Form FC – 1A

[See rule 3(aa)]

Form of application for seeking prior permission from the Central Government under the Foreign
Contribution (Regulation) Act, 1976 (hereinafter referred to as the Act) for the acceptance of
foreign contribution by an Association having a definite cultural, economic, educational, religious
or social programme.

No___________________ Date __________

To
The Secretary to the Government of India,
Ministry of Home Affairs, Jaisalmer House, 26, Mansingh Road,
New Delhi – 110011

Subject: Application for seeking the prior permission of the Central Government under the
Foreign Contribution (Regulation) Act, 1976 for acceptance of foreign contribution.

Sir,

I,________________________, on behalf of the Association named hereafter, apply for seeking

prior permission of the Central Government for the acceptance of foreign contribution under
proviso to sub-section (1) of section 6 or under sub-section (1A) of that section or clause (b) of
section 10 of the Act.
1. (i). Name of the Association
and its complete postal address:
Name.
Address.
Town/City.
State.
District.

Pin Code.
(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).
(iii) Nature of Association:
(a) religious (b) cultural (c)
economic (d) educational (e)
social.
Note: If a religious Association,
then state whether (a) Hindu (b)
Sikh (c) Muslim (d) Christian
(e) Buddhist (f) Others.
(iv) Please indicate the main
aim(s) and object(s) of the
Association (enclose a of copy
of the Memorandum of
Association and/or the Articles
of Association, if applicable).

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(v) Please furnish the names and address of the members of the Executive committee/Governing
Council etc. of the Association, including the Chief Functionary, in the following manner:
Sl Name. Name of Nationality. Occupation. Office held Relation Address
No. Father/Husband. in the with
Association, other
if any. office-
bearers,
if any.
1. 2. 3. 4. 5. 6. 7. 8.

2. Please indicate whether any member

of the Executive Committee /Governing
Council etc. of the Association,
including the Chief Functionary has, in
the discharge of his/her official
functions -
(a) been convicted by any court of law;
(b) a prosecution for any offence
pending against him/her;
(c) been found guilty of diversion or
misutilisation of funds of the
Association or any other association in
the past.
3. Please indicate whether the applicant
Association -
(a) is a branch/unit/associate of foreign
based organisation or another
association already registered under the
Act. If so, name and address of the
parent organisation should be furnished;
(b) has been directed by the Central
Government in terms of the proviso to
sub-section (1) of section 6(1) of the Act
to seek prior permission. If so, the
number and date of the relevant order
should be furnished;
(c) has been directed by the Central
Government in terms of section 10 (b)
of the Act to seek prior permission. If
so, the number and date of the relevant
order should be furnished.
4. Please indicate -
(i) whether the Association ever applied
for registration under the Act in the past,
if so,
(a) the date of submission of
application for registration;

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(b) the number and date of last
reference, if any, received from the
Ministry;
(c) whether registration was refused;
(d) whether the application for
registration is still pending.
(ii) whether the Association has close
links with another association, or its unit
or branch which has been -
(a) refused registration under the Act,
(b) prohibited from accepting foreign
contribution.
5. Please indicate, -
(i) whether the Association was, –
(a) granted prior permission to receive
foreign contribution under the Act in
the past . If so, the number and date of
the letter granting prior permission
should be furnished;
(b) whether the account of the receipt
and utilisation of the foreign
contribution received above was sent to
the Central Government in the
prescribed form. If so, the date of
submission of the accounts should be
furnished;
(c) If the prior permission was granted
in the current year, details of the foreign
contribution received and utilised,
purpose-wise, showing the unspent
balance should be annexed.
(ii) whether the Association has received
foreign contribution without the prior
permission of the Central Government,
in the past. If so, -
(a) full particulars of the foreign
contribution received, address of the
branch of the bank and account number
in which deposited should be furnished;
(b) whether the said violation has been
condoned by the Central Government;
(c) whether the Association has been
prohibited from accepting foreign
contribution under the Act.
6. Please indicate whether the
Association is owner / printer /
publisher, editor of a publication which
is a “registered newspaper” under the
Press and Registration of Books Act,
1867.
7. Please furnish -
(i) details of the activities of the
Association during the past three-years;
(ii) copies of the audited statement of
accounts of the Association for the past
three years.

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8. (i) Please indicate the –
(a) nature and value of the foreign
contribution to be received (a copy of
the latest commitment letter from the
donor should be furnished);
(b) the purpose for which the foreign
contribution is proposed to be received
and utilised indicating also the
geographical area(s) to be covered.
(ii) a copy of the proposal/project which
has been approved by the foreign source
for funding, including projected outlays
/ budget breakup, should be enclosed.
(iii) a copy of the proposal/project
which has been approved for funding
out of the foreign contribution should be
enclosed (This column applies only to
subsequent recipients).
9. Please indicate -
(i) the name of the bank and address of
the branch through which the foreign
contribution is proposed to be received;
(ii) the account number in the said
branch of the bank.
10. Please indicate the particulars of the
foreign source or the sources* from
which the foreign contribution is
proposed to be received: -
(a) If an individual, his personal
particulars including name, present
address, permanent address, nationality,
profession;
(b) If an organisation / institution /
association / trust / trade union etc., full
particulars thereof, including -
(i) Full name and complete address.
(ii) Address of the Head office /
principal office.
(iii) Particulars of Chief Functionary and
important office bearers.
(b) Please indicate whether the
foreign source is a government of a
foreign country or agency thereof.
10 A. Whether a recommendation
certificate from the competent authority
is attached (Yes/No).
11. Any other information which the
Association may like to furnish.
Yours faithfully,

Signature of the Applicant

[Name of the Chief Functionary or
authorised office bearer (with seal
of the Association)]

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 Declaration

I hereby declare that the above particulars furnished by me are true and correct.

Place:
Date:

Signature of the applicant

[Name of the Chief Functionary or
authorised office bearer (with seal
of the Association)]

*If the foreign contribution, whether currency or article is to be received from any person or
association who has received the same as first, second or subsequent recipient, particulars of such
person or association should be given against column 10 above.

Note: 1. An incomplete application i.e., without necessary documents/details/explanations is

likely to be rejected summarily.
2. In case the space against any column is insufficient, separate annexure should be
attached.
3. Please use CAPITAL LETTERS.
4. The application should be signed by the Chief Functionary or authorised office bearer
of the Association.

CERTIFICATE

This is to certify that the______________________(Name of the association) having its registered

office at ________________________(Address) has been formed for undertaking welfare activities in
its chosen___________(Economic, Educational, Cultural, Religious and Social)* field of activity. The antecedents of
the organisation have been verified and there is nothing adverse against them.
2. Its proposed project would be undertaken in the _________(District) of ____________
(State).. The said project is likely to prove beneficial to the people living in the area.
3. Grant of prior permission to the aforementioned association to accept foreign
contribution amounting to ___________ (Currency/Amount) from ____________________(Name and Address
of the foreign donor) under the Foreign Contribution (Regulation) Act, 1976 for the said project is
recommended.

(Recommending Authority)**
(With Seal)
*Strike out whichever is not applicable.
**Any concerned -
1) Collector of District.
2) Department of the State Government.
3) Ministry /Department of the Government of India.