Form FC-4 [See rule 17(1)] The Secretary to the Government of , Ministry of Home Affairs, Foreigners Division (FCRA Wing) "First Floor NDCC-II Building," 1,JAI SINGH Road New Delhi - 110001

Subject: Account of Foreign Contribution for the year ending on the 31st March, 2016

1. Association FCRA registration number and name

(i). Number : 231660276 (ii). Name : Self Reliant Initiatives through Joint Action

2. Details of receipt and utilisation of foreign contribution : i. Foreign Contribution received in cash/kind(value):

a) Brought forward foreign contribution at the beginning of the 10193217.00 year(Rs.) b) Interest or other receipt during the year 567745.00 c) Foreign Contribution received during the financial year i) Directly from a foreign source 32790278.00 ii) as transfer from a local source 0.00 d) Total Foreign Contribution (a+b+c) (Rs.) 43551240.00

*i.e. interest accured on foreign contribution, or any other income derived from foreign contribution, e.g. sale proceeds from assets created from contribution, or interest thereon during the year ii (a). Donor wise detail of foreign contribution received in excess of rupees 20,000:

Sl.No Name of donors Institutional/Individu Detail of the donor: Purposes for which Amount (Rs.) al official Address; received Email address; website address: 1 The University of Institutional S113-750 Bannatyne Economic 20445239.00 Manitoba Avenue Winnipeg, Manitoba R3E0W3 Canada , Canada, Email Id: stephen.moses@umanit Ministry of Homeoba.ca, Website Affairs Address : http://umanitoba.ca 2 Solidaridad Network Institutional Room 1318-20 Economic 1434370.00 Asia Limited Hollywood Plaza, 610 Nathan Road, Mong Kok, Kowloon, Hong Kong , Hong Kong, Email Id: info@solidaridadnetwo rk.org, Website Address : http://www.solidaridad network.org 3 Fondation DEnterprise Institutional 7, rue Kepler, 75016 Economic 3675300.00 Louis Dreyfus Paris, FRANCE , France, Email Id: contact@louisdreyfusf oundation.org, Website Address : http://www.louisdreyfu sfoundation.org/en/

FCRA Annual Returns for the financial year 2015-2016 has been Submitted on 30/12/2016 Page 1 of 4 Sl.No Name of donors Institutional/Individu Detail of the donor: Purposes for which Amount (Rs.) al official Address; received Email address; website address: 4 World Wild Fund for Institutional Pirojsha Godrej Economic 1672818.00 Nature India National Conservation Centre, 172-B Lodi Estate, New Delhi -110003 , India, Email Id: , Website Address : http://www.wwfindia.o rg 5 ITC Limited Institutional Virginia House, 37, J. Economic 1561452.00 L. Nehru Road Kolkata -70007, India , India, Email Id: , Website Address : 6 Digital Empowerment Institutional 32-D, SFS DDA Economic 724380.00 Foundation Vijay Mandal Enclave New Delhi-110017 , India, Email Id: [email protected], Website Address : http://defindia.org/ 7 Amy Johnston Individual Streamline Family Economic 31575.00 Office, Inc., PO Box 174, Dover MA 02030 USA, , United States of America, Email Id: , Website Address : http://www.streamlinef amilyoffice.com 8 Coady International Institutional St. Francis Xavier Economic 273453.00 Institute University, PO Box 5000, Antigonish, Nova Scotia, B2G 2W5 CANADA , Canada, Email Id: , Website Address : 9 The Hans Foundation Institutional E-4, Asola Homes, Economic 1620700.00 Asola, Near Shani Dham Mandir Mehrauli, New Delhi- 110074 , India, Email Id: [email protected], Website Address : http://www.thehansfou ndation.org/ 10 Centre for Institutional Centre for Economic 1350991.00 Microfinance Microfinance, 30, Jai Jawan Colony-II, Near Durgapura, Tonk Road, - 302018 INDIA , India, Email Id: [email protected], Website Address : http://www.cmfraj.org/i ndex.html

(b). Cumulative purpose-wise amount of all foreign contribution donation received :

Sl.No MinistryPurpose of Home AffairsAmount 1 Economic 32790278.00

(iii). Details of Utilization of foreign contribution:

a. Total Utilization* for projects as per aims and 15457285.00 objectives of the association (Rs.) b. Total Administrative Exprenses as provided in Rule 1681299.00 5, FCRA 2011 (Rs.) c. Total invested in term deposits(Rs.) 20058447.00 Total Purchase of fresh assets(Rs.) 347253.00 Total utilzation in the year(Rs.) (a+b+c+d) 17485837.00

* It is affirmed that the utilisation of foreign contribution is not in contravention of the provisions contained in proviso to Sction 9(e) and Section 12(4)(f) of the Act which states that the acceptance of foreign contribution is not likely to affect prejudically.

(A) the soverignty and integrity of india; or.

(B) the security, strategic, scientific or echnomic interest of the state; or FCRA Annual Returns for the financial year 2015-2016 has been Submitted on 30/12/2016 Page 2 of 4

(C) the public interest; or

(D) freedom or fairness of election to any legistature; or

(E) friendly relations with any foreign state; or

(F) harmony between religious, racial, social, lingusitic or relgional groups, castes or communities

iv. Balance of unutilized foreign contribution, in 25952551.00 cash/bank, at the end of the year(Rs.) : v. Total number of foreigner working(salaried/ in 0.00 honorary capacity. :

3. (a) Details of designated Fc bank account for receipt of Foreign Contribution ( As on 31st March of the year ending):

Sl.No Name of Bank of donors Branch Address( With IFSC Code Account No pincode) 1 State Bank of India J-20, SAKET, NEW SBIN0008442 10341659711 DELHI, Delhi, Delhi

3. (b) Details of all utilization bank accounts for utilization of Foregin Contribution (As on 31st March of the year ending)

Sl.No Name of Bank of donors Branch Address( With IFSC Code Account No pincode) 1 State Bank of India 1St Floor Magavi Building SBIN0015321 34920850824 PB rOAD, Haveri, Karnataka, Haveri 2 Central Bank of India Main Road Jaisinagar, CBIN0284173 3457731224 Jaisinagar, , Sagar 3 State Bank of India Kotma District Annuppur SBIN0002869 34999994297 Madhya Pradesh Pin code 484334, Kotma, Madhya Pradesh, shahdol 4 Bank of Baroda Dooni District Tonk BARB0DOONIX 06600100016139 Pin code 304802, Dooni, Rajasthan, Tonk 5 Union Bank of India At and Post Siras Niwai UBIN0539902 399002010009246 District Tonk Rajasthan Siras pin code 304020, Siras, Rajasthan, Tonk 6 Bank of India Soyat Kalan , via BKID0009551 955110210000049 District- , Madhya Pradesh, Pin- 465449, Soyat Kalan, Madhya Pradesh, Sahjapur 7 Bank of India Sadar Bazar, , BARB0NAINWA 08130100023070 District- , Rajasthan, Pin code- 323801, Nainwa, Ministry ofRajasthan, Home Bundi Affairs 8 State Bank of India Kotma District Annuppur SBIN0002869 35129128552 Madhya Pradesh Pin code 484334, Kotma Anuppur, Madhya Pradesh, shahdol 9 Punjab National Bank Sanwari District PUNB0317500 317500010038650 Chhindwara, Sanwari, Madhya Pradesh, Chhindwara 10 Bank of Baroda Khatkar Vill PO Khatkar BARB0KHATKA 17330100010755 District Bundi, Khatkar, Rajasthan, Bundi 11 Bank of Baroda District Bundi BARB0LAKHER 08120100026609 Rajasthan Pin code 323603, Lakheri, Rajasthan, Bundi 12 Bank of Baroda Kapren near Gramin Bank BARB0KAPREN 34700100009732 Main Road District Bundi Rajasthan Pin code 323301, Kapren, Rajasthan, Bundi 13 Union Bank Opposite Main Hospital, UBIN0542059 420501010036 Nagpur Road, District- Chhindwara, Madhya Pradesh, Pin- 480 001., Chhindwara, Madhya Pradesh, Chhindwara FCRA Annual Returns for the financial year 2015-2016 has been Submitted on 30/12/2016 Page 3 of 4 Sl.No Name of Bank of donors Branch Address( With IFSC Code Account No pincode) 14 State Bank of Hyderabad BOINDA KISHOREGA NJ SBIN0006124 35487807282 Branch Dist. ANGUL, Orissa-759127, Boinda, Orissa, Angul 15 Bank of Baroda Arnod, Pratapgarh, BARB0ARNODX 41120100008048 Rajasthan,, Arnod, Rajasthan, Chittorgarh 16 State Bank of Bikaner and Nana Block Bali District SBBJ0010350 61270244636 Jaipur Pali Rajasthan Pin code 306504, Nana Bali, Rajasthan, Pali

Declaration

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

I also affirm that the receipt of foreign contribution and its utilization have not been violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010, rules, notifications/ orders issued there under from time to time and the foreign contribution was utilized for the purpose(s) for which the association was granted registration/ prior permission by the Central Government.

Signature of the Cheif Functionary

Ministry of Home Affairs

FCRA Annual Returns for the financial year 2015-2016 has been Submitted on 30/12/2016 Page 4 of 4