The Secretary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "Jaisalmer House", 26, Mansingh Road, New Delhi - 110 011,

Subject: Intimation to the Central Government of receipt of foreign contribution by way of gift from relative:

1. Name of the recipient in full (in block letters):

2. Date of birth:

3. Name of Father/Husband:

4. Permanent address:

5. P.A.N. of the recipient in India:

6. Amount of foreign contribution received, if it exceeds Rs. 1 lakh or equivalent in a financial year:

7. Amount and the Number of the Bank Draft or telegraphic transfer or other communication including the Bank Details:

8. Income-tax registration number of the relative abroad and the name of the country of residence:

9. Name of the relative and relationship thereof, nationality and passport details:

DECLARATION

I hereby declare that the above particulars furnished by me are true and correct.

Place:

Date:

Signature of the applicant

(Name, in block letters)

The Secretary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "Jaisalmer House", 26, Mansingh Road, New Delhi - 110011.

Subject: Application for seeking prior permission of the Central Government to accept foreign hospitality:

[Note: For foreign hospitality availed in case of emergent medical aid situation, intimation to be given on plain paper to the Secretary, Ministry of Home Affairs at the address mentioned in FORM FC-2, within sixty days of such receipt of foreign hospitality.]

1. Name in full (block letters):

2. Date of Birth:

3. Name of father/husband:

4. Present address:

5. Permanent address:

6. Passport particulars (if already in possession):

7. Status: - (a) Member of Legislature: (b) Office bearer of a political party: (c) Judge of Supreme Court/High Court: (d) Government servant: (e) Employee of a Company/Corporation: (f) Any other person or class of persons not specified in section 6

8. Names of countries/places to be visited with duration of stay:

9. The countries and places where foreign hospitality is to be accepted:

10. Duration and purpose of visit to the country(s)/place(s) mentioned in Column 9 with specific dates:

11. Particulars of host(s): - (a) If an individual, his personal particulars including name, present address, permanent address, nationality, profession: (b) If an Organisation/Institution/Association/Trust/Foundation/Trade Union etc., full particulars thereof including - (i) Full name and complete address: (ii) Address of Head office/Principal office: (iii) Aims and Objects: (iv) Particulars of important office bearers:

12. Full particulars, as in Column 11(a) and (b) of the foreign source, in case the actual source extending the hospitality is located in a country other than actually proposed to be visited:

13. Nature and duration of foreign hospitality proposed to be accepted with specific dates and with specific details:

14. Nature of connection/dealing with the host and/or foreign source extending the hospitality:

15. Approximate expenditure to be incurred on hospitality:

16. Any other information of significance which the applicant may like to furnish:

DECLARATION

I hereby declare that the above particulars furnished by me are true and correct.

Place:

Date:

Signature of the applicant

(Name, in block letters)

The Secretary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "Jaisalmer House", 26, Mansingh Road, New Delhi - 110011.

Sub: Application for 'registration' under section 11(1) of the Foreign Contribution (Regulation) Act, 2010 for the acceptance of foreign contribution by an Association having definite cultural, economic, educational, religious or social programme:

Sir, I _____ on behalf of the Association named hereafter apply for registration of the Association under clause (a) of sub-section (1) of section 6 of the Act for the acceptance of foreign contribution as per details given below:

1. (i) Name of the Association and its complete postal address: Name: Address: Town/City: District: State: Pin Code: (c) Telephone No. of the Association (with STD code): (d) Telephone no. (with STD code) / Mobile no. of the Chief Functionary: (e) e-Mail address:

(ii) If the Association is a registered Trust or Society please indicate its: (a) registration number: (b) place of registration: (c) date of registration: (certified copy of the registration certificate to be attached). (d) PAN No.:

(iii) Nature of Association: (a) religious (b) cultural (c) economic (d) educational (e) social. Note: If a religious Association, state whether (a) Hindu (b) Sikh (c) Muslim (d) Christian (e) Buddhist (f) Others.

(iv) Please indicate: (a) Main aim(s) and object(s) of the Association (enclose a copy of the Memorandum of Association and/or the Articles of Association, if applicable); (b) Main object(s) and definite programme(s) for which the foreign contribution is to be accepted/utilised:

(v) Details of names and addresses of the members of the Executive Committee/Governing Council etc. of the Association, starting with the Chief Functionary.

2. Enclosed/attached, fee of Rupees (in words) _____ only remitted by _____ (name of Bank and branch) Demand Draft/Bankers Cheque No. _____ dated _____ (in day/mm/year format)

3. Whether any Member of the Executive Committee/Governing Council etc. of the Association, including the Chief Functionary has, in the discharge of his/her official functions or private conduct: (a) been convicted by any court of law: (b) a prosecution for any offence pending against him/her: (c) been found guilty of diversion or mis-utilisation of funds of the Association or any other Association in the past: (d) has not been prohibited from accepting foreign contribution: (e) is a Member or Chief Functionary of any other Association against whom an order under section 13 or 14 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) has been passed:

4. Whether the applicant Association: (a) is a branch/unit/associate of foreign based organisation or another Association already registered or granted prior permission under the Act. If so, name and address of the parent organisation should be furnished: (b) attracts section 10 of the Act, if so details of the order passed by the Central Government: (c) section 11(3) of the Act: (c) has been directed in terms of section 9(a) of the Act to seek prior permission by the Central Government. If so, the number and date of the relevant order: (d) had earlier been proceeded against as per provision of the Foreign Contribution (Regulation) Act 1976 (49 of 1976):

5. Whether: (i)(a) the association was granted prior permission to receive foreign contribution under the Act or the Foreign Contribution (Regulation) Act, 1976 (49 of 1976) in the past. If so, the Ministry of Home Affairs letter number with date granting such prior permission: (b) whether the account of the receipt and utilisation of the foreign contribution received above was sent to the Central Government in the prescribed Form. If so, the date of submission of the accounts: (ii) Whether: (a) the Association has received foreign contribution without the prior permission under the Act in the past. If so, full particulars of the foreign contribution received along with complete address of the bank branch and bank account number in which deposited should be furnished: (b) said violation has been condoned by the Central Government: (c) Association has been prohibited from accepting foreign contribution under the Act:

6. Whether the Association is functioning as editor, owner, printer or publisher of a publication required to be registered as "newspaper" under the Press and Registration of Books Act, 1867 (25 of 1867). If so, the details thereof:

7. Whether: (i) the Association ever applied for registration under the Foreign Contribution (Regulation) Act 2010 (42 of 2010), and if so, (a) the number and date of submission of application for registration: (b) the number and date of the last communication, if any, received from the Ministry: (c) whether registration was refused: (d) whether application for registration is still pending: (iii) whether the Association ever applied for prior permission under the Foreign Contribution (Regulation) Act 2010 (42 of 2010), and if so, (a) the number and date of submission of application for prior permission: (b) the number and date of the last communication, if any, received from the Ministry: (c) whether prior permission was refused: (d) whether application for prior permission is still pending: (iv) whether the Association has close links with another Association, or its unit or branch which has been, (a) refused registration / prior permission under the Act: (b) prohibited from accepting foreign contribution:

8. Details of: (i) the activities of the Association during the past three years: (ii) the audited statement of accounts of the Association for the past three years: (iii) the area(s) of operation:

9. Whether the Association has been specified as an organisation of a political nature, not being a political party, under section 5 of the Act. If so, the details of the notification should be furnished:

10. Details of Bank: (i) the name and address of the branch of the bank through which the foreign contribution shall be received: (ii) the account number in the said branch of the bank:

11. Whether the Organisation/Association has been blacklisted/debarred from receiving any aid and/or assistance by any other Ministry/Department of Central Government and/or State Government or Statutory Authority, if so the details thereof:

12. Whether a recommendation certificate from any competent authority is attached, (and if so, the details):

13. Any other information, which the Association may like to furnish:

Yours faithfully, Signature of the Chief Functionary [Name of the Chief Functionary in block letters] (Seal of the Association)

Declaration and Undertaking

I hereby declare that the above particulars furnished by me are true and correct and undertake to: (i) to inform the Central Government (Ministry of Home Affairs) within thirty days, if any change takes place in regard to the name of the Association, its address, its registration, its nature, its aims and objects together with documentary evidence effecting the change. (ii) to obtain prior permission for change of Members of the Executive Committee / Governing Council, if, at any point of time, such change causes replacement of 50% or more of such Members as were mentioned in the application for registration under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) and undertake further not to accept any foreign contribution except with prior permission till the permission to replace the office-bearer(s) has been granted. (iii) not to change the Bank and/or branch of the Bank without prior permission of the Central Government [the reason(s) for change of bank or branch of the bank shall have to be relevant and justifiable] and, (iv) not to accept any foreign contribution unless either registration certificate, as applied for hereinabove, or prior permission of the Central Government under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) is granted.

Signature of the Chief Functionary [Name of the Chief Functionary in block letters] (Seal of the Organisation/Association)

Note:- 1. Receipt of application for registration is not a commitment for grant of registration by the Central Government. 2. An incomplete application i.e., without necessary document(s)/detail(s)/explanation(s) is liable to be rejected summarily. 3. In case the space against any column is insufficient, separate sheet should be attached. 4. Please use BLOCK LETTERS. 5. The application should be signed by the Chief Functionary of the Association.

CERTIFICATE

Recommending grant of registration to receive foreign contribution under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010)

This is to certify that the _____ (Name of the Association) having its registered office at (Address) has been engaged in undertaking welfare activities in its chosen _____ (Economic, Educational, Cultural, Religious or Social) field. Its aims and objects are to _____

The antecedents of the Association and the Member(s) of the Executive Committee / Governing Council (including the Chief Functionary) have been verified and nothing adverse has come to notice.

2. It has undertaken commendable welfare activities in the area and has incurred substantial expenditure (excluding administrative expenditure) amounting to Rs _____ during the last three years on its chosen (Economic, Educational, Cultural, Religious or Social) field of activity.

3. Grant of registration to the aforementioned Association to accept foreign contribution under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) is recommended.

(Recommending Authority)** (Seal of the Recommending Authority)

* Strike out which is not applicable. ** (i) District Collector / District Magistrate (ii) Ministry/Department of the State Government (iii) Ministry/Department of the Central Government.

The Secretary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "Jaisalmer House", 26, Mansingh Road, New Delhi - 110 011.

Sub: Application for 'prior permission' under sub-section (2) of section 11 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for the acceptance of foreign contribution by an Association having definite cultural, economic, educational, religious or social programme:

Sir, I _____ as an individual/Hindu Undivided Family/association/company registered under section 25 of the Companies Act 1956 (1 of 1956), furnish the following details and apply for prior permission of the Central Government for the acceptance of foreign contribution under the proviso to sub-section (2) of section 11 of the Act:

1. (i) Name of the Association and its complete postal address: (a) Name: (b) Address: Town/City: District: State: Pin Code: (c) Telephone No. of the Association (with STD code): (d) Telephone no. (with STD code) / Mobile no. of the Chief Functionary: (e) e-Mail address: (ii) If the Association is a registered Trust or Society please indicate its: (a) registration number: (b) place of registration: (c) date of registration: (certified copy of the registration certificate to be attached). (d) PAN No.: (iii) Nature of Association: (a) religious (b) cultural (c) economic (d) educational (e) social: Note: If a religious Association, state whether (a) Hindu (b) Sikh (c) Muslim (d) Christian (e) Buddhist (f) Others. (iv) Please indicate: (a) Main aim(s) and object(s) of the Association (enclose a copy of the Memorandum of Association and/or the Articles of Association, if applicable); (b) Main object(s) and definite programme(s) for which the foreign contribution is to be accepted/utilised: (v) Details of names and addresses of the members of the Executive Committee/Governing Council etc. of the Association, starting with the Chief Functionary. (vi) If this association is branch/unit/associate of any organisation based abroad or of another association already registered or granted prior permission under the Act, the name and address of the parent organisation:

2. Details of Fee: An amount of Rs. _____ (Rupees in words _____) towards obtaining prior permission for receipt of foreign contribution is remitted by way of demand draft/bankers cheque drawn in favour of the "Pay and Accounts Office, Ministry of Home Affairs viz. DD No. _____ dated _____ Name of the Bank _____

3. Whether any Member of the Executive Committee/Governing Council etc. of the Association, including the Chief Functionary has, in the discharge of his/her official functions or private conduct: (a) been convicted by any court of law: (b) a prosecution for any offence pending against him/her: (c) been found guilty of diversion or mis-utilisation of funds of the Association or any other Association in the past: (d) has been prohibited from accepting foreign contribution:

4. Whether: (i) the Association ever applied for registration under the Foreign Contribution (Regulation) Act 2010 (42 of 2010), and if so, (a) the number and date of submission of application for registration: (b) the number and date of the last communication, if any, received from the Ministry: (c) whether registration was refused: (d) whether application for registration is still pending: (ii) whether the Association ever applied for prior permission under the Foreign Contribution (Regulation) Act 2010 (42 of 2010), and if so, (a) the number and date of submission of application for prior permission: (b) the number and date of the last communication, if any, received from the Ministry: (c) whether prior permission was refused: (d) whether application for prior permission is still pending: (iii) whether the Association has close links with another Association, or its unit or branch which has been, (a) refused registration / prior permission under the Act: (b) prohibited from accepting foreign contribution:

5. Whether the applicant Association: (a) is a branch/unit/associate of foreign based organisation or another Association already registered or granted prior permission under the Act. If so, name and address of the parent organisation should be furnished: (b) attracts section 10 of the Act, if so details of the order passed by the Central Government: (c) attracts sub-section 3 of section 11 clause (a) of the Act: (d) has been directed in terms of clause (a) of section 9(a) of the Act to seek prior permission by the Central Government. If so, the number and date of the relevant order: (d) had earlier been proceeded against as per the provisions of the Foreign Contribution (Regulation) Act 1976 (49 of 1976):

6. Whether: (i)(a) the association was granted prior permission to receive foreign contribution under the Act. If so, the Ministry of Home Affairs letter number with date granting such prior permission: (b) whether the account of the receipt and utilisation of the foreign contribution received above was sent to the Central Government in the prescribed FC-3 Form. The date of submission of the accounts be indicated: (ii) Whether: (a) the Association has received foreign contribution without the prior permission under the Act in the past. If so, full particulars of the foreign contribution received along with complete address of the bank branch and bank account number in which deposited should be furnished: (b) said violation has been condoned by the Central Government:

7. I affirm that the applicant Association is not an owner, printer, publisher, editor of a publication which is registered as "newspaper" under the Press and Registration of Books Act, 1867 (25 of 1867).

8. I affirm that the applicant association is not engaged in the production or broadcast of audio/visual news or current affairs programmes through any electronic mode, or any other electronic form as defined in clause (r) of sub-section (1) of section 2 of the Information Technology Act, 2000 (21 of 2000) or any other mode of mass communication.

9. I affirm that the Organisation/Association has not been blacklisted/debarred from receiving any aid and/or assistance by any other Ministry/Department of Central and/or State Government or Statutory Authority.

10. I am enclosing the documents showing the detailed activities of the association during the past three years.

11. I am enclosing the copies of audited statement of accounts of the association for the past three years duly certified by the Chartered Accountant.

12. Data on commitment receipt from donor: (a) Nature (cash/kind) and value of the foreign contribution to be received: (b) Purpose for which foreign contribution is proposed to be received and utilised indicating the geographical area(s) to be covered: (c) A copy of the latest commitment letter from the donor is furnished: (d) A copy of the proposal/project which has been approved by the foreign source for funding, including projected outlays, budget breakups is enclosed.

13. Details of Bank: (i) Name and address of the branch of the bank through which the foreign contribution is proposed to be received: (ii) The account number in the said branch of the bank:

14. Details of foreign source/sources from which the foreign contribution is proposed to be received: (i) If an individual, the personal particulars including name, present address, permanent address, nationality and profession: (ii) If an organisation/institution/association/trust/trade union etc full particulars thereof, including (a) Full name and complete address: (b) Address of the Head Office/Principal Office (c) Particulars of Chief Functionary and Important Office Bearers: (iii) Whether the foreign source is a Government of a Foreign Country or agency thereof, if so, give details:

Yours faithfully, Signature of the Chief Functionary [Name of the Chief Functionary in block letters] (Seal of the Association)

Declaration and Undertaking

I hereby declare that the above particulars furnished by me are true and correct and undertake to: (i) to inform the Central Government (Ministry of Home Affairs) within thirty days, if any change takes place in regard to the name of the Association, its address, its registration, its nature, its aims and objects together with documentary evidence effecting the change. (ii) to intimate within thirty days regarding the change of Members of the Executive Committee / Governing Council, if, at any point of time, such change causes replacement of 50% or more of such Members as were mentioned in the application for registration under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) and undertake further not to accept any foreign contribution except with prior permission till the permission to replace the office-bearer(s) has been granted. (iii) not to change the Bank and/or branch of the Bank without prior permission of the Central Government [the reason(s) for change of bank or branch of the bank shall have to be relevant and justifiable] and, (iv) not to accept any foreign contribution unless either registration certificate, as applied for hereinabove, or prior permission of the Central Government under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) is granted.

Signature of the Chief Functionary [Name of the Chief Functionary in block letters] (Seal of the Organisation/Association)

Instructions for filling up the form: * Please strike off whichever is not applicable. The same instruction applies in respect of choices provided elsewhere in this form. ** If any of the replies to the four parts in item 3 is "yes", then full details of the case including the present status of the case must be given, if required on a separate page. *** If the foreign contribution, whether currency or article, is to be received from any person or association who has received the same as first, second or subsequent recipient, particulars of such person or association should be given against column 11 above.

1. Receipt of application for prior permission is not a commitment for approval by the Central Government. 2. An incomplete application i.e., without necessary document(s)/detail(s)/explanation(s) is liable to be rejected summarily. 3. In case the space against any column is insufficient, separate sheet should be attached. 4. Please use BLOCK LETTERS.

CERTIFICATE

Recommending grant of prior permission to receive foreign contribution under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010)

This is to certify that the _____ (Name of the Association) having its registered office at (Address) has been engaged in undertaking welfare activities in its chosen _____ (Economic, Educational, Cultural, Religious or Social) field. Its aims and objects are to _____

The antecedents of the Association and the Member(s) of the Executive Committee / Governing Council (including the Chief Functionary) has been verified and nothing adverse have come to notice.

2. It has undertaken commendable welfare activities in the area and has incurred substantial expenditure (excluding administrative expenditure) amounting to Rs _____ during the last three years on its chosen (Economic, Educational, Cultural, Religious and Social) field of activity.

3. Grant of prior permission to the aforementioned Association to accept foreign contribution under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) is recommended.

(Recommending Authority)** (Seal of the Recommending Authority)

* Strike out which is not applicable. ** (i) District Collector / District Magistrate (ii) Ministry/Department of the State Government (iii) Ministry/Department of the Central Government.

The Secretary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "Jaisalmer House", 26, Mansingh Road, New Delhi - 110011.

Sub: Application for seeking renewal of 'registration certificate' under section 13 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010). (Application for renewal to be submitted six months before the date of expiry of the certificate of registration):

Dear Sir, I, on behalf of the Association named hereafter apply for seeking renewal of 'registration certificate', as per details given below:

1. Name of the Association and its complete postal address: (a) Name: (b) Address: Town/City: District: State: Pin Code: (c) Telephone No. of the Association (with STD code): (d) Telephone no. (with STD code) / Mobile no. of the Chief Functionary: (e) e-Mail address: (f) Details of names and addresses of the members of the Executive Committee/Governing Council etc. of the Association, starting with the Chief Functionary.

1. Nature of Association:

2. Registration number: (a) place of registration: (b) date of registration: (c) Date of expiry: (d) PAN No., if any (certified copy of the registration certificate to be attached).

3. Foreign Contribution received, if any, since its registration with yearly breakup:

4. Details of utilisation of funds:

5. Whether various provisions as stipulated in the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) adhered to:

6. Reasons for seeking renewal of certificate:

7. Details of Fee: An amount of Rs. _____ (Rupees in words _____) towards renewal of registration is remitted by way of demand draft/bankers cheque drawn in favour of "Pay and Accounts Officer, Ministry of Home Affairs viz. DD/Bankers Cheque No. _____ dated _____ Name of the Bank _____

8. Whether the organisation/Association has been blacklisted/debarred from receiving any aid and/or assistance by any other Ministry/Department of Central and/or State Government or Statutory Authority. If so, the details thereof:

9. Any other information which the Association may like to furnish:

I hereby declare that the information furnished above is true and correct. Signature of the Chief Functionary [Name of the Chief Functionary in block letters] (Seal of the Association)

The Secretary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "Jaisalmer House", 26, Mansingh Road, New Delhi - 110011.

Subject: Account of Foreign Contribution for the year ending on the 31st March

1. Associations details: (i) Name and address (in block letters): (ii) Registration number and date [under the Foreign Contribution (Regulation) Act, 2010] (42 of 2010): (iii) Prior permission number and date, if (ii) above is not applicable: (iv) Nature of the Association: (a) Cultural (b) Economic (c) Educational (d) Religious (e) Social (v) Denomination in case of religious Association: (a) Hindu (b) Sikh (c) Muslim (d) Christian (e) Buddhist (f) Others:

2. (i) Total amount of foreign contribution received during the financial year: (ii) Interest earned on the foreign contribution during the financial year - (a) In the designated bank account: (b) On investments made (Fixed Deposit Receipt etc.) during the year or in the preceding years:

3. Purposes for which foreign contribution has been received and utilised: (in Rupees)

1. Celebration of national events (Independence / Republic day) /festivals etc. 2. Theatre / Films. 3. Maintenance of places of historical and cultural importance. 4. Preservation of ancient / tribal art forms. 5. Research. 6. Cultural shows. 7. Setting up and running handicraft centre / cottage and Khadi industry/social forestry projects. 8. Animal husbandry projects. 9. Income generation projects/schemes. 10. Micro-finance projects, including setting up banking co-operatives and self-help groups. 11. Agricultural activity. 12. Rural Development. 13. Construction and maintenance of school / college. 14. Construction and running of hostel for poor students. 15. Grant of stipend / scholarship / assistance in cash and kind to poor / deserving children. 16. Purchase and supply of educational material - books, notebooks etc. 17. Conducting adult literacy programs. 18. Education / Schools for the mentally challenged. 19. Non-formal education projects / coaching classes. 20. Construction / Repair / Maintenance of places of worship. 21. Religious schools / education of priests and preachers. 22. Publication and distribution of religious literature. 23. Religious functions. 24. Maintenance of priests / preachers / other religious functionaries. 25. Construction / Running of hospital / dispensary / clinic. 26. Construction of community halls etc. 27. Construction and Management of old age home. 28. Welfare of the aged / widows. 29. Construction and Management of Orphanage. 30. Welfare of the orphans. 31. Construction and Management of dharamshala / shelter. 32. Holding of free medical / health / family welfare / immunization camps. 33. Supply of free medicine, and medical aid, including hearing aids, visual aids, family planning aids etc. 34. Provision of aids such as Tricycles, calipers etc. to the handicapped. 35. Treatment / Rehabilitation of persons suffering from leprosy. 36. Treatment / Rehabilitation of drug addicts. 37. Welfare / Empowerment of women. 38. Welfare of children. 39. Provision of free clothing / food to the poor, needy and destitute. 40. Relief / Rehabilitation of victims of natural calamities. 41. Help to the victims of riots / other disturbances. 42. Digging of bore wells. 43. Sanitation including community toilets etc. 44. Vocational training - tailoring, motor repairs, computers etc. 45. Awareness Camp / Seminar / Workshop / Meeting / Conference. 46. Providing free legal aid / Running legal aid centre. 47. Holding sports meet. 48. Awareness about Acquired Immune Deficiency Syndrome (AIDS) / Treatment and rehabilitation of persons affected by AIDS. 49. Welfare of the physically and mentally challenged. 50. Welfare of the Scheduled Castes. 51. Welfare of the Scheduled Tribes. 52. Welfare of the Other Backward Classes. 53. Environmental programs. 54. Survey for socio-economic and other welfare programs. 55. Establishment expenses - (i) Asset building: (a) Establishment of Corpus Fund, and (b) Purchase of land: (ii) Construction / Extension / Maintenance of office, administrative and other buildings, salaries / honorarium: (iii) Publication of newsletter / literature / books etc: (iv) Other expenses: 56. Activities other than those mentioned above (Furnish details).

Total

Caution: Submission of false information or concealment of material facts shall attract the relevant provisions of The Foreign Contribution (Regulation) Act, 2010 (42 of 2010), warranting appropriate action

4. Name and address of the designated branch of the Bank and account number (as specified in the application for registration / prior permission or permitted by the Central Government). A/c No: Bank: Branch: Address:

5. Donor wise receipt of foreign contribution: (i) From institutional donors: (ii) From individual donor(s), above Rupees One lac: (iii) From individual donor(s), below Rupees One lac: Total [(i)+(ii)+(iii)]:

Declaration

I hereby declare that the above particulars furnished by me are true and correct. I also affirm that the foreign contribution has been utilised for the purpose(s) for which the Association has been granted registration or prior permission by the Central Government, to the best of my knowledge. I have not concealed or suppressed any fact.

Place: Date: Signature of the Chief Functionary (Name of the Chief Functionary in block letters) (Seal of the Association)

Certificate to be given by Chartered Accountant

I/We have audited the account of _____ (name of Association and its full address including State, District and Pin Code, if registered society, its registration number and State of registration) for the year ending the 31st March _____ and examined all relevant books and vouchers and certify that according to the audited account: (i) the brought forward foreign contribution at the beginning of the year was Rs _____; (ii) foreign contribution of/worth Rs _____ was received by the Association during the year _____; (iii) the balance of unutilised foreign contribution with the Association at the end of the year _____ was Rs _____; (iv) Certified that the Association has maintained the accounts of foreign contribution and records relating thereto in the manner specified in section 19 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) read with rule 16 of the Foreign Contribution (Regulation) Rules, 2011. (v) The information in this certificate and in the enclosed Balance Sheet and statement of Receipt and Payment is correct as checked by me/us.

Place: Date: Signature of Chartered Accountant (Seal, Address and Registration number)

The Secretary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "Jaisalmer House", 26, Mansingh Road, New Delhi - 110 011.

Subject: Intimation about Foreign Contribution (Articles) Account:

DESCRIPTION OF THE ARTICLE:

DECLARATION

I hereby declare that the above particulars furnished by me are true and correct.

Place: Date:

Signature of the Chief Functionary (Name of the Chief Functionary in block letters) (Seal of the Association)

Certificate to be given by Chartered Accountant

I/We have audited the account of _____ (name of Association and its full address including State, District and Pin Code, if registered society, its registration number and State of registration) for the year ending the 31st March _____ and examined all relevant books and vouchers and certify that according to the audited account: (i) the brought forward foreign contribution, in kind, at the beginning of the year was Rs _____; (ii) foreign contribution, in kind worth Rs _____ was received by the Association during the year _____; (iii) (a) the balance of unutilised foreign contribution, in kind, with the Association at the end of the year _____ was worth Rs _____; (b) That the whole of foreign contribution received in kind has been utilised, leaving no balance at the end of the financial year (strike out whichever is not applicable) (iv) Certified that the Association has maintained the accounts of foreign contribution and records relating thereto in the manner specified in section 13 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) read with sub-rule (1) of rule 8 of the Foreign Contribution (Regulation) Rules, 2011. (v) The information in this certificate and in the enclosed Balance Sheet and statement of Receipt and Payment is correct as checked by me/us.

Place: Date: Signature of Chartered Accountant (Seal, Address and Registration number)

The Secretary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "Jaisalmer House", 26, Mansingh Road, New Delhi - 110011.

Subject: Intimation about foreign contribution (securities) Account: (Description to be provided in the existing format (old) Rule 8(c), Foreign Contribution (Regulation) Rules, 1976 refers)

1. Name of Securities:

2. Nominal value of each security:

Details of dividends/interest received

DECLARATION

I hereby declare that the above particulars furnished by me are true and correct.

Place: Date:

Signature of the Chief Functionary (Name of the Chief Functionary in block letters) (Seal of the Association)

Certificate to be given by Chartered Accountant

I/We have audited the account of _____ (name of Association and its full address including State, District and Pin Code, if registered society, its registration number and State of registration) for the year ending the 31st March _____ and examined all relevant books and vouchers and certify that according to the audited account: (i) the brought forward investment(s) in securities at the beginning of the year was Rs _____; (ii) that further investment(s) in securities worth Rs _____ was made by the Association during the year _____; (iii) the total value of investment in securities made by the Association at the end of the year _____ was worth Rs _____; (iv) Certified that the Association has maintained the accounts of foreign contribution and records relating thereto in the manner specified in Section 13 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) read with sub-rule (1) of rule 8 of the Foreign Contribution (Regulation) Rules, 2011. (v) The information in this certificate and in the enclosed Balance Sheet and statement of Receipt and Payment is correct as checked by me/us.

Place: Date: Signature of Chartered Accountant (Seal, Address and Registration number)

The Secretary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "Jaisalmer House", 26, Mansingh Road, New Delhi - 110011.

Subject: Intimation to the Central Government of Receipt of Foreign Contribution received by a candidate for Election [section 21 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010): (Every Candidate for election shall intimate to the Central Government, within 45 days from the date on which he is duly nominated as a candidate for election, the details of the foreign contribution received by him, any time within 180 days immediately preceding the date of his nomination, in Form FC-9)

1. Name in full (in block letters):

2. Date of birth:

3. Name of father:

4. Present Address:

5. Permanent Address:

6. Date on which duly nominated as a candidate for election to a Legislature and particulars of Legislature: (See section 21 of the Act)

7. Full particulars of foreign contribution received within 180 days immediately preceding the date on which duly nominated as a candidate for election:

8. Nature (cash and/or kind) and full details of foreign contribution including value:

9. The mode, channel of receipt:

10. Purpose for which contribution was received:

11. Particulars of the foreign source from which contribution received: (a) If an individual, his personal particulars including name, present address, permanent address, nationality, profession: (b) If an Organisation / Institution / Association / Trust / Foundation / Trade Union etc. full particulars thereof including: (i) Full name and complete address. (ii) Address of Head Office/Principal Office. (iii) Aims and objects. (iv) Particulars of important office bearers.

12. Nature of connection/dealings with the foreign source(s):

13. Details of actual utilisation of the contribution: (a) Specific purposes for which utilised. (b) Full description of the manner in which utilised.

14. Any other information of significance which the applicant may like to furnish:

Declaration

I hereby declare that the above particulars furnished by me are true and correct.

Place: Date:

Signature of the candidate (Name, in block letters)

Certificate

Certified that the above declaration was signed by Smt/Shri/Ku S/o. _____ resident of _____ a candidate for election to (*) _____ before me, on this date _____ day of _____ month and year.

Signature (Name, in block letters) Designation (to be signed by a Group A Gazetted Officer** or 1st Class Magistrate).

* Here specify 'Legislature' as defined in section 21 of the Act. ** of the State/Central Government.

The Secretary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "Jaisalmer House", 26, Mansingh Road, New Delhi - 110011.

Subject: Application for seeking permission for transfer of foreign contribution to other registered/un-registered persons:

Sir, I _____ on behalf of the Association named hereafter apply for seeking permission of the Central Government under section _____ of Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for transfer of foreign contribution to other registered/un-registered persons, as per details given below:

1. Details of the applicant/transferor association: (a) Name: (b) Address: Town/City: District: State: Pin Code: (c) Telephone No. of the Association (with STD code): (d) Telephone no. (with STD code) / Mobile no. of the Chief Functionary: (e) e-Mail address: (f) Registration certificate/Prior permission order details: (i) Registration No. (Under FCRA): (ii) If not registered under FCRA, prior permission order no. with date: (Certified copy of the registration certificate/prior permission order to be attached)

2. Details of the recipient/transferee association: (a) Name: (b) Address: Town/City: District: State: Pin Code: (c) Telephone No. of the Association (with STD code): (d) Telephone no. (with STD code) / Mobile no. of the Chief Functionary: (e) e-Mail address (i) Whether registered under the Foreign Contribution Regulation Act, 1976 (49 of 1976): yes/no (a) if yes, details thereof (registration no., date of registration): (certified copy of the registration certificate to be attached) (b) If no, furnish the details if it is registered under the Indian Trust Act 1882 (2 of 1882) or the Societies Registration Act 1860 (21 of 1860) or the Companies Act 1956 (1 of 1956). (a) Registration number: (b) Place of registration: (c) Date of registration: (certified copy of the registration certificate to be attached). (d) PAN No., if any:

3. Amount of Foreign contribution to be transferred:

4. Mode of the proposed transfer of foreign contribution (cash/cheque/electronic etc):

5. Bank details and account no., in which FC is proposed to be transferred: (i) Account No.: (ii) Name of the Bank: (iii) Address:

6. Any other information which the Association may like to furnish:

I hereby declare that the information furnished above is true and correct.

Signature of the Chief Functionary [Name of the Chief Functionary in block letters] (Seal of the Association)

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) NDCC-II Building, Jai Singh Road New Delhi - 110001.

Subject: Intimation to the Central Government of receipt of foreign contribution by way of gift from relative by an individual / Foreign Contribution in the form of Articles/ Securities/ by a candidate for Election [section 21 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010)].

Sir, I, as an individual/association/company registered under Companies Act 1956/ Companies Act 2013, hereby gives intimation of

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) NDCC-II Building, Jai Singh Road New Delhi - 110001.

Subject: Application for seeking prior permission of the Central Government to accept foreign hospitality.

[Note: For foreign hospitality availed in case of emergent medical aid situation, intimation to be given on plain paper to the Secretary, Ministry of Home Affairs at the address mentioned in FORM FC-2, within sixty days of such receipt of foreign hospitality.]

1. Name in full:

2. Date of Birth:

3. Name of father/husband:

4. Contact details: (a) Address: (b) Telephone and mobile number with STD code: (c) e-mail address

5. Passport particulars (if already in possession):

6. Status: - (a) Member of Legislature (b) Office bearer of a political party (c) Judge of Supreme Court/High Court (d) Government servant (e) Employee of a Corporation or any other Body owned or controlled by Govt

7. Details of hospitality proposed to be availed

8. Particulars of host(s):-

9. Nature of connection/relationship with the host and/or foreign source extending the hospitality:

10. Letter from the host regarding the details of hospitality to be extended and Recommendation Letter from the organisation to which the applicant belongs are to be enclosed.

I hereby declare that the above particulars furnished by me are true and correct.

Place: Date: Signature of the applicant (Name, in block letters)

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) NDCC-II Building, Jai Singh Road New Delhi - 110001.

Subject: Application for 'registration'/ 'prior permission'/ 'renewal' under section 11 (1) & (2) / section 16 of the Foreign Contribution (Regulation) Act, 2010 for the acceptance of foreign contribution by an Association having definite cultural, economic, educational, religious or social programme.

Sir, I, as an individual/ Hindu Undivided Family / association / company registered under Companies Act 1956 / Companies Act, 2013, furnish the following details and apply for approval of the Central Government for the acceptance of foreign contribution under sub-section (1) / (2) of section 11/ Section 16 of the Act for

1. Details of the applicant/Association: (a) Name in full: (b) Address: (c) Telephone No. of the Association (with STD code): (d) e-mail address of the association (e) official Website address, if any: (f) Telephone and mobile (with STD code) of the Chief Functionary

2. Details of registration: (a) Name of the Act like Societies Registration Act, 1860, Indian Trust Act, 1882, Companies Act, 1956 / Companies Act, 2013, etc under which the association is registered: (b) Number, date and place of Registration: (self-certified copy of the registration certificate to be enclosed): (c) PAN (Permanent Account Number) of the Association: (d) FCRA Regn no. and date (in case of renewal) - copy of certificate to be enclosed:

3. Nature of Association: (a) religious (b) cultural (c) economic (d) educational (e) social Note: If a religious Association, state whether (a) Hindu (b) Sikh (c) Muslim (d) Christian (e) Buddhist (f) Others.

4. Main aim(s) and object(s) of the Association (enclose self-certified copy of relevant pages of the Memorandum of Association and/or the Articles of Association, showing aims and objects of association):

5. (a) Details of the key functionaries of the Association:

(b) If any of the above is a foreigner (including PIO/OCI card holder), details thereof

6. Amount of fee paid (Rs.):

7. Whether any current Key functionary of the Association has, in the discharge of his/her official functions or private conduct: (a) been convicted by any court of law: (b) under prosecution for any offence pending against him/her: (c) been found guilty of diversion or mis-utilisation of funds of the Association or any other Association in the past: (d) has been prohibited from accepting foreign contribution: (e) is a current Key functionary of any other association: (f) is a current Key functionary of any other association against whom an order under section 13 or 14 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) has been passed: Note: If any of the replies to (a) to (f) above is "yes", then full details of the case must be given.

8. Whether the applicant Association: (a) is a branch / unit / associate of a foreign based organisation or another association already registered or granted prior permission under the Act. If so, name, address of the organization and registration number/ prior permission number and date: (b) attracts section 10 of the Act and if so, details of the order passed by the Central Government under section 11(3) of the Act: (c) has been directed in terms of section 9 (d) of the Act to seek prior permission by the Central Government. If so, the number and date of the relevant order: (d) had earlier been proceeded against as per provision of the Foreign Contribution (Regulation) Act, 1976 (49 of 1976)/ Foreign Contribution (Regulation) Act 2010 (42 of 2010), if so, the details thereof:

9. (a) Details of designated FC bank account for receipt of Foreign Contribution:

(b) Details of all utilization bank accounts for utilization of Foreign Contribution (To be filled by applicant applying for renewal of registration):

10. (i) (a) If granted prior permission in past to receive foreign contribution, number and date of sanction: (b) Date of submission of yearly accounts thereof: (ii) Whether: (a) the Association has received foreign contribution without prior permission in the past. If so, furnish full particulars (b) said violation has been condoned/ compounded by the Central Government, if so, the number and date of the relevant order: (c) Association has been prohibited from accepting foreign contribution, if so, details thereof

11. Whether: (i) the Association had applied for registration under the Foreign Contribution (Regulation) Act, 1976 (49 of 1976) / Foreign Contribution (Regulation) Act 2010 (42 of 2010) in the past, and if so details thereof, (ii) the Association had applied for prior permission under the Foreign Contribution (Regulation) Act, 1976 (49 of 1976) / Foreign Contribution (Regulation) Act 2010 (42 of 2010) in the past, and if so, details thereof (iii) the Association has close links with any another Association(s), or its unit(s) or branches, which has been, (a) refused registration / prior permission: (b) prohibited from accepting foreign contribution: (c) suspended or whose registration has been cancelled: (d) if answer to any of (a) to (c) is yes, please give full particulars

12. Details of commitment of foreign contribution from donor. (applicable to prior permission cases only):

(A copy of the latest and duly signed commitment letter from the donor to be enclosed)

13. Details of foreign source(s) from which the foreign contribution is proposed to be received (applicable to prior permission cases only):

Yours faithfully, Signature of the Chief Functionary [Name of the Chief Functionary in block letters] (Seal of the Association)

(a) I hereby declare that the information furnished above is true and correct; And I undertake: (b) that the receipt of foreign contribution and its utilization shall not be violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) / rules, notifications / orders issued there under from time to time; Place: Date: Signature of the Chief Functionary [Name of the Chief Functionary in block letters] (Seal of the Organisation/Association)

Note: Applicant seeking registration are also to enclose audited statement of accounts and activity report of the association for the last three years.

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) NDCC-II Building, Jai Singh Road New Delhi - 110001.

Subject: Account of Foreign Contribution for the year ending on the 31st March

1. FCRA registration/ prior permission number and date:

2. Details of receipt and utilisation of foreign contribution:

(i) Foreign Contribution received in cash/ kind (value) (a) Brought forward foreign contribution at the beginning of the year (Rs.) (b) Interest or other receipt during the year* (c) Foreign Contribution received during the financial year (i) Directly from a foreign source (ii) as transfer from a local source (d) Total Foreign Contribution (a+b+c) (Rs.)

* i.e. interest accrued on foreign contribution, or any other income derived from foreign contribution, e.g. sale proceeds from assets created from foreign contribution, or interest thereon during the year.

(ii) (a) Donor wise detail of foreign contribution received in excess of Rupees 20,000:

(b) Cumulative purpose-wise amount of all foreign contribution donations received:

(iii) Details of utilization of foreign contribution:

(a) Total Utilisation** for projects as per aims and objectives of the association (Rs.)

(b) Total Administrative Expenses as provided in Rule 5, FCRR 2011 (Rs.)

(c) Total invested in term deposits (Rs.)

(d) Total purchase of fresh assets (Rs.)

(e) Total utilization in the year (Rs.) (a+b+c+d)

** It is affirmed that the utilisation of foreign contribution is not in contravention of the provisions contained in FCRA, 2010 and more particularly in Section 9 and Section 12 of the Act which, inter alia, states that the acceptance of foreign contribution is not likely to affect prejudicially (A) the sovereignty and integrity of India; or (B) the security, strategic, scientific or economic interest of the State; or (C) the public interest; or (D) freedom or fairness of election to any legislature; or (E) friendly relations with any foreign State; or (F) harmony between religious, racial, social, linguistic or regional groups, castes or communities.

(iv) Balance of unutilized foreign contribution, in cash/bank, at the end of the year (Rs):

(v) Total number of foreigners working (salaried/ in honorary capacity):

3. (a) Details of designated FC bank account for receipt of Foreign Contribution (As on 31st March of the year ending):

(b) Details of all utilization bank accounts for utilization of Foreign Contribution (As on 31st March of the year ending):

I hereby declare that the above particulars furnished by me are true and correct. I also affirm that the receipt of foreign contribution and its utilization have not been violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010, rules, notifications/ orders issued there under from time to time and the foreign contribution was utilized for the purpose(s) for which the association was granted registration/ prior permission by the Central Government.

Place: Date: Signature of the Chief Functionary (Name of the Chief Functionary in block letters) (Seal of the Association)

I/We have audited the account of ________ (name of Association and its full address including State, District and Pin Code, if registered society, its registration number and State of registration) for the financial year ending the 31st March ________ and examined all relevant books and vouchers and certify that according to the audited account:

(i) the brought forward foreign contribution at the beginning of the financial year was Rs. ________;

(ii) foreign contribution of / worth Rs. ________ was received by the Association during the financial year ________;

(iii) interest accrued on foreign contribution and other income derived from foreign contribution or interest thereon of/worth Rs. ________ was received by the Association during the financial year ________;

(iv) the balance of unutilised foreign contribution with the Association at the end of the financial year ________ was Rs. ________;

(v) Certified that the Association has maintained the accounts of foreign contribution and records relating thereto in the manner specified in section 19 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) read with rule 17 of the Foreign Contribution (Regulation) Rules, 2011.

(vi) The information in this certificate and in the enclosed Balance Sheet and statement of Receipt and Payment is correct as checked by me/us.

(vii) The association has utilized the foreign contribution received for the purpose(s) it is registered/ granted prior permission under Foreign Contribution (Regulation) Act, 2010.

Place: Date: Signature of Chartered Accountant (Seal, Address and Registration number)

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) NDCC-II Building, Jai Singh Road (Opposite Jantar Mantar) New Delhi - 110001.

Subject: Application for seeking permission for transfer of foreign contribution to other un-registered persons.

Sir, I ________ on behalf of the association ________ apply for seeking permission of the Central Government under the proviso to section 7 of Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for transfer of foreign contribution to other un-registered persons, as per details given below:

1. FCRA registration/ prior permission Number and date of the applicant/ transferor association:

2. Details of the recipient /transferee association: (i) Name in full: (ii) Contact Details (a) Address: (b) Official Telephone No. of the Association (with STD code): (c) Official e-Mail address: (d) Telephone and mobile number of the Chief Functionary (with STD code): (iii) PAN (Permanent Account Number) of the Association:

3. Details of registration of recipient /transferee association: (a) Name of the Act like Societies Registration Act, 1860, Indian Trust Act, 1882, Companies Act, 1956/ Companies Act, 2013, etc under which the association is registered: (b) Registration number, date and place of registration: (self-certified copy of the registration certificate to be enclosed)

4. Amount of Foreign contribution to be transferred:

5. Purpose for the proposed transfer of foreign contribution:

6. Bank details and exclusive FCRA designated account number opened by the recipient, in which FC is proposed to be transferred:

I hereby declare that the information furnished above is true and correct.

Signature of the Chief Functionary [Name of the Chief Functionary in block letters] (Seal of the Association)

Note: (i) Every application shall be accompanied by a declaration from the transferor Association to the effect that— (a) the amount proposed to be transferred during the financial year is less than ten per cent of the total value of the foreign contribution received by him during the financial year; (b) the transferor shall not transfer any amount of foreign contribution until the Central Government approves such transfer. (ii) Both the transferor and the recipient shall be responsible for ensuring proper utilisation of the foreign contribution so transferred and such transfer of foreign contribution shall be reflected in the returns in Form FC-4 to be submitted by both the transferor and the recipient.

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) NDCC-II Building, Jai Singh Road New Delhi - 110001.

Subject: Intimation under Rule 9 and Rule 17A of the Foreign Contribution (Regulation) Rules, 2010 (42 of 2010) to the Central Government regarding Change of designated bank account, Utilisation Account, name/ address/ aims/ objectives/ Key members in respect of the association granted registration/ prior permission under Foreign Contribution (Regulation) Act, 2010.

Sir, I, ________

1. FCRA Registration/ Prior Permission number and date of the association:

2. Official telephone number of the association:

3. E-mail address of the association:

4. Telephone/ mobile number of the Chief Functionary of the association:

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

Subject: Intimation to the Central Government of receipt of foreign contribution by way of gift from relative by an individual / Foreign Contribution in the form of Articles/ Securities/ by a candidate for Election [section 21 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010)]:

Sir,

I, as an individual/association/ company registered under Companies Act 1956/ Companies Act 2013, hereby, gives intimation of:

Receipt of foreign contribution by way of gift from relative: Yes/No; Foreign Contribution (Articles) Account: Yes/No; Foreign Contribution (Securities) Account: Yes/No; Receipt of foreign contribution by a candidate for Election: Yes/No

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

Subject: Application for seeking prior permission of the Central Government to accept foreign hospitality.

[Note: For foreign hospitality availed in case of emergent medical aid situation, intimation to be given on plain paper to the Secretary, Ministry of Home Affairs at the address mentioned in FORM FC-2, within sixty days of such receipt of foreign hospitality.]

1. Name in full: 2. Date of Birth: 3. Name of father/husband: 4. PAN Number.: 5. Aadhaar Number (Optional): 6. Contact details: (a) Address: (b) Telephone and mobile number with STD code: (c) e-mail address: 7. Passport particulars (if already in possession): 8. Status: - (a) Member of Legislature (b) Office bearer of a political party (c) Judge of Supreme Court/High Court (d) Government servant (e) Employee of a Corporation or any other Body owned or controlled by Government:

9. Details of hospitality proposed to be availed: [Table: (1) Names of cities/countries (2) Duration of stay From/To (3) Purpose of visit (4) Nature of hospitality - In Cash (5) In kind (6) Duration of hospitality to be accepted (7) Approximate expenditure (Rs.) (8) Remarks]

10. Hospitality availed during the last three years: [Yes/No] (a) If yes, details thereof: [Table: (1) Names of cities/countries (2) Duration of stay From/To (3) Purpose of visit (4) Nature - In Cash (5) In kind (6) Duration (7) Approximate expenditure (Rs.) (8) Whether MHA Permission was granted (Y/N) (9) Remarks]

11. Whether acceptance of foreign hospitality was ever denied to the applicant, if yes, details thereof:

12. Particulars of host(s): [Table: (1) Nature of Host Individual/organisation (2) Full Name (3) Nationality/Passport Number (4) Profession (5) Address (6) e-mail address (7) Fixed line telephone Number (with code); Mobile Number]

13. Nature of connection/relationship with the host and/or foreign source extending the hospitality:

14. Letter from the host regarding the details of hospitality to be extended and Recommendation Letter from the organisation to which the applicant belongs are to be enclosed.

I hereby declare that the above particulars furnished by me are true and correct.

Place: Date:

No __________ Date __________

Darpan ID*** The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

***Note: - Furnishing of Darpan ID shall be optional.

Subject: Application for 'registration' under sub-section (1) of section 11 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for the acceptance of foreign contribution by an Association having definite cultural, economic, educational, religious or social programme:

Sir, I __________, as an individual/ Hindu Undivided Family / association / company registered under Companies Act 1956 / Companies Act, 2013, furnish the following details and apply for approval of the Central Government for the acceptance of foreign contribution under sub-section (1) of section 11 of the Act for registration.

1. Expenditure incurred in last 3 years towards activities for which registration applied for [See Section 12(4)(b) of the Act]: (Rs):

2. Details of the applicant/Association: (a) Name in full: (b) Address: (c) Telephone No. of the Association (with STD code): (d) e-mail address of the association: (e) official Website address, if any: (f) Telephone and mobile (with STD code) of the Chief Functionary:

3. Details of registration: (a) Name of the Act like Societies Registration Act, 1860, Indian Trust Act, 1882, Companies Act, 1956 / Companies Act, 2013, etc under which the association is registered: (b) Number, date and place of Registration: (self-certified copy of the registration certificate to be enclosed): (c) PAN (Permanent Account Number) of the Association:

4. Nature of Association: (a) religious (b) cultural (c) economic (d) educational (e) social. Note: If a religious Association, state whether (a) Hindu (b) Sikh (c) Muslim (d) Christian (e) Buddhist (f) Others.

5. Main aim(s) and object(s) of the Association (enclose self-certified copy of relevant pages of the Memorandum of Association and/or the Articles of Association, showing aims and objects of association):

6. (a) Details of the key functionaries of the Association: [Table: Name, Name of father/spouse, Nationality, Aadhaar Number*, PAN, Occupation, Designation in the Association, Relationship with other Member(s) of the Executive Council/Governing body/Office bearers, Contact Details] *Note: - Furnishing of details of Aadhaar number in column (4) shall be optional.

(b) If any of the above is a foreigner (including PIO/OCI card holder), details thereof: [Table: (1) Name (2) Date and Place of birth (3) Passport number (4) Address in the foreign country (5) Whether a person of Indian origin (6) PIO/OCI Card Number, if any (7) If resident in India, date from which residing India]

7. Amount of fee paid (Rs.):

8. Whether any current Key functionary of the Association has, in the discharge of his/her official functions or private conduct: (a) been convicted by any court of law: (b) under prosecution for any offence pending against him/her: (c) been found guilty of diversion or mis-utilisation of funds of the Association or any other Association in the past: (d) has been prohibited from accepting foreign contribution: (e) is a current Key functionary of any other association: (f) is a current Key functionary of any other association against whom an order under sections 13 or 14 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) has been passed: Note: If any of the replies to (a) to (f) above is "yes", then full details of the case must be given.

9. Whether the applicant Association: (a) is a branch / unit / associate of a foreign based organisation or another association already registered or granted prior permission under the Act. If so, name, address of the organization and registration number/ prior permission number and date: (b) attracts section 10 of the Act and if so, details of the order passed by the Central Government under sub-section (3) of section 11 of the Act: (c) has been directed in terms of section 9 (d) of the Act to seek prior permission by the Central Government. If so, the number and date of the relevant order: (d) had earlier been proceeded against as per provision of the Foreign Contribution (Regulation) Act, 1976 (49 of 1976)/ the Foreign Contribution (Regulation) Act, 2010 (42 of 2010), if so, the details thereof:

10. Details of designated FC bank account for receipt of Foreign Contribution: [Table: (1) Name of the Bank (2) Branch Address (with PIN code) (3) e-mail (4) IFSC Code (5) Account No. (6) Date of Opening Account]

11. (i) (a) If granted prior permission in past to receive foreign contribution, number and date of sanction: (b) Date of submission of yearly accounts thereof: (ii) Whether: (a) the Association has received foreign contribution without prior permission in the past. If so, furnish full particulars: (b) said violation has been condoned/ compounded by the Central Government, if so, the number and date of the relevant order: (c) Association has been prohibited from accepting foreign contribution, if so, details thereof:

12. Whether: (i) the Association had applied for registration under the Foreign Contribution (Regulation) Act, 1976 (49 of 1976) / the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) in the past, and if so details thereof: (ii) the Association had applied for prior permission under the Foreign Contribution (Regulation) Act, 1976 (49 of 1976) / the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) in the past, and if so, details thereof: (iii) the Association has close links with any another Association(s), or its unit(s) or branches, which has been: (a) refused registration / prior permission: (b) prohibited from accepting foreign contribution: (c) suspended or whose registration has been cancelled: (d) if answer to any of (a) to (c) is yes, please give full particulars: (iv) the association was already registered under the Foreign Contribution (Regulation) Act, 2010 and the registration is cancelled/ deemed to have been ceased, if so details thereof: (a) Registration No. (b) Date of Registration (c) Annual Returns submitted (year-wise):

Yours faithfully, [Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Association)

(a) I hereby declare that the information furnished above is true and correct; and (b) I undertake that the receipt of foreign contribution and its utilisation shall not be violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) and the rules, notifications or orders issued thereunder from time to time;

(c) I hereby certify that the office bearers and key functionaries and members fulfill all the eligibility criteria laid out in sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 and an affidavit executed by each office bearer and key functionary and member in Proforma 'AA' is uploaded with this application form.

Place: Date: [Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Organisation/Association)

Note: Applicants seeking registration are also to enclose audited statement of accounts and activity report of the association for the last three years.

No __________ Date __________

Darpan ID*** The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

***Note: - Furnishing of Darpan ID shall be optional.

Subject: Application for 'prior permission' under sub-section (2) of section 11 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for the acceptance of foreign contribution by an Association having definite cultural, economic, educational, religious or social programme:

Sir, I __________ as an individual/ Hindu Undivided Family / association / company registered under Companies Act 1956 / Companies Act, 2013, furnish the following details and apply for approval of the Central Government for the acceptance of foreign contribution under sub-section (2) of section 11 of the Act for prior permission.

1. Details of the applicant/Association: (a) Name in full: (b) Address: (c) Telephone No. of the Association (with STD code): (d) e-mail address of the association: (e) official Website address, if any: (f) Telephone and mobile (with STD code) of the Chief Functionary:

2. Details of registration: (a) Name of the Act like Societies Registration Act, 1860, Indian Trust Act, 1882, Companies Act, 1956 / Companies Act, 2013, etc under which the association is registered: (b) Number, date and place of Registration: (self-certified copy of the registration certificate to be enclosed): (c) PAN (Permanent Account Number) of the Association:

3. Nature of Association: (a) religious (b) cultural (c) economic (d) educational (e) social. Note: If a religious Association, state whether (a) Hindu (b) Sikh (c) Muslim (d) Christian (e) Buddhist (f) Others.

4. Main aim(s) and object(s) of the Association (enclose self-certified copy of relevant pages of the Memorandum of Association and/or the Articles of Association, showing aims and objects of association):

5. (a) Details of the key functionaries of the Association: [Table: (1) Name (2) Name of father/spouse (3) Nationality (4) Aadhaar Number* (5) PAN (6) Occupation (7) Designation in the Association (8) Relationship with other Member(s) (9) Contact Details] *Note:- Furnishing of details of Aadhaar number in column (4) shall be optional.

(b) If any of the above is a foreigner (including PIO/OCI card holder), details thereof: [Table: (1) Name (2) Date and Place of birth (3) Passport number (4) Address in the foreign country (5) Whether a person of Indian origin (6) PIO/OCI Card Number, if any (7) If resident in India, date from which residing in India]

6. Amount of fee paid (Rs.):

7. Whether any current Key functionary of the Association has, in the discharge of his/her official functions or private conduct: (a) been convicted by any court of law: (b) under prosecution for any offence pending against him/her: (c) been found guilty of diversion or mis-utilisation of funds of the Association or any other Association in the past: (d) has been prohibited from accepting foreign contribution: (e) is a current Key functionary of any other association: (f) is a current Key functionary of any other association against whom an order under sections 13 or 14 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) has been passed: Note: If any of the replies to (a) to (f) above is "yes", then full details of the case must be given:

8. Whether the applicant Association: (a) is a branch / unit / associate of a foreign based organisation or another association already registered or granted prior permission under the Act. If so, name, address of the organization and registration number/ prior permission number and date: (b) attracts section 10 of the Act and if so, details of the order passed by the Central Government under sub-section (3) of section 11 of the Act: (c) has been directed in terms of clause (d) of section 9 of the Act to seek prior permission by the Central Government. If so, the number and date of the relevant order: (d) had earlier been proceeded against as per provision of the Foreign Contribution (Regulation) Act, 1976 (49 of 1976)/ the Foreign Contribution (Regulation) Act, 2010 (42 of 2010), if so, the details thereof:

9. Details of designated FC bank account for receipt of Foreign Contribution: [Table: (1) Name of the Bank (2) Branch Address (with PIN code) (3) e-mail (4) IFSC Code (5) Account No. (6) Date of Opening Account]

10. (i) (a) If granted prior permission in past to receive foreign contribution, number and date of sanction: (b) Date of submission of yearly accounts thereof: (ii) Whether: (a) the Association has received foreign contribution without prior permission in the past. If so, furnish full particulars: (b) said violation has been condoned/ compounded by the Central Government, if so, the number and date of the relevant order: (c) Association has been prohibited from accepting foreign contribution, if so, details thereof:

11. Whether: (i) the Association had applied for registration under the Foreign Contribution (Regulation) Act, 1976 (49 of 1976) / the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) in the past, and if so details thereof: (ii) the Association had applied for prior permission under the Foreign Contribution (Regulation) Act, 1976 (49 of 1976) / the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) in the past, and if so, details thereof: (iii) the Association has close links with any another association(s), or its unit(s) or branches, which has been: (a) refused registration / prior permission: (b) prohibited from accepting foreign contribution: (c) suspended or whose registration has been cancelled: (d) if answer to any of (a) to (c) is yes, please give full particulars

12. Details of commitment of foreign contribution from donor: [Table: (1) Nature of the foreign contribution (2) Value (including name of currency) (3) Name of the project/Activity; address of implementation with brief details (4) Purpose (Cultural/economic/educational/religious/social)]

13. Details of foreign source(s) from which the foreign contribution is proposed to be received: [Table: (1) Name of foreign source (2) Office Address; official e-mail address (3) In case of individual donor: Name of father/spouse, Nationality and Passport no., Occupation]

Yours faithfully, [Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Association)

(a) I hereby, declare that the information furnished above is true and correct; and (b) I undertake that the receipt of foreign contribution and its utilisation shall not be violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) and the rules, notifications or orders issued thereunder from time to time.

(c) I hereby certify that the office bearers and key functionaries and members fulfill all the eligibility criteria laid out in sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 and an affidavit executed by each office bearer and key functionary and member in Proforma 'AA' is uploaded with this application form.

Place: Date: [Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Organisation/Association)

Note: Applicant seeking prior permission for foreign contribution for more than Rs.50,00,000/- (Fifty Lakh rupees) shall enclose audited statements of accounts and activity report of the association for the last three years from the date of submission of application.

No __________ Darpan ID*** The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

***Note: - Furnishing of Darpan ID shall be optional.

Subject: Application for 'renewal' under section 16 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for the acceptance of foreign contribution by an Association having definite cultural, economic, educational, religious or social programme:

I __________, as an individual/ Hindu Undivided Family / association / company registered under Companies Act 1956 / Companies Act, 2013, furnish the following details and apply for approval of the Central Government for Renewal of registration certificate granted under sub-section (1) of section 11 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010).

1. Details of the applicant/Association: (a) Name in full: (b) Address: (c) Telephone No. of the Association (with STD code): (d) e-mail address of the association: (e) official Website address, if any: (f) Telephone and mobile (with STD code) of the Chief Functionary:

2. Details of registration: (a) Name of the Act like Societies Registration Act, 1860, Indian Trust Act, 1882, Companies Act, 1956 / Companies Act, 2013, etc under which the association is registered: (b) Number, date and place of Registration: (Self-certified copy of the registration certificate to be enclosed): (c) PAN (Permanent Account Number) of the Association: (d) Foreign Contribution (Regulation) Act Registration No. and date (in case of renewal) - copy of certificate to be enclosed: (e) Amount of Foreign Contribution received during last three financial years: [Table: (1) Sl. No. (2) Financial Year (3) Amount (Rs)]

3. Nature of Association: (a) religious (b) cultural (c) economic (d) educational (e) social. Note: If a religious Association, state whether (a) Hindu (b) Sikh (c) Muslim (d) Christian (e) Buddhist (f) Others.

4. Main aim(s) and object(s) of the Association: (enclose self-certified copy of relevant pages of the Memorandum of Association and/or the Articles of Association, showing aims and objects of association):

5. (a) Details of the key functionaries of the Association: [Table: (1) Name (2) Name of father/spouse (3) Nationality (4) Aadhaar Number* (5) PAN (6) Occupation (7) Designation in the Association (8) Relationship with other Member(s) (9) Contact Details] *Note: - Furnishing of details of Aadhaar number in column (4) shall be optional.

(b) If any of the above is a foreigner (including PIO/OCI card holder), details thereof: [Table: (1) Name (2) Date and Place of birth (3) Passport number (4) Address in the foreign country (5) Whether a person of Indian origin (6) PIO/OCI Card Number, if any (7) If resident in India, from residing in India]

(c) Details of changed Key functionaries on account of addition/ deletion/ removal/ resignation/ death etc., vis-à-vis the original application: [Table: (1) Name (2) addition/deletion/removal/resignation/death etc. (3) Effective date (4) Reasons (5) Remarks]

6. Amount of fee paid (Rs.):

7. Whether any current Key functionary of the Association has, in the discharge of his/her official functions or private conduct: (a) been convicted by any court of law: (b) under prosecution for any offence pending against him/her: (c) been found guilty of diversion or mis-utilisation of funds of the Association or any other Association in the past: (d) has been prohibited from accepting foreign contribution: (e) is a current Key functionary of any other association: (f) is a current Key functionary of any other association against whom an order under sections 13 or 14 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) has been passed: Note: If any of the replies to (a) to (f) above is "yes", then full details of the case shall be given.

8. Whether the applicant Association: (a) is a branch / unit / associate of a foreign based organisation or another association already registered or granted prior permission under the Act. If so, name, address of the organization and registration number/ prior permission number and date: (b) attracts section 10 of the Act and if so, details of the order passed by the Central Government under sub-section (3) of section 11 of the Act: (c) has been directed in terms of clause (d) of section 9 of the Act to seek prior permission by the Central Government. If so, the number and date of the relevant order: (d) had earlier been proceeded against as per provision of the Foreign Contribution (Regulation) Act, 1976 (49 of 1976)/ the Foreign Contribution (Regulation) Act, 2010 (42 of 2010), if so, the details thereof:

9. (a) Details of designated FC bank account for receipt of Foreign Contribution: [Table: (1) Name of the Bank (2) Branch Address (with PIN code) (3) e-mail (4) IFSC Code (5) Account No. (6) Date of Opening Account] There is no change in the bank details. In case of any change, mandatorily intimate by filling FC-6 form.

9. (b) Details of all utilisation bank accounts for utilisation of Foreign Contribution (To be filled by applicant applying for renewal of registration): [Table: (1) Name of the Bank (2) Branch Address (with PIN code) (3) e-mail (4) IFSC Code (5) Account No. (6) Date of Opening Account]

10. (i) (a) If granted prior permission in past to receive foreign contribution, number and date of sanction: (b) Date of submission of yearly accounts thereof: (ii) Whether: (a) the Association has received foreign contribution without prior permission in the past. If so, furnish full particulars: (b) said violation has been condoned/ compounded by the Central Government, if so, the number and date of the relevant order: (c) the Association has been prohibited from accepting foreign contribution, if so, details thereof: (d) the Association has earlier been suspended/cancelled, if so, details thereof: (e) the Association has earlier been refused renewal:

11. Whether: (i) the Association had applied for registration under the Foreign Contribution (Regulation) Act, 1976 (49 of 1976) / the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) in the past, and if so details thereof: (ii) the Association had applied for prior permission under the Foreign Contribution (Regulation) Act, 1976 (49 of 1976) / the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) in the past, and if so, details thereof: (iii) the Association has close links with any another Association(s), or its unit(s) or branches, which has been: (a) refused registration / prior permission: (b) prohibited from accepting foreign contribution: (c) suspended or whose registration has been cancelled: (d) if answer to any of (a) to (c) is yes, please give full particulars:

Yours faithfully, [Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Association)

(a) I hereby, declare that the information furnished above is true and correct; and (b) I undertake that the receipt of foreign contribution and its utilisation shall not be violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) and the rules, notifications or orders issued thereunder from time to time.

(c) I hereby certify that the office bearers and key functionaries and members fulfill all the eligibility criteria laid out in sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 and an affidavit executed by each office bearer and key functionary and member in Proforma 'AA' is uploaded with this application form.

Place: Date: [Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Organisation/Association)

Darpan ID*** The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

***Note: - Furnishing of Darpan ID shall be optional.

Subject: Account of Foreign Contribution (FC) for the year ending on the 31st March

1. FCRA registration/ prior permission number and date:

2. Details of receipt of foreign contribution: (i) Foreign Contribution received in cash/ kind (value): (a) Brought forward foreign contribution at the beginning of the year (Rs.): (b) Income during the year*: (i) Interest: (ii) Other receipts from projects/activities: [Table: S No., Name and location of project/activity, Year of commencement, Income during the year (Rs.)] (c) Foreign Contribution received during the financial year: (i) Directly from a foreign source: (ii) From a local source: (d) Total Foreign Contribution (a+b+c) (Rs.): * i.e. interest accrued on foreign contribution, or any other income derived from foreign contribution, e.g. sale proceeds from assets created from foreign contribution, or interest thereon during the year, income from projects/activities.

(ii) (a) Donor wise detail of foreign contribution received: [Table: (1) Sl. No. (2) Name of donor(s) (3) Institutional/Individual (4) Details of the donor (5) Purpose(s) for which received (6) Specific Activity/project (7) Amount Rs] (b) Cumulative purpose-wise amount of all foreign contribution donations received:

3. Details of utilisation of foreign contribution: (a) Details of activities/projects for which foreign contribution has been received and utilised (in rupees) [Table: (1) Sl. No. (2) Name of project/activity (3) Address/Location (4) Previous balance - In cash (5) In kind (6) Receipt during the year - In cash (7) In kind (8) Utilised - In cash (9) In cash (10) In kind (11) Balance]

(b) Details of utilisation of foreign contribution: (i) Total Utilisation** for projects as per aims and objectives of the association (Rs.): (ii) Total administrative expenses as provided in rule 5 of the Foreign Contribution (Regulation) Rules, 2011 (Rs.): ** It is affirmed that the utilisation of foreign contribution is not in contravention of the provisions contained in the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) and more particularly in section 9 and section 12 of the Act which, inter-alia, states that the acceptance of foreign contribution is not likely to affect prejudicially: (A) the sovereignty and integrity of India; or (B) the security, strategic, scientific or economic interest of the State; or (C) the public interest; or (D) freedom or fairness of election to any Legislature; or (E) friendly relations with any foreign State; or (F) harmony between religious, racial, social, linguistic or regional groups, castes or communities.

(c) Total purchase of fresh assets (Rs.) [Table: (i) Creation of movable assets (ii) Creation of Immovable assets - Total]

(d) FC transferred to other associations [Table: (1) Sl. No. (2) Name of the association (3) Date (4) Purpose (5) Amount]

(e) Total utilisation in the year (Rs.) (b+c+d):

4. Details of unutilised foreign contribution: (i) Total FC invested in term deposits (Rs.): [Table: (i) Opening Balance of FD (ii) FD made during the year (iii) Less: realisation of previous FD - Closing balance of FD] (ii) Balance of unutilised foreign contribution, in cash/bank, at the end of the year (Rs): (a) Cash in hand: (b) in FC designated bank account: (c) in utilisation bank account(s):

5. Details of foreigners as Key functionary/working/associated:

6. Details of Land and Buildings remained unutilised for more than two years: [Table: (1) Sl. No. (2) Location of Land and Building (3) Year of acquisition (4) Purpose of acquisition (5) Reason of unutilisation]

7. (a) Details of designated FC bank account for receipt of Foreign Contribution (As on 31st March of the year ending): [Table: (1) Name of the Bank (2) Branch Address (with PIN code) (3) Phone No. (4) E-mail (5) IFSC Code (6) Account No. (7) Date of Opening Account]

(b) Details of all utilisation bank accounts for utilisation of Foreign Contribution (As on 31st March of the year ending): [Table: (1) Name of the Bank (2) Branch Address (with PIN code) (3) Phone No. (4) E-mail (5) IFSC Code (6) Account No. (7) Date of Opening Account]

I hereby declare that the above particulars furnished by me are true and correct. I also affirm that the receipt of foreign contribution and its utilisation have not been violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010), and the rules, notifications or orders issued thereunder from time to time and the foreign contribution was utilised for the purpose(s) for which the association was granted registration/ prior permission by the Central Government.

Place: Date: [Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Association)

I/We have audited the account of (name of Association and its full address including State, District and Pin Code, if registered society, its registration number and State of registration) for the financial year ending the 31st March __________ and examined all relevant books and vouchers and certify that according to the audited account: (i) the brought forward foreign contribution at the beginning of the financial year was Rs. __________; (ii) foreign contribution of / worth Rs. __________ was received by the Association during the financial year __________; (iii) interest accrued on foreign contribution and other income derived from foreign contribution or interest thereon of/worth Rs. __________ was received by the Association during the financial year __________; (iv) the balance of unutilised foreign contribution with the Association at the end of the financial year __________ was Rs. __________; (v) Certified that the Association has maintained the accounts of foreign contribution and records relating thereto in the manner specified in section 19 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) read with rule 17 of the Foreign Contribution (Regulation) Rules, 2011. (vi) The information in this certificate and in the enclosed Balance Sheet and statement of Receipt and Payment is correct as checked by me/us. (vii) The association has utilised the foreign contribution received for the purpose(s) it is registered/ granted prior permission under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010).

Place: Date: Signature of Chartered Accountant (Seal, Address and Registration number)

Darpan ID*** The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

***Note: - Furnishing of Darpan ID shall be optional.

Subject: Application for seeking permission for transfer of foreign contribution to other un-registered persons.

Sir, I __________, on behalf of the Association __________ apply for seeking permission of the Central Government under the proviso to section 7 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for transfer of foreign contribution to other un-registered persons, as per details given below:

1. FCRA registration/ prior permission Number and date of the applicant/ transferor association:

2. a. Details of the recipient /transferee (in case of association): (i) Name in full: (ii) Contact Details: (a) Address: (b) Official Telephone No. of the Association (with STD code): (c) Official e-Mail address: (d) Telephone and mobile number of the Chief Functionary (with STD code): (iii) PAN (Permanent Account Number) of the Association: (iv) Darpan ID (Optional): b. Details of registration of recipient /transferee (in case of association): (a) Name of the Act like Societies Registration Act, 1860, Indian Trust Act, 1882, Companies Act, 1956/ Companies Act, 2013, etc., under which the association is registered: (b) Registration number, date and place of registration: (self-certified copy of the registration certificate to be enclosed)

2. Details of the recipient /transferee (in case of an individual): (i) Name in full: (ii) Contact Details: (a) Address: (b) Official Telephone No. of the individual (with STD code): (c) Official e-Mail address: (d) Telephone and mobile number of the individual (with STD code): (iii) PAN (Permanent Account Number) of the individual: (iv) Aadhaar Number (Optional):

4. Amount of Foreign contribution to be transferred:

5. Purpose for the proposed transfer of foreign contribution:

6. Bank details and exclusive FCRA designated account number opened by the recipient, in which FC is proposed to be transferred: [Table: (1) Name of the Bank (2) Branch Address (with PIN code) (3) IFSC Code (4) Account No (5) Date of Account Opening]

I hereby declare that the information furnished above is true and correct. [Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Association)

Note: (i) Every application shall be accompanied by a declaration from the transferor Association to the effect that- (a) the amount proposed to be transferred during the financial year is less than ten per cent of the total value of the foreign contribution received by him during the financial year; (b) the transferor shall not transfer any amount of foreign contribution until the Central Government approves such transfer. (ii) Both the transferor and the recipient shall be responsible for ensuring proper utilisation of the foreign contribution so transferred and such transfer of foreign contribution shall be reflected in the returns in Form FC-4 to be submitted by both the transferor and the recipient.

Darpan ID*** The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

***Note: - Furnishing of Darpan ID shall be optional.

Subject: Intimation under rule 9 and rule 17A of the Foreign Contribution (Regulation) Rules, 2011 to the Central Government regarding Change of name / address within the State in respect of the association granted registration/ prior permission under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010):

Sir, I, as an individual/ association/ company hereby submit the following intimation as required under rule 17A of the Foreign Contribution (Regulation) Rules, 2011:

1. FCRA Registration/ Prior Permission number and date of the association: 2. Official telephone number of the association: 3. E-mail address of the association: 4. Telephone/ mobile number of the Chief Functionary of the association:

(To be filled by applicant giving intimation regarding Change of name and/ or address within the State the association) (i) Amended/ changed name of the association as recorded with local/ relevant authority: (ii) Amended/ changed address within the State of the association as recorded with local/ relevant authority: (self-certified copy of amendment approved by local/relevant authority to be enclosed)

I hereby affirm that the information furnished above is true and correct and: (a) Change of name and/ or address within the State of the association has been duly recorded with the concerned registering authority: (b) The resolution of the governing body has been passed before effecting the changes: (c) None of the key members has been appointed in violation of sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010). (strike out whichever is not applicable).

[Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Association)

Darpan ID*** The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

***Note: - Furnishing of Darpan ID shall be optional.

Subject: Intimation under rule 9 and rule 17A of the Foreign Contribution (Regulation) Rules, 2011 to the Central Government regarding Change of nature, aims and objects and registration with local/relevant authorities in respect of the association granted registration/ prior permission under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010):

Sir, I, as an individual/association/ company hereby submit the following intimation as required under rule 17A of the Foreign Contribution (Regulation) Rules, 2011:

Change of nature, aims and objects and registration with local/relevant authorities in respect of the association for which registration/ prior permission granted under the above Act

1. FCRA Registration/ Prior Permission number and date of the association: 2. Official telephone number of the association: 3. E-mail address of the association: 4. Telephone/ mobile number of the Chief Functionary of the association:

(To be filled by applicant giving intimation regarding Change of nature, aims and objects and registration with local/relevant authorities in respect of the association which are granted registration/ prior permission under the Foreign Contribution (Regulation) Act, 2010)

New nature, aims and objects and registration with local/relevant authorities: (i) Amended/Changed nature of the Association: (ii) Amended/Changed aims and objects of the Association: (iii) Amended/Changed registration No. with local/relevant authorities:

I hereby affirm that the information furnished above is true and correct; and (a) The resolution of the governing body has been passed before effecting the changes: (b) Change of nature, aims and objects and registration with local/relevant authorities of the association has been duly recorded with the concerned registering authority: (c) None of the key members has been appointed in violation of sub-section (4) of section 12 of Foreign Contribution (Regulation) Act, 2010 (42 of 2010). (strike out whichever is not applicable)

[Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Association)

Darpan ID*** The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

***Note: - Furnishing of Darpan ID shall be optional.

Subject: Intimation under rule 9 and rule 17A of the Foreign Contribution (Regulation) Rules, 2011 to the Central Government regarding Change of designated FC receipt-cum-utilisation bank account in respect of the association granted registration/ prior permission under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010):

Sir, I, as an individual/association/company hereby submit the following intimation as required under rule 17A of the Foreign Contribution (Regulation) Rules, 2011:

Change of designated bank/ branch/ bank account number of designated FC receipt-cum-utilisation bank account

1. FCRA Registration/ Prior Permission number and date of the association: 2. Official telephone number of the association: 3. E-mail address of the association: 4. Telephone/ mobile number of the Chief Functionary of the association:

(To be filled by applicant giving intimation regarding Change of designated bank/ branch of the bank/ account number of designated FC receipt-cum-utilisation bank account for receipt and utilisation of foreign contribution)

Details of the new designated FC receipt-cum-utilisation bank account of the association for receipt and utilization of foreign contribution: [Table: (1) Name of the Bank (2) Branch Address (3) e-mail (4) IFSC Code (5) Account No (6) Date of Account Opening]

(self-certified copies of letter from the existing bank and the new bank regarding the change to be enclosed)

I hereby affirm that the information furnished above is true and correct; and: (a) The resolution of the governing body has been passed before effecting the changes; (b) The Bank authorities have been duly informed about change in the designated FC receipt-cum-utilisation bank account; (c) None of the key members has been appointed in violation of section sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010). (strike out whichever is not applicable)

[Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Association)

Darpan ID*** The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

***Note: - Furnishing of Darpan ID shall be optional.

Subject: Intimation under rule 9 and rule 17A of the Foreign Contribution (Regulation) Rules, 2011 to the Central Government regarding opening of additional FC-utilisation account in respect of the association granted registration/ prior permission under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010):

Sir, I, as an individual/ association/company hereby submit the following intimation as required under rule 17A of the Foreign Contribution (Regulation) Rules, 2011:

Opening of additional FC-utilisation Bank Account for the purpose of utilisation of foreign contribution

1. FCRA Registration/ Prior Permission number and date of the association: 2. Official telephone number of the association: 3. E-mail address of the association: 4. Telephone/ mobile number of the Chief Functionary of the association:

(To be filled by applicant giving intimation of opening of Utilisation Bank Account(s) for the purpose of utilization of foreign contribution) [Table: (1) Name of the Bank (2) Branch Address (3) e-mail (4) IFSC Code (5) Utilisation Account Number (6) Date of Account opening]

I hereby affirm that the information furnished above is true and correct and (a) the resolution of the governing body has been passed before opening of additional FC-utilisation account; (b) the Bank authorities have been duly informed about opening of additional FC-utilisation account; (c) none of the key members has been appointed in violation of sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010). (strike out whichever is not applicable)

[Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Association)

Darpan ID*** The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

***Note: - Furnishing of Darpan ID shall be optional.

Subject: Intimation under rule 9 and rule 17A of the Foreign Contribution (Regulation) Rules, 2011 to the Central Government regarding Change in key members in respect of the association granted registration/ prior permission under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010):

Sir, I, as an individual/association/company hereby submit the following intimation as required under rule 17A of the Foreign Contribution (Regulation) Rules, 2011:

Change in fifty per cent. or more of the original Key members of the association

1. FCRA Registration/ Prior Permission number and date of the association: 2. Official telephone number of the association: 3. E-mail address of the association: 4. Telephone/ mobile number of the Chief Functionary of the association:

(To be filled by applicant giving intimation regarding change in fifty per cent. or more of the original key members of the association)

Details of all the key members of the association after change in fifty per cent. or more of the original key members, as reported in the application for grant of registration/prior permission/renewal of registration of the association under the Foreign Contribution (Regulation) Act, 2010: [Table: (1) Name (2) Name of father/spouse (3) Nationality (4) Aadhaar Number* (5) PAN (6) Occupation (7) Designation in the Association (8) Relationship with other Member(s) (9) Contact Details] *Note: - Furnishing of details of Aadhaar number in column (4) shall be optional.

If any of the above is a foreigner (including PIO/OCI card holder), details thereof: [Table: (1) Name (2) Date and Place of birth (3) Passport number (4) Address in the foreign country (5) Whether a person of Indian origin (6) PIO/OCI Card Number, if any (7) If resident in India, date from which residing in India]

I hereby affirm that the information furnished above is true and correct; and (a) the resolution of the governing body has been passed before effecting the changes; (b) none of the key members has been appointed in violation of sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010). (strike-out whichever is not applicable)

[Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Association)

[To be executed by each office bearer and key functionary and member individually on non-judicial stamp paper of Rs.10/- and attested by a Notary Public or 1st Class Magistrate]

AFFIDAVIT

I, (name of the Chief Functionary / Chairperson/ President/Secretary/ Chief Executive Officer/ Managing Director/office bearer/key functionary/member), son/daughter/wife of ......................................, resident of ............................, having Aadhaar Number /PAN Card Number / Passport Number / Voter Identity Card Number/ Driving Licence Number as the identity proof, do hereby solemnly affirm on oath that I am the Chief Functionary / Chairperson/ President/Secretary/ Chief Executive Officer/ Managing Director/office bearer/ key functionary/ member (whichever is applicable) of (name of the applicant organisation), having its registered office at and I have read and understood the provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) and confirm that all the conditions as stipulated in sub-section (4) of section 12 of the said Act are fulfilled.

2. I also undertake to report to the Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (Foreign Contribution Regulation Act Wing) about any violation of the provisions of sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 by the applicant organisation or any of its members or office bearers or key functionaries that comes to my knowledge.

3. I also understand that submission of any false or misleading information shall be punishable under the applicable law.

Place: ________

Date: ________

Deponent

VERIFICATION

I, , above named deponent do hereby verify that the contents of the aforesaid paragraphs 1 to 3 are true to the best of my knowledge and nothing has been concealed therefrom.

Verified at on this the ________ day of ________

Place: ________

Date: ________

Deponent

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) New Delhi-110002

Subject:— Intimation to the Central Government of receipt of foreign contribution by way of gift from relative by an individual / foreign contribution in the form of articles/ securities/ by a candidate for election [section 21 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010)]:

Sir,

I/We (name of person/association), as an individual/ person/association/ company registered under Companies Act 1956/ Companies Act 2013, hereby, gives intimation of:

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) New Delhi-110002

Subject:— Application for seeking prior permission of the Central Government to accept foreign hospitality.

[Note: For foreign hospitality availed in case of emergent medical aid situation, intimation to be given on plain paper to the Secretary, Ministry of Home Affairs at the address mentioned in FORM FC-2, within one month of such receipt of foreign hospitality.]

1. Name in full:

2. Date of birth:

3. Name of father/husband:

4. PAN number:

5. Aadhaar number:

6. Contact details: (a) Address: (b) Telephone and mobile number with STD code: (c) e-mail address:

7. Passport particulars (if already in possession):

8. Status:— (a) Member of Legislature (b) Office bearer of a political party (c) Judge of Supreme Court/High Court (d) Government Servant (e) Employee of a corporation or any other body owned or controlled by Government:

9. Details of hospitality proposed to be availed: [Table]

10. Hospitality availed during the last three years: [Yes/No] (a) If yes, details thereof: [Table]

11. Whether acceptance of foreign hospitality was ever denied to the applicant, if yes, details thereof:

12. Particulars of host(s): [Table]

1. Nature of connection/relationship with the host or foreign source extending the hospitality:

2. Letter from the host regarding the details of hospitality to be extended and recommendation Letter from the organisation to which the applicant belongs are to be enclosed.

I/We (name of person/association) hereby declare that the above particulars furnished by me are true and correct.

Place: Date:

(self-certified copy of the registration certificate to be enclosed):

(c) PAN (Permanent Account Number) of the person/association:

4. Nature of the person/association: (a) religious (b) cultural (c) economic (d) educational (e) social

Note: If a religious person/association, state whether (a) Hindu (b) Sikh (c) Muslim (d) Christian (e) Buddhist (f) Others.

6. (a) Details of all office bearers or directors or other key functionaries of the person/association: [Table: Name | Name of father/spouse | Nationality | Aadhaar number | PAN | Occupation | Designation | Relationship | Contact details]

(b) If any of the above is a foreigner (including PIO/OCI card holder), details thereof: [Table]

7. Amount of fee paid (Rs.):

8. Whether any current office bearers or directors or other key functionaries of the person/association has, in the discharge of his/her official functions or private conduct: (a) been convicted by any court of law: (b) under prosecution for any offence pending against him: (c) been found guilty of diversion or mis-utilisation of funds: (d) has been prohibited from accepting foreign contribution: (e) is a current key functionary of any other person/association: (f) is a current key functionary of any other person/association against whom an order under sections 13 or 14 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) has been passed:

Note: If any of the replies to (a) to (f) above is "yes", then full details of the case must be given.

9. Whether the applicant person/association: (a) is a branch / unit / associate of a foreign based organisation: (b) attracts section 10 of the Act: (c) has been directed in terms of clause (d) of section 9: (d) had earlier been proceeded against:

10. Details of "FCRA Account" for receipt of foreign contribution: [Table: Name of the Bank | Branch address | e-mail | IFSC Code | Account Number | Date of account opening]

11. Prior permission details and whether violations occurred:

12. Whether previous applications were made, and close links with other associations:

Yours faithfully, [Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the person/association)

(a) I/We (name of person/association) hereby declare that the information furnished above is true and correct;

(b) I/We (name of person/association) undertake that the receipt of foreign contribution and its utilisation shall not be violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) and the rules, notifications or orders issued thereunder from time to time; and

(c) I/We (name of person/association) hereby certify that the office bearers and key functionaries and members fulfill all the eligibility criteria laid out in sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 and an affidavit executed by each office bearer and key functionary and member in Proforma 'AA' is uploaded with this application form

Place: Date: [Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Organisation/person/association)

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) New Delhi-110002

Subject:—Application for 'prior permission' under sub-section (2) of section 11 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for the acceptance of foreign contribution by a person/association having definite cultural, economic, educational, religious or social programme:

Sir, I/We (name of person/association), as an individual/ Hindu undivided family / person/association / company registered under the Companies Act 1956 or the Companies Act, 2013, furnish the following details and apply for approval of the Central Government for the acceptance of foreign contribution under sub-section (2) of section 11 of the Act for prior permission.

1. Details of the applicant/person/association: (a) Name in full: (b) Address: (c) Telephone No.: (d) e-mail address: (e) official Website address: (f) Telephone and mobile of the chief functionary:

2. Details of registration: (a) Name of the Act under which registered: (b) Number, date and place of registration: (c) PAN:

3. Nature of person/association: (a) religious (b) cultural (c) economic (d) educational (e) social

5. (a) Details of all office bearers or directors or other key functionaries: [Table] (b) If any of the above is a foreigner, details thereof: [Table]

6. Amount of fee paid (Rs.):

7. Whether any current office bearers has: (a) been convicted: (b) under prosecution: (c) been found guilty of diversion: (d) been prohibited: (e) is current key functionary of other association: (f) is current key functionary of association against whom order passed:

8. Whether the applicant person/association: (a) is a branch/unit/associate of foreign organisation: (b) attracts section 10: (c) has been directed to seek prior permission: (d) had earlier been proceeded against:

9. Details of FCRA bank account for receipt of foreign contribution: [Table]

10. Prior permission details.

11. Whether previous applications were made.

12. Details of commitment of foreign contribution from donor: [Table]

1. Details of foreign source(s) from which the foreign contribution is proposed to be received: [Table]

Yours faithfully, [Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the person/association)

(a) I/We (name of person/association), hereby declare that the information furnished above is true and correct; (b) I/We (name of person/association), undertake that the receipt of foreign contribution and its utilisation shall not be violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) and the rules, notifications or orders issued thereunder from time to time; (c) I/We (name of person/association), hereby certify that the office bearers and key functionaries and members fulfill all the eligibility criteria laid out in sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 and an affidavit executed by each office bearer and key functionary and member in Proforma 'AA' is uploaded with this application form.

Place: Date: [Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Organisation/Person/association)

Darpan ID

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) New Delhi-110002

Subject: Application for 'renewal' under section 16 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for the acceptance of foreign contribution by an person/association having definite cultural, economic, educational, religious or social programme:

I/We (name of person/association), as an individual/ Hindu undivided family / person/association / company registered under Companies Act 1956 / Companies Act, 2013, furnish the following details and apply for approval of the Central Government for Renewal of registration certificate granted under sub-section (1) of section 11 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010).

1. Details of the applicant/person/association: (a) Name in full: (b) Address: (c) Telephone number: (d) e-mail address: (e) official website address: (f) Telephone and mobile of the chief functionary:

2. Details of registration: (a) Name of the Act: (b) Number, date and place of registration: (c) PAN: (d) Foreign Contribution (Regulation) Act registration number and date: (e) Amount of foreign contribution received during last three financial years: [Table]

3. Nature of person/association: (a) religious (b) cultural (c) economic (d) educational (e) social

5. (a) Details of all office bearers or directors or other key functionaries: [Table] (b) If any foreigner, details: [Table] (c) Details of changed key functionaries: [Table]

6. Amount of fee paid (Rs.):

7. Whether any current office bearers has: (a)-(f) various conduct questions:

8. Whether the applicant person/association: (a)-(d) various status questions:

9. (a) Details of "FCRA Account" for receipt of foreign contribution: [Table] (b) Details of all utilisation bank accounts: [Table]

10. Prior permission details and violations:

11. Whether previous applications were made and close links:

Yours faithfully, [Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the person/association)

(a) I/We (name of person/association) hereby, declare that the information furnished above is true and correct;

(b) I/We (name of person/association) undertake that the receipt of foreign contribution and its utilisation shall not be violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) and the rules, notifications or orders issued thereunder from time to time;

(c) I/We (name of person/association) hereby certify that the office bearers and key functionaries and members fulfil all the eligibility criteria laid out in sub-section (4) of section 12 of the Foreign Contribution (Regulation) Act, 2010 and an affidavit executed by each office bearer and key functionary and member in Proforma 'AA' is uploaded with this application form.

Place: Date: [Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Organisation/Person/association)

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing), Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

Subject: Account of Foreign Contribution (FC) for the year ending on the 31st March

1. (a) Name and address of person/association (b) FCRA registration/prior permission number and date:

2. Details of receipt of foreign contribution: [Tables for income, donor-wise details]

3. Details of utilisation of foreign contribution: (a) Details of activities/projects [Table]

(c) Foreign contribution transferred to other person/associations before 29.09.2020 [Table] (d) Total utilisation in the year:

4. Details of unutilised foreign contribution: (i) Total foreign contribution invested in term deposits [Table] (ii) Balance of unutilised foreign contribution (iii) Total unutilised foreign contribution:

5. Details of foreigners as key functionary/working/associated:

6. Details of land and buildings remained unutilised for more than two years: [Table]

7. (a) Details of "FCRA Account" for receipt of foreign contribution [Table] (b) Details of another "FCRA Account" [Table] (d) Details of all utilisation bank accounts [Table]

* Note: Wherever the answer of above question is in 'yes', brief details must be provided.

I/We (person/association) hereby declare that the above particulars furnished by me are true and correct. I also affirm that the receipt of foreign contribution and its utilisation have not been violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010), and the rules, notifications or orders issued thereunder from time to time and the foreign contribution was utilised for the purpose(s) for which the person/association was granted registration/ prior permission by the Central Government.

Place: Date: [Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the person/association)

I have audited the account of (name of person/association and its full address) for the financial year ending the 31st March and examined all relevant books and vouchers and certify that according to the audited account: (i)-(vii) various certifications.

Place: Date: Signature of chartered accountant (Seal, address and registration number)

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing), Major Dhyan Chand National Stadium, India Gate, New Delhi-110002

Subject: Intimation under rule 9 and rule 17A of the Foreign Contribution (Regulation) Rules, 2011 to the Central Government regarding Change of name / address in respect of the person/association granted registration/ prior permission under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010):

Sir, I/We (name of person/association) as an individual/ person/association/ company hereby submit the following intimation as required under rule 17A of the Foreign Contribution (Regulation) Rules, 2011:

Change of name and/or address of the Person/association

1. FCRA registration/prior permission number and date:

2. Official telephone number:

3. E-mail address:

4. Telephone/mobile number of the chief functionary:

(i) Amended/changed name: (ii) Amended/changed address:

I/We (Name of person/association) hereby affirm that the information furnished above is true and correct.

[Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the person/association)

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) New Delhi-110002

Subject: Intimation under rule 9 and rule 17A of the Foreign Contribution (Regulation) Rules, 2011 to the Central Government regarding Change of nature, aims and objects and registration with local/relevant authorities in respect of the person/association granted registration/ prior permission under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010):

Sir, I/We (name of person/association) as an individual/ person/association/ company hereby submit the following intimation as required under rule 17A of the Foreign Contribution (Regulation) Rules, 2011:

Change of nature, aims and objects and registration with local/relevant authorities in respect of the person/association for which registration/ prior permission granted under the above Act

1. FCRA Registration/prior permission number and date: 2. Official telephone number: 3. e-mail address: 4. Telephone/mobile number of the chief functionary:

(i) Amended/changed nature: (ii) Amended/changed aims and objects: (iii) Amended/changed registration No.:

I/We (name of person/association) hereby affirm that the information furnished above is true and correct.

[Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the person/association)

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) New Delhi-110002

Subject: Intimation under rule 9 and rule 17A of the Foreign Contribution (Regulation) Rules, 2011 of the designated "FCRA Account" in the State Bank of India, New Delhi Main Branch, 11, Sansad Marg, New Delhi and change of another "FCRA Account" of choice, if any, under section 17 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) in respect of the person/association granted registration/prior permission under the Act.

Sir, I/We (name of person/association) as an individual/ person/association/ company hereby submit the following intimation as required under rule 17A of the Foreign Contribution (Regulation) Rules, 2011:

(i) Intimation of the designated "FCRA Account" in SBI; OR (ii) Change of another "FCRA Account".

1. FCRA registration/prior permission number: 2. Official telephone number: 3. E-mail address: 4. Telephone/mobile number of the chief functionary:

Details of the designated "FCRA Account": [Table]

I/We (name of Person/association) hereby affirm that the information furnished above is true and correct.

[Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the person/association)

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) New Delhi-110002

Subject: Intimation under rule 9 and rule 17A of the Foreign Contribution (Regulation) Rules, 2011 to the Central Government regarding opening of additional FC-utilisation account in respect of the person/association granted registration/ prior permission under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010):

Sir, I/We (name of person/association) as an individual/ person/association/ company hereby submit the following intimation as required under rule 17A of the Foreign Contribution (Regulation) Rules, 2011:

Opening of additional FC-utilisation Bank Account for the purpose of utilisation of foreign contribution

1. FCRA registration/prior permission number: 2. Official telephone number: 3. e-mail address: 4. Telephone/mobile number of the chief functionary:

[Table: Bank account details for utilisation]

I/We (name of person/association) hereby affirm that the information furnished above is true and correct.

[Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the person/association)

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) New Delhi-110002

Subject: Intimation under rule 9 and rule 17A of the Foreign Contribution (Regulation) Rules, 2011 to the Central Government regarding Change in key members in respect of the person/association granted registration/ prior permission under the Foreign Contribution (Regulation) Act, 2010 (42 of 2010):

Sir, I/We (name of person/association) as an individual/ person/association/ company hereby submit the following intimation as required under rule 17A of the Foreign Contribution (Regulation) Rules, 2011:

1. FCRA registration/prior permission number: 2. Official telephone number: 3. e-mail address: 4. Telephone/mobile number of the chief functionary:

Details of all the key members after change: [Table: Name | Name of father/spouse | Nationality | Aadhaar Number | PAN | Occupation | Designation | Relationship | Contact Details]

If any foreigner (including PIO/OCI card holder), details thereof: [Table]

I/We (name of person/association) hereby affirm that the information furnished above is true and correct.

[Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the person/association).

The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) New Delhi-110002

Subject: Application for surrender of certificate of registration.

Sir, I/We (name of person/association), on behalf of the person/association apply for surrender of certificate of registration to the Central Government under section 14A of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) as per details given below:

1. FCRA registration number:

2. a. Details of the person/association: (i) Name in full: (ii) Contact details: (a) Address: (b) Official telephone number: (c) Official e-Mail address: (d) Landline/mobile telephone number of the chief functionary: (iii) PAN: (iv) Aadhaar Number of chief functionary:

b. Details of registration: (i) Name of the Act under which registered: (ii) Registration number, date and place of registration:

c. "FCRA Account" details of the person/association: [Table: Name of the Bank | Branch Address | e-mail | IFSC Code | Account No. | Date of account opening]

3. I/We (name of person/association) hereby declare that the information furnished above is true and correct. I/We (Name of person/association) also affirm that no accounts other than those mentioned above has been opened for receipt and utilisation of foreign contribution.

[Name of the chief functionary (Chairperson/President/Secretary/CEO/MD) in block letters] (Seal of the Person/association)

Place: Date: