ANNEXURE - B PARTICULARS OF INDIVIDUALS FOR NATIONAL AWARDS FOR CHILD WELFARE 2 attested passport size photograph 1. Name & address (with telephone number) 2. Date of birth 3. Place of birth 4. Sponsored by 5. Institution with which the individual is connected & the nature of connection. Whether in Hony. Capacity or salaried 6. Field of activities 7. Details of performance of the individual including the location & field of performance and the number of children. 8. How is the performance of the individual adjudged as outstanding. 9. Funding pattern of the Institution through which Individual has worked: (i) Central Govt. (ii) State Govt. (iii) From other sources 10. Funds raised by the individual from community 11. Report of the State Govt. Officer regarding work of individual 12. Remarks including a brief life-sketch of the candidate.
