The country's highest civilian award, the Bharat Ratna, is given for exceptional service to the nation. The award was established by the Constitution of India, and the recipient is announced every year on India's Republic Day, in a list prepared by the Prime Minister. It is conferred by the President of India. The Bharat Ratna (literally, the jewel of India) is the highest civilian award of the Republic of India. Instituted in 1954, the award is bestowed for "distinguished service of the highest order" without distinction of race, occupation, position, or sex. The award was originally restricted to achievements in the arts, literature, and science, but the government expanded the criteria to include "any field of human endeavor". Awardees receive a "Sanad" (certificate) signed by the President and a medallion without any monetary grant.