Account of Foreign Contribution (FC) for the year ending on the 31st March_____
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....eign source during the financial year (Rs.): (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: Sl. No. Name of donor(s) Institutional / individual Details of the donor: official address; e-mail address; website address; Purpose for which received (social, cultural, educational, economic, religious) Specific activity project Amount Rs (1) (2) (3) (4) (5) (6) (7) (b) Cumulative purpose-wise (social, cultural, educational, economic, religious) 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....
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.... of during the Financial Year (in Rs.) Value as per the balance sheet (in Rs.) (1) (2) (3) (4) (5) (6) (7) (8) ] (c) Foreign contribution transferred to other person/associations before 29.09.2020 (with effect from the operation of the Foreign Contribution (Regulation) Amendment Act, 2020): Sl. No. Name of the person/association Date Purpose Amount (1) (2) (3) (4) (5) Total (d) Total utilisation in the year (Rs.) (a+c): 4. Details of unutilised foreign contribution: (i) Total foreign contribution invested in term deposits (Rs.): Sr. No. Details Total (in Rs.) (a) Opening Balance of FD (b) FD made during the year (c) Less: realisation of previous FD (d) 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): (d) total Rs.(a+b+c): (iii) Total unutilised foreign contribution (Rs.) (i+ii): 7[(iv) Carry forward of unspent part of allowable ....
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.... Yes No (iii) any functionary of the Association has been prosecuted or convicted under the law of the land? Yes No (iv) any asset created out of foreign contribution is registered in names other than the name of Association? Yes No (v) any domestic contribution has been credited in any "FCRA Account"? Yes No (vi) the Association has received any foreign Contribution in an account other than the designated FCRA receipt Account? Yes No (vii) the Association has utilised foreign contribution for any purpose other than the defined purposes in the FCRA certificate of registration or prior permission? Yes No (viii) the Association has invested any foreign contribution in any speculative activity as defined in rule 4 of the Foreign Contribution (Regulation) Rules, 2011? Yes No (ix) the Association or any of its functionary/office bearer has violated any of the conditions as enumerated under sub-section (4) of section 12 of the Act? Yes No (x) the Association has made expenditure on Administrative expenses exceeding 20 per cent. of the foreign contribution received? Yes No (xi) any fixed asset acquired out of foreign contribution has been sold out? Yes ....
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....balance of unutilised foreign contribution with the person/association at the end of the financial year_____ was Rs_____. ; (v) certified that the person/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 person/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). 13[I have examined all relevant books and records, and I hereby certify the following activities/project wise and location wise details of receipt and utilisation of foreign contribution:- 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) ....
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....nary: (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 wor....
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....sed 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 Governme....
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....ermanent 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 ....
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....he ........................... (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, that is, aims and objects.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/Dep....
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.... 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): Name of the Bank Branch Address (with PIN code) IFSC Code Account No. (1) (2) (3) (4) (b) Details of all utilization bank accounts for utilization of Foreign Contribution (As on 31st March of the year ending): Name of the Bank Branch Address (with PIN code) IFSC Code Account No. (1) (2) (3) (4) 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 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 fo....
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....rnishing 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: S No. Name and location of project/ activity Year of commencement of the project / activity Income during the year (Rs.) 1 Total (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 f....
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....l Year (in Rs.) Value of assets acquired during the Financial Year (in Rs.) Value of assets disposed of during the Financial Year (in Rs.) Value as per the balance sheet at the end of the Financial Year (in Rs.) (1) (2) (3) (4) (5) (6) (bb) Details of immovable properties acquired out of foreign contribution (as on 31st March of Financial Year): Sl. No. Details of immovable asset (Land /Buildings etc.) Size Location (Complete address) Value as per the balance sheet (in Rs.) (1) (2) (3) (4) (5) ] (c) Total purchase of fresh assets (Rs.) Sl. No. Activity in the name of Association Details Purpose Total (in Rs.) (i) Creation of movable assets (ii) Creation of Immovable assets Total (d) FC transferred to other associations Sl. No. Name of the association Date Purpose Amount (1) (2) (3) (4) (5) Total (e) Total utilisation in the year (Rs.) (b+c+d): 4. Details of unutilised foreign c....
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....elevant 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 ....