(at the time of the Exe. of filing the Council / application) Governing body no if any) 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:
(at the time of filing the application) no if any) of the Exe. Council / Governing body 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:
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