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(On letter Head)

Ref No: RLOMT/FCRA-REG/ /2017-18 Date: .12.2017

To,
The Secretary to the Government of India,
Ministry of Home Affairs,
FCRA Wing /Foreigners Division,
NDCC - II Building,
Jai Singh Road,
New Delhi - 110001.

Subject: Application for Registration under section 11 (1) & (2)/section 16 of the
Foreign Contribution (Regulation) Act 2010 for Acceptance of Foreign
Contribution.

Ref : File No: II /21022/68( ) 2017-FCRA- II dated .12.2017

Respected Sir,

An online Application for registration under section 11 (1) & (2)/section 16 of the Foreign
Contribution (Regulation) Act 2010 for acceptance a foreign contribution in the prescribed proforma
and necessary documents are submitted herewith for registration.

Our trust, Ray of Light Medical Trust, Pune Maharashtra State is registered in 2013 under Society
Registration Act 1860 vide Registration No. Mah/181/2013/Pune dated 4th day of February, 2013
and Mumbai Public Trust Act 1950 vide Registration No.F-42097(Pune) dated 25th day of March, 2014.
We have undertaken many welfare activities in Health, Social, Cultural, Education and other Social
programmes.

So, please accept our following documents and issue a FCRA Registration certificate for acceptance
of Foreign Contribution to our trust and oblige.

Thanking You,
Yours Faithfully,
Encl.:
On-line application Form FC- 3
Trust Registration Certificates
Memorandum of Association
Audit Report 2014-15, 2015-16, 2016-17
Trust Activities Report 2014-15, 2015-16, 2016-17
(On letter Head)

Declaration and Undertaking


a. I,Dr.Gitanjalli Anil Hosurkar ,President of Ray of Light Medical Trust, Pune Dist. Pune,
Maharashtra State hereby declare that the information furnished above is true and correct;
And I undertake:

b. that the receipt of foreign contribution and its utilization shall not be violative of any of the
provisions of the Foreign Contribution (Regulation) Act, 2010 (42 of 2010) / rules, notifications
/ orders issued there under from time to time;

Place: PUNE

Date: .12.2017
GOVERNMENT OF INDIA
MINISTRY OF HOME AFFAIRS, NEW DELHI

Registration under section 11 (1) & (2)/section 16 of the Foreign


Contribution (Regulation) Act 2010

Submitted By.

Ray of Light Medical Trust, Pune Dist. Pune,


(Maharashtra State)
INDEX

1) On Line Application format FC-3 [(Rule 9(1) (a) rule 12]

2) Certificate of Registrations: Act 1860, Act 1950, 80G, 12AA & PAN

3) Memorandum of Association

4) List of Executive Committee

5) Bank Statement Copy

6) Audit Statement Last three Years 2014-15, 2015-16 & 2016-17

7) Activity Report for 2014-15, 2015-16 & 2016-17


Ray of Light Medical Trust, Pune Dist. Pune,
(Maharashtra State)
Ray of Light Medical Trust, Pune Dist. Pune,
(Maharashtra State)
2014-15
2015-16
2016-17

Ray of Light Medical Trust, Pune Dist. Pune,


(Maharashtra State)
2014-15
2015-16
2016-17

Ray of Light Medical Trust, Pune Dist. Pune,


(Maharashtra State)