all normal expenses.
 
e.         Award Presentation Function:
 
The Awards shall be presented to the Award Winners on 19th January it being the 
Foundation Day of National Association for the Blind, (I). 
 
 
 
 
 
 
f.           Awards Committee:
 
The Awards Committee shall consist of:-
 
1.      The Chairman, NAB Committee
2.      Hon. Secretary General, NAB (I)
3.      The Vice Chairperson, RTE Committee
4.      Mr. S.V. Karnik, Hon. Secretary
 
8.         Scroll of Honour:
 
The Award Winner shall receive:-
(i)                  A suitably worded Scroll of Honour
(ii)                A Cash Award not exceeding Rs.1,000/-
 
Interpretation of Rules:
 
The Committee’s Interpretation of the Rules relating to the Award shall be 
final and binding
 
 
                                                            
************   ***********                  

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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