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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 - See rules 6, 17 and 18 - Foreign Contribution (Regulation) Rules, 2011

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.... No Part A (To be filled by applicant giving intimation 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/spouse: 4. Contact details of the recipient: (a) Address: (b) Telephone and mobile number with STD code: (c) e-mail address: 5. Permanent Account Number (PAN) of the recipient in India: 6. Aadhaar number of the recipient in India: 7. Amount of foreign contribution received, if it exceeds one lakh rupees or equivalent in a financial year: 8. Number of the bank draft or telegraphic transfer or other communication including the bank details: 9. Details of the relative: (a) Name: (b) Nationality: (c) Country of residence: (d) e-mail address: (e) Passport number: (f) Relationship with the recipient: Declaration I/We (name of person/association) _______________ hereby, declare that the above particulars furnished by me are true and correct. Place: Date: Signature of the applicant (Name, in block letters) Part B (To be filled by applicant giving i....

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....) (7) Declaration I/We (name of person/association) ________________ hereby declare that the above particulars furnished by me are true and correct. Place: Date: Signature of the candidate (Name, in block letters)]     ************** NOTES:- 1.  Substituted vide Notification No. G.S.R. 966(E) dated 14-12-2015 w.e.f. 14-12-2015 before it was read as, "FORM FC-1 [See rule 6] 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 ....

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....me, in block letters) Part B (To be filled by applicant giving intimation about Foreign Contribution (Articles) Account/ Foreign Contribution (Securities) Account) 1. Details of the applicant: (i) Name in full: (ii) Contact Details: (a) Address (b) Official Telephone No.(with STD code): (c) Official e-mail address (iii) FCRA Registration/Prior Permission number and date, if any (iv) PAN (Permanent Account Number) of the Association: 2. Details of articles : Date Name of article (s) Description Name and address of the person from whom received Purpose Quantity Approximate value (Rs.) Mode of Utilisation/Disposal (if disposed to whom) (1) (2) (3) (4) (5) (6) (7) (8) 3. Details of securities Date Nature of security received Name and address of the person from whom received Nominal Value (Rs.) Market value (Rs.) Reserve Bank of India permission Details Mode of Utilisation/ Disposal (if disposed to whom) (1) (2) (3) (4) (5) (6) (7) DECLARATION I hereby declare that the above particulars furnished by me are true and ....

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....ndidate for Election Yes/ No Part A (To be filled by applicant giving intimation 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/Spouse: 4.  Contact details of the recipient: (a)  Address: (b)  Telephone and mobile number with STD code: (c) e-mail address: 5.  Permanent Account Number (PAN) of the recipient in India: 6.  Aadhaar Number of the recipient in India (Optional): 7.  Amount of foreign contribution received, if it exceeds one lakh rupees or equivalent in a financial year: 8.  Number of the Bank Draft or telegraphic transfer or other communication including the Bank Details: 9.  Details of the relative: (a) Name: (b)  Nationality: (c)  Country of residence: (d)  e-mail address: (e)  Passport Number: (f) Relationship with the recipient: 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) Part B....