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, 2017

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 30553996.00 year(Rs.) b) Interest or other receipt during the year 2131660.00 c) Foreign Contribution received during the financial year i) Directly from a foreign source 55779687.00 ii) as transfer from a local source 0.00 d) Total Foreign Contribution (a+b+c) (Rs.) 88465343.00

*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 Solidaridad Network Institutional Room 1318-20 Social 357074.00 Asia Limited Hollywood Plaza, 610 Nathan Road, Mong Kok, Kowloon, Hong Kong , Hong Kong, Email Id: info@solidaridadnetwo Ministry of Homerk.org, Website Affairs Address : http://www.solidaridad network.org 2 THE FORD Institutional 320 East 43rd Street Social 11045523.00 FOUNDATION New York NY 10017 Phone 91 11 47105340 , United States of America, Email Id: s.sharma@fordfoundati on.org, Website Address : http://www.fordfoundat ion.org 3 The Hans Foundation Institutional E-4, Asola Homes, Social 778700.00 Asola, Near Shani Dham Mandir Mehrauli, New Delhi- 110074 , India, Email Id: [email protected], Website Address : http://www.thehansfou ndation.org/

FCRA Annual Returns for the financial year 2016-2017 has been Submitted on 29/12/2017 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 The University of Institutional S113-750 Bannatyne Social 33269254.00 Manitoba Avenue Winnipeg, Manitoba R3E0W3 Canada , Canada, Email Id: stephen.moses@umanit oba.ca, Website Address : http://umanitoba.ca 5 Julie Wilk Individual Parkgatan 14, C/o T Social 628899.00 Anderson 58248 Linkoping Sweden , Sweden, Email Id: [email protected], Website Address : 6 Fondation DEnterprise Institutional 7, rue Kepler, 75016 Social 231356.00 Louis Dreyfus Paris, FRANCE , France, Email Id: contact@louisdreyfusf oundation.org, Website Address : http://www.louisdreyfu sfoundation.org/en/ 7 World Wild Fund for Institutional Pirojsha Godrej Social 8592511.00 Nature India National Conservation Centre, 172-B Lodi Estate, New Delhi -110003 , India, Email Id: , Website Address : http://www.wwfindia.o rg 8 American India Institutional American India Social 278750.00 Foundation Trust Foundation India Office The American India Foundation Trust C17 Green Park Extention New Delhi , India, Email Id: [email protected], Website Address : https://aif.org 9 Centre for Institutional Centre for Social 595000.00 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 Purpose Amount 1 Social 55779687.00 Ministry of Home Affairs (iii). Details of Utilization of foreign contribution:

a. Total Utilization* for projects as per aims and 41585732.00 objectives of the association (Rs.) b. Total Administrative Exprenses as provided in Rule 0.00 5, FCRA 2011 (Rs.) c. Total invested in term deposits(Rs.) 50490966.00 Total Purchase of fresh assets(Rs.) 397413.00 Total utilzation in the year(Rs.) (a+b+c+d) 41983145.00

* 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

(C) the public interest; or FCRA Annual Returns for the financial year 2016-2017 has been Submitted on 29/12/2017 Page 2 of 4

(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 46482198.00 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 Branch Address( With IFSC Code Account No pincode) 1 State Bank of India J-20 Saket, New Delhi - SBIN0008442 XXXXXXXXXXXXX9711 110017, New 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 Branch Address( With IFSC Code Account No pincode) 1 Bank of Baroda Arnod Pratapgarh BARB0ARNODX XXXXXXXXXX8048 312615, Arnod Pratagarh, Rajasthan, Chittorgarh 2 State Bank of India 1st floor Magavi Building SBIN0015321 XXXXXXX0824 PB Road Haveri Karnataka 580010, Haveri, Karnataka, Haveri 3 Bank of Baroda Dooni Dist Tonk Rajasthan, BARB0DOONIX XXXXXXXXXX6139 Dooni, Rajasthan, Tonk 4 Union Bank of India Siras Block Niwai Dist Tonk UBIN0539902 XXXXXXXXXXX9246 Rajasthan, Siras Block Niwai, Rajasthan, Tonk 5 Bank of Baroda Sadar Bazar Nainwa Dist BARB0NAINWA XXXXXXXXXX3070 Bundi, Nainwa, Rajasthan, Bundi 6 Union Bank of India Opposite Main Hospital UBIN0542059 XXXXXXXXXXX6251 Nagpur Road Chhindwara Dist Chhindwara, Chhindara, , Chhindwara 7 Punjab National Bank Sanwari Dist Chhindwara PUNB0317500 XXXXXXXXXXXX6501 Madhya Pradesh 480331, Sanwar, Madhya Pradesh, Chhindwara 8 State Bank of India Boinda Khishorgarega nj SBIN0006124 XXXXXX7282 Dist Angul, Boinda, Orissa, Angul 9 MinistryState Bank of India ofKotma Dist Home Anuppur SBIN0002869 AffairsXXXXXXX8552 Madhya Pradesh, Kotma, Madhya Pradesh, shahdol 10 State Bank of India Kotma Dist Anuppur SBIN0002869 XXXXXXX4297 Madhya Pradesh 484334, Kotma, Madhya Pradesh, shahdol 11 State Bank of Bikaner and Nana Block Bali District SBBJ0010350 XXXXXXX4636 Jaipur Pali Rajasthan, Nana Block Bali, Rajasthan, Pali 12 Bank of Baroda Near Gramin Bank Main BARB0KAPREN XXXXXXXXXX9732 Road Kapren Dist Bundi Rajasthan, Kapren, Rajasthan, Bundi 13 Central Bank of India main Road Jaisinagar Dist CBIN0284173 XXXXXX1224 Sagar Madhya Pradesh 470125, Jaisinagar, Madhya Pradesh, Sagar 14 Bank of Baroda Khatkar Dist Bundi BARB0KHATKA XXXXXXXXXX0755 Rajasthan, Khatkar, Rajasthan, Bundi 15 Bank of Baroda Lakheri Dist Bundi BARB0LAKHER XXXXXXXXXX6609 Rajasthan, Lakheri, Rajasthan, Bundi

FCRA Annual Returns for the financial year 2016-2017 has been Submitted on 29/12/2017 Page 3 of 4 Sl.No Name of Bank Branch Address( With IFSC Code Account No pincode) 16 Bank of India Soyat Kalan Via Dist BKID0009551 XXXXXXXXXXX0049 Sahjapur Madhya Pradesh, Soyat Kalan, Madhya Pradesh, Sahjapur 17 Ratnakar Bank P-7, Sector 18, Noida- RATN0000114 XXXXXXXX4053 201301, NOIDA, Uttar Pradesh, Gautam Budh Nagar 18 Punjab National Bank NEAR JAIN MANDIR PUNB0726900 XXXXXXXXXXXX1599 MAIN MARKET UNIARA DISTT TONK RAJASTHAN, UNIARA, Rajasthan, Tonk

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 2016-2017 has been Submitted on 29/12/2017 Page 4 of 4