Form FC 6 [See rule 17(1)] Account of Foreign Contribution for the year ending on 31 st March, 2014

Transcription

1 To The Secretary to the Government of dia Ministry of Home Affairs, NDCC II Building, Jai Singh Road, New Delhi Association details (i) Name and address Form FC 6 [See rule 17(1)] Account of Foreign Contribution for the year ending on 31 st March, 2014 Jan Vikas Samiti Provincialate, Christnagar P.o.,Varanasi,Uttar Pradesh (ii) Registration number and date [under the Foreign Contribution (Regulation) Act, 2010] (42 of 2010) (iii) Prior permission number and date, if not registered (iv) Nature of association (v) Denomination in case of religious association 2 (i) Total number of foreign contribution received during the year (ii) terest earned on the foreign contribution during the year Social (a) the designated bank account (b) On investments made (Fixed Deposit Receipt etc) during the year or in the preceding years Purpose(s) for which foreign contribution has been received and utilized (in rupees) Sl.No. Purpose 1 2 Other expenses. Payment of salaries / honorarium. Previous balance As first receipient Receipt during the year As Second receipient Total Utilised Balance /6

2 Relief / Rehabilitation of victims of natural Welfare of children Welfare / 6 Empowerment of women. Total: A. Purpose(s) for which foreign contribution has been received and utilized Places with addresses of specific activities Sl.No. Purpose Specific Activity Address Other expenses. Payment of salaries / honorarium. Relief / Rehabilitation of victims of natural Establishment Expenses Staff Personnel Salaries and Honorarium A Child Focused Community Development Programme for the Flood affected Families in Bihar Welfare / Community Development Empowerment Programme for Womnenof women. IND66430 Welfare of children. Elimentry Education to Childre of Slums in Varanasi City IND66523 clusive Development for the Disabilities Kudra Community Eye Health and Community Based Rehabilitation Christnagar Post, Varanasi, Varanasi, Uttar Pradesh, PIN: Christnagar Post, Varnasi, Varanasi, Uttar Pradesh, PIN: Ranipatti kumarkhand block Madhepura District Bihar, Madhepura, Madhepura, Bihar, PIN: Pindra and Haraua Block of Varnasi and Unchaulia of Lakhimpur Kheri district and Theresapur of Mirzapur District and Faherpur of Fathepur District, Varanasi Lakhimpur Kheri Mirzapur and Fathepur, Varanasi, Uttar Pradesh, PIN: Varanasi City, Varanasi, Varanasi, Uttar Pradesh, PIN: Block Durgawati Kaimpur Didtrict, Durgawati, Kaimur, Bihar, PIN: Pindra Block of Varanasi District, Varanasi, Varanasi, Uttar 2/6

3 for Visually Impaired Children Eye Care Unit Vision Center clusive Development for the Disabilities Saharsha clusive Development for the Disabilities Bhithiri clusive Development for the Disabilities Capacity Building Training programme for stakeholders Community Eye Health and clusive Education fir Visually Impaired Children clusive Development for the Disabilities Benipur clusive Development for the Disabilities Programe Coordination office expenses clusive Development for the Disabilities Contribution to other Societies for Implementation Pradesh, PIN: Haraua and Pindra Blocks of Varanasi, Varanasi, Varanasi, Uttar Pradesh, PIN: Islamiya Chaowk, Bypass road, Saharsa, Saharsa, Bihar, PIN: Devkali Block, Gazipur district, Saidpur, Ghazipur, Uttar Pradesh, PIN: North and North East Regions of dia, Varanasi, Varanasi, Uttar Pradesh, PIN: Haraua and Pindra block, Varanasi, Varanasi, Uttar Pradesh, PIN: Haraua and Pindra block of Varanasi district, Varanasi, Varanasi, Uttar Pradesh, PIN: Christnagar post Varanasi, Varanasi, Varanasi, Uttar Pradesh, PIN: North and North East Regions of dia, Varanasi, Varanasi, Uttar Pradesh, PIN: Caution: Submission of false information or concealment of material facts shall attract the relevant provisions of the Foreign Contribution (regulation) Act, 2010 (42 of 2010), warranting appropriate action 3/6

4 4. Name and address of the designated branch of the bank and account number (as specified in the application for registration/prior permission or permitted by the Central Government) A/c No Bank name Union Bank of dia Address Varanasi Cantt Branch,, Varanasi,, Uttar Pradesh 5. Donor wise receipt of foreign contribution (in rupees) Sl.No Donor Name Address Purpose Receipt Amount date stitutional donors(a): 1 OTHER Other expenses. 31/03/ OTHER Other expenses. 31/10/ Holistic Child Development dia Holistic Child Development dia Holistic Child Development dia CNI Bhawan 16,,Pandit Pant Marg,New Delhi CNI Bhawan 16,,Pandit Pant Marg,New Delhi CNI Bhawan 16,,Pandit Pant Marg,New Delhi Relief / Rehabilitation of victims of natural Relief / Rehabilitation of victims of natural Relief / Rehabilitation of victims of natural 24/06/ /11/ /01/ MANOS UNIDAS Barquilla, Welfare of children. 12/12/ Kiran Stiftung U Keller Girtanner STR ,ST Gallen,Switzerland, Welfare of children. 04/12/ Stichting Liliane Fonds 9 Stichting Liliane Fonds 10 Stichting Liliane Fonds 11 Stichting Liliane Fonds 12 Stichting Liliane Fonds 13 Stichting Liliane Fonds 14 Stichting Liliane Fonds physically and physically and physically and physically and physically and physically and physically and 09/07/ /07/ /08/ /08/ /08/ /09/ /10/ /6

5 15 Stichting Liliane Fonds 16 Stichting Liliane Fonds 17 Stichting Liliane Fonds 18 Stichting Liliane Fonds 19 Stichting Liliane Fonds 20 Stichting Liliane Fonds 21 Stichting Liliane Fonds 22 Stichting Liliane Fonds Stichting Bijzondere Gezondheidszorg Royal Commonwealth Society for the Blind Royal Commonwealth Society for the Blind 26 Stichting Liliane Fonds 27 Stichting Liliane Fonds 28 Stichting Liliane Fonds 29 Stichting Liliane Fonds 30 Stichting Liliane Fonds 31 Stichting Liliane Fonds dividual donors(b): 1 Etudiants Volontaries Elzenhof AC Berken Woude,The Netherlands, physically and physically and physically and physically and physically and physically and physically and physically and physically and A 3 Shivdham New Link physically Road,Kanchpada Malad west,mumbai and A 3 Shivdham New Link physically Road,Kanchpada Malad west,mumbai and Boulevard Dubreuil,91400 physically and physically and physically and physically and physically and physically and 15/10/ /10/ /11/ /11/ /12/ /12/ /01/ /02/ /04/ /06/ /07/ /04/ /04/ /05/ /05/ /06/ /06/ Other expenses. 22/08/ /6

6 Orsay,Germany, 2 Les Anges Marie Joss Lynn Lemire Jocelyne,Canada, Other expenses. 07/11/ Total(A+B) Country wise receipt of foreign contribution (in rupees) Sl.No Country Name Amount 1 Canada Germany dia Netherlands Spain Switzerland Total Declaration I hereby declare that the above particulars furnished by me are true and correct. I also affirm that the foreign contribution has been utilised for the purpose(s) for which the association has been registered / prior permission obtained, to the best of my knowledge.i have not concealed or suppressed any fact. Place: Signature of the Chief Functionary (Name of the Chief Functionary and Seal of the Association) Date: Returns submitted to the ministry: Thursday, November 13, 2014 Application printed on: Monday, November 30, /6