The Nishan-e-Pakistan is the highest of civil awards and decorations given by the Government of Pakistan for the highest degree of service to the country and nation of Pakistan. The award was established on 19 March 1957.

Morarji Desai is the only Indian national to be conferred with Pakistan’s highest civilian award, Nishan-e-Pakistan, which was conferred on him by President Ghulam Ishaq Khan in 1990 in a colorful ceremony.

source: http://en.wikipedia.org/wiki/Nishan-e-Pakistan