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Application for ‘prior permission’ under sub-section (2) of section 11 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for the acceptance of foreign contribution by an Association having definite cultural, economic, educational, religious or social programme

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..... Chand National Stadium, India Gate, New Delhi-110002 ***Note: - Furnishing of Darpan ID shall be optional. Subject: Application for prior permission under sub-section (2) of section 11 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) for the acceptance of foreign contribution by an Association having definite cultural, economic, educational, religious or social programme: Sir, I______________ , as an individual/ Hindu Undivided Family / association / company registered under Companies Act 1956 / Companies Act, 2013, furnish the following details a .....

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..... ndu (b) Sikh (c) Muslim (d) Christian (e) Buddhist (f) Others. 4. Main aim(s) and object(s) of the Association (enclose self-certified copy of relevant pages of the Memorandum of Association and/or the Articles of Association, showing aims and objects of association): 5. (a) Details of the key functionaries of the Association: Name Name of father/ spouse Nationality Aadhaar Number* PAN Occupation Designation in the Association Relationship with other Member(s) of the Execu .....

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..... offence pending against him/her: (c) been found guilty of diversion or mis-utilisation of funds of the Association or any other Association in the past: (d) has been prohibited from accepting foreign contribution: (e) is a current Key functionary of any other association: (f) is a current Key functionary of any other association against whom an order under sections 13 or 14 of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) has been passed: Note: If any of the replies to (a) to (f) above is yes , then full details of the case must be given: .....

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..... (a) If granted prior permission in past to receive foreign contribution, number and date of sanction: (b) Date of submission of yearly accounts thereof: (ii) Whether: (a) the Association has received foreign contribution without prior permission in the past. If so, furnish full particulars: (b) said violation has been condoned/ compounded by the Central Government, if so, the number and date of the relevant order: (c) Association has been prohibited from accepting foreign contribution, if so, details thereof: 11. Whether: .....

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..... (2) (3) (4) 13. Details of foreign source(s) from which the foreign contribution is proposed to be received: Name of foreign source Office Address; official e-mail address In case of individual donor (1) (2) (3) Name of father/ spouse Nationality and Passport no. Occupation Yours faithfully, [Name of the Chief Functionary (Chairperson/President/Secretary/CEO/MD) .....

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