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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 [section 21 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010)]

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..... on 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 Part A (To be filled by applicant giving intimation of receipt of foreign contribution by way of gift from relative) .....

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..... 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.) .....

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..... Individual Donor nationality Relationship with donor Utilisation details (1) (2) (3) (4) (5) (6) (7) 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) ] *********** Notes 1. Inserted vide S.O. 349(E) dated 29-04-2011 2. Substituted vide NOTIFICATION No. G.S.R. 966(E) dated 14-12-2015 before it was read as 1 [FORM FC-I [See rule 6] The Secretary to the Governmen .....

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..... oreign 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 Part A (To be fil .....

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..... 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/ Dispo .....

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