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TMI BlogAccount of Foreign Contribution (FC) for the year ending on the 31st March_____X X X X Extracts X X X X X X X X Extracts X X X X ..... 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, in the following table: Sl. No. Name Name of father/husband Nationality Occupation with address of place of work (at the time of filing the application ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... e 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 vio ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... y [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 no. . Dated .. 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, Note: Proforma f ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... cational, 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. 3. Substituted vide NOTIFICATION No. G.S.R. 199(E) dated 07-03-2019 before it was read as 2 [FORM FC - 4 [See rule 17] 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 ye ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ceipt 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) 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 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 deri ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... / Individual Details of the donor: official Address; email address; Website address; Purpose(s) for which received (Social, Cultural, Educational, Economic, Religious) Specific Activity/ project Amount Rs (1) (2) (3) (4) (5) (6) (7) (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) Sl. No. Name of project/ activity Address/ Location Previous balance Receipt during the year Utilised Balance In cash In kind In cash In kind In cash In kind In cash In kind (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (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 whic ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... of Opening Account (1) (2) (3) (4) (5) (6) (7) (b) Details of all utilisation bank accounts for utilisation of Foreign Contribution (As on 31st March of the year ending): Name of the Bank Branch Address (with PIN code) Phone No. E-mail IFSC Code Account No. Date of Opening Account (1) (2) (3) (4) (5) (6) (7) Declaration 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) 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 ..... X X X X Extracts X X X X X X X X Extracts X X X X
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