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Burhani Foundation – NEERI Award
or
(II) Innovation In Environmental Management/Conservation
for
Year 2001
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Burhani Foundation (India)
65, Bazargate Street, Amatullah Manzil Fort, MUMBAI : 400 001
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National
Environmental Engineering Research Institute
Nehru Marg
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Proforma for
Nomination
(Three sets)
1. Name of nominee (Full name)
2. Date of Birth
3. Present position and official address
4. Positions held earlier (chronological order)
5. Academic qualifications (Bachelor’s degree onwards)
6. Names of three Indian Environmental Scientists/Technologists (as possible
reference)
7. Statement of significant R & D
contributions to Environmentally sound technologies by the
nominee (in about 500 words) during his/her entire research
career
8. (a) Details of R & D
contributions to Environmentally sound technologies by the nominee
based on the work primarily done in India during the last 5
years (in about 500 words).
Specific reference is to be made to research papers published
/ patents granted in this
context.
b) Details of Innovation in Environmental Management / Conservation, which
results in
significant improvement in environment during last five
years in about 500 words.
Documents supporting the claim be also provided.
9. Summary of the most significant work of the nominee on which the
recommendation is
based (in 50 words)
10. Impact of nominee’s R & D
contributions on the environmental quality / economic
efficiency / socio-cultural indicators
11. Whether the achievement has
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 citation
may also be enclosed.
12. The following is to be enclosed with the nominations:
• *Complete list of publications in
standard referred journal (reprints of five best papers
to be enclosed)
• List of patents granted/ filed by
the nominee
• List of technical reports /
review articles (a copy of the most outstanding report may be
enclosed)
• **List of publications of general
interest
• Details of books published, if
any
• Any additional information of
relevance ( For II category)
Place: Sponsor’s Signature
Date: Sponsor’s Name & Designation
Note: *Listing of research papers and other publications should be done in three
columns (i) name of all the authors (II) title of papers, and (iii) name of the
journal, volume, year and pages
.**Published during the last five years
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· Name of the nominee (Full):
· (1) Name of Environmentally sound technology developed by the nominee:
· (2) Innovation in Environmental management / Conservation:
·
Category of technology / innovation
(please tick mark
appropriate category most appropriate to the technology / innovation
developed)
* Pollution
prevention through:
- Generically
different production process
- Process
modification
- Raw material
change (non-renewable to renewable)
* Recycle / Reuse /
Resource - Recovery from wastewaters / emissions / sludge
* Remediation of
environmental damage
· Names of the team members and their positions:
· Details of special or outstanding feature(s) of the technology / innovation:
a. Distinguishing
scientific & technical features/aspects
b. Novelty /
innovations
c.
Superiority over (National /
International) existing/ competing
technology/process/know-how/technique/services
d. Any other
· Indicative details of laboratory development:
a. Date of
commencement and completion of the project
b. Level of
laboratory development
c. Estimated
financial inputs for development (Rs.in Lakh)
i In-house
manpower & other recurring costs
ii Equipment
purchased
iii External
inputs (capital & recurring costs)
iv Expert
services/consultants inputs
· Details of up-scaling/proving and transfer/commercialisation
a Up-scaling
i Level of pilot
plant/batch production/ semi-commercial level /others (specify)
ii Details of S&T
inputs, external contributions in up scaling etc.
iii Estimated cost
of up-scaling (Rs. in Lakh)
a. Manpower and
other recurring costs
b. Equipment usages
(paid for)
c. Equipment
purchases
d. Other external
inputs (capital & recurring cost)
iv Rights &
obligations of external persons / groups in the up-scale
development (enclose
copy of
the
contract document)
b Commercialisation of the technology :
i Mode of
transfer / diffusion / utilisation
ii Role of
external contributors
· Soft outputs pertaining to the technology:
a. Patents filed /
granted (give title, year & country)
b.
Professional publications (give titles, journal name, year and
enclose three best publications)
c.
Technical reports brought out (give titles, year & enclose the best report)
·
Impact
of technology (Each claim to be unambiguously quantified with supporting
data/evidence)
a. Economic Impact
i Licensee(s) /
beneficiary(ies) utilising / benefiting from the developments
ii Estimated value
of the annual output / benefit derived by each party /
beneficiaries
iii Estimated value
of cumulative output/benefits derived by each
party /
beneficiary and value of their
export
iv Export of the
development ( give details of parties, countries, financial terms
etc.)
v
Annual/cumulative productivity improvement resulting from the
development
b Societal Impact
i
Employment catalysed
ii
Quality of life improved ( food, water, health, hygiene etc)
iii
Non-renewable resource saved
iv
Renewable resources utilised
v
Environmental Pollution mitigated/averted
vi
Hazards/risks reduction/safety enhancement
vii
Others specify
· Response & feedback on the technology (please enclose supporting document)
a. Response and
feedback from the licensees / beneficiaries / NGOs and others
on
development.
b.
Formal recognition and awards conferred
for the development on the person(s)
for the development.
· Any other relevant information:
Date :
Place:
Signature of the nominee
Name and designation
Certificate by the sponsor
This is to
certify that the above information given by the nominee is correct.
I recommend his/her name for the consideration of the “Burhani Foundation -
NEERI award – 2001” under …………..category.
Date:
Place:
Signature of sponsor
Name & Address
Attach Photograph
