"[2] The name "Kaisar-i-Hind" (Urdu: قیصرِ ہند qaisar-e-hind, Hindi: क़ैसर-इ-हिन्द) literally means "Emperor of India" in the Hindustani language.

Leitner in a deliberate attempt to dissociate British imperial rule from that of preceding dynasties[4] was taken by Queen Victoria from 1 May 1876, and proclaimed at the Delhi Durbar of 1877.

The medal consisted of an oval-shaped badge or decoration in gold, silver or bronze with the Royal Cipher and Monarchy on one side, and the words "Kaisar-i-Hind for Public Service in India" on the other.

[7] One of its most famous recipient is Mahatma Gandhi, who was awarded the Kaisar-i-Hind in 1915 by The Lord Hardinge of Penshurst for his contribution to ambulance services in South Africa.

Gandhi returned the medal following the Jallianwala Bagh massacre carried out by the British officials and wrote, "In European countries, condonation of such grievous wrongs as the khilafat and the Punjab would have resulted in bloody revolution by the people.