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    (See Rule 12 (2) ) : (At The Time of

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    anaga1982
    This document is an application form for seeking renewal of registration under the Foreign Contribution (Regulation) Act, 2010. It requests information such as the name and address of the association applying for renewal, details of its executive members, the nature of the association, its registration number and date of expiry, any foreign contribution received with yearly breakdown, utilization of funds, adherence to FCRA provisions, and reasons for seeking renewal. It also requests payment details and a declaration that the information provided is true.

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    (See Rule 12 (2) ) : (At The Time of

    Uploaded by

    anaga1982
    60 views2 pages
    This document is an application form for seeking renewal of registration under the Foreign Contribution (Regulation) Act, 2010. It requests information such as the name and address of the association applying for renewal, details of its executive members, the nature of the association, its registration number and date of expiry, any foreign contribution received with yearly breakdown, utilization of funds, adherence to FCRA provisions, and reasons for seeking renewal. It also requests payment details and a declaration that the information provided is true.

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    formc-5

    Original Title

    formc-5

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    This document is an application form for seeking renewal of registration under the Foreign Contribution (Regulation) Act, 2010. It requests information such as the name and address of the association applying for renewal, details of its executive members, the nature of the association, its registration number and date of expiry, any foreign contribution received with yearly breakdown, utilization of funds, adherence to FCRA provisions, and reasons for seeking renewal. It also requests payment details and a declaration that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    60 views2 pages

    (See Rule 12 (2) ) : (At The Time of

    Uploaded by

    anaga1982
    This document is an application form for seeking renewal of registration under the Foreign Contribution (Regulation) Act, 2010. It requests information such as the name and address of the association applying for renewal, details of its executive members, the nature of the association, its registration number and date of expiry, any foreign contribution received with yearly breakdown, utilization of funds, adherence to FCRA provisions, and reasons for seeking renewal. It also requests payment details and a declaration that the information provided is true.

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    FORM FC 5

    [See rule 12(2)]


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

    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, 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)
    (Phone/Mobile
    no if any)

    Post held
    in the
    Association

    Relationship
    with other
    Member(s)
    of the Exe.
    Council /
    Governing
    body

    Address
    for
    correspondence

    2. Nature of Association:
    3. 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).
    4. Foreign Contribution received, if any,
    since its registration with yearly breakup:
    5. Details of utilisation of funds:
    6. Whether various provisions as stipulated in the Foreign Contribution (Regulation) Act , 2010 (42 of
    2010) adhered to:
    7. Reasons for seeking renewal of certificate:
    8. 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__________________________

    9. 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:
    10. 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)

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