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ApplicationformforchangeofBankAccount/Bank

[ApplicationformforseekingchangeinthedesignatedBankAccount/Bankoftheassociationgranted
registration/priorpermissionunderFCRA.

No.....................................................................Date.......................................

To
TheSecretarytotheGovernmentofIndia
MinistryofHomeAffairs,JaisalmerHouse,
26,ManSinghRoad,NewDelhi110011

Subject:ApplicationforchangeinthedesignatedBank/BankAccountofassociation
registered/grantedpriorpermissionunderForeignContribution(Regulation)Act.
Sir,

I ____________________ on behalf of the Association, whose details are given below, apply for
change in the designated Bank Account/Bank of association registered/granted prior permission
undertheForeignContribution(Regulation)Act,1976/ForeignContribution(Regulation)Act,2010.

1.
Nameoftheassociationanditscompletepostaladdress:
Name:
Address:
Town/City:
District:
State:
PINCode:
Phone/FaxNo.:
eMail:

2.
FCRARegistrationNo./PriorPermissionletterNo..............................dated...................

(Copyoftheregistration/priorpermissionlettertobeenclosed)

3.
NatureofAssociation:

(a)religious(b)cultural(c)economic(d)educational(e)social

Note:Ifreligiousassociation,statewhether(a)Hindu(b)Sikh(c)Muslim(d)Christian
(e)Buddhist(f)Others.

4.
NameandaddressesofthemembersoftheExecutiveCommittee/GoverningCounciletc.of
theassociation,includingtheChieffunctionaryinthefollowingmanner:

Sl Name
Nameof
Nationality Occupation Officeheld Relationship Address
N
Father/
inthe
withoffice
o.
Husband
association bearers,if
any
1 2
3
4
5
6
7
8


Year
Date
5.
Pleaseindicatedateofsubmissionof

LastthreeAnnualFC3returns.
1.

2.

3.

6.
PleaseindicatewhethertheAssociation
Isfunctioningaseditor,owner,printer or
publisherofaPublicationrequiredtobe
registeredasnewspaperunderthe
PressandRegistrationofBookAct,1867.
Ifso,thedetailsthereof.

7.
Pleaseindicatewhethertheassociationhasclose
linkswithanotherassociation,oritsunitor
branchwhichhasbeen
(a) refusedregistrationundertheAct;
(b) Prohibitedfromacceptingforeigncontribution.

8.
PleaseindicateExistingProposed

(i)
Thenameandaddressofthebranchofthebank

throughwhichforeigncontributionistobereceived.

(ii)
TheaccountnumberinthesaidbranchoftheBank.

9.
Justificationforproposedchange

Yoursfaithfully,

SignatureoftheApplicant
(NameoftheChiefFunctionaryorauthorisedofficeBearer)
(withthesealoftheassociation)

DeclarationandUndertaking

Iherebyaffirmthattheinformationfurnishedaboveiscorrect.

Place:
Date:
SignatureoftheApplicant
(NameoftheChiefFunctionaryorauthorisedofficeBearer)
(withthesealoftheassociation)
Instructions:

1.Fillinallthedetailscarefullyandcorrectly.
2.Strikeoffcolumnswhicharenotapplicable.
3.Followingdocumentsaretobeattachedwiththeapplication:
(i)ResolutionofGoverningBodyforproposedchangeofBank/BankAccount.
(ii)CopyoflettergrantingRegistrationNumber;
(iii)CertificatefromtheBankfortheAccounttobeopened/openedexclusivelyforFCRA
purposes.

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