41C Application English

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(Application/ Intimation should be submitted in good handwriting)

To,

Assistant / Deputy Charity Commissioner,

Public Trust Registration Office,

................... Region ....... ................

Subject: -- Application for collection or cause to be collected any


money, contribution, subscription or donation,in cash or
kind, for religious or charitable purposes, vide
Sec.41C(1) of the Maharashtra Public Trust Act, 1950

OR

Intimation in the exigencies for aiding, assisting or giving


relief to the persons affected by natural disaster, war,
riots, accidents or similar cause' the collection may be
made by giving intimation, vide proviso of Sec.41C(1) of
the Maharashtra Public Trust Act, 1950.

Name institute / Body of persons or Persons: - ----------- ------------- ----


------------------------- ---------------- --------------- -----------
-- ---- --------------------------------------------- ----------------
----------------- -------------------------------------------------- -

Sir,

We ------------------------------------------------- ---------------- ----------------------- Resident Community Public


Works/ Ganeshotsav/ Navratri Festival/ War Assistance for Natural Disasters
/ ………………………… .. ... ... to celebrate the birth anniversary / gathering Information
related to thereto as follows: -
Name. details Particulars

1. What is its nature of public works /


celebrations?

2. Period, in which work / celebration will From ..............


begin ? to ...............

3. Are you working / celebrating regularly


every year? If yes, state since when ?

4. Address of the venue of function /


festival

5. Names, occupations and addresses


along with contact number etc. of
managing committee / Executive Board
(along with list)

6. Have you applied for such permission /


intimated about collection of amount
ever before? If yes, have you submitted
audited statement of contribution,
expenditure of last year ?

(a) Estimated Amount, which will be


collected for the purpose ?
7)
(b) Estimates, Expenditure Amount on
the purpose ?

(a) How many receipts are printed for


this occassion ?
8)
(B) have you given serial numbers to
receipt books and their receipts ?
(C) Is register about distribution of
receipt book kept?

(D) whether receipts, regarding


colletion of fund, donation are issued by
authorised signatories ?

(a) Name of persons and addresses, who


will be responsible for collection of
receipts books and to submit details of
collection thereform
9)

(b) Name/s, address/es of person/s, who


will be in charge of amount and/or
articles so collected

Name of internal Auditor and his


educational Qualification ? (Name and
10)
signatrues of proposed auditor)

Actual collected amount till date, if


11)
started ?

(a) What is the book balance of the


previous year ?

12)
(B) State the number of Permission and
it's date, if you applied and it was
granted ?
We hereby undertake that amount/ article will be collected within a period
of Six months from the day allowed to collect the subscription and we shall
submit the audited accounts of such collections or receipt of contribution and
remaining amount, if any, within a period of two months next after expiry of the
said period and further undertake to credit the remaining amount so collected in
the public Trusts Administration Fund vide Sec.41C(3) and (4) of the said Act.

We hereby undertake that if the Assistant Charity Commissioner or the


Deputy Charity Commissioner directs us to stop making such collection, we
will stop it forthwith and render an account of the collections made by us and
we will deposit the amount so collected in the public Trusts Administration
Fund.

We hereby undertake that we will obey the terms and conditions regarding
collection of funds/amounts/articles, while issuing permission as per section
41C of the Maharashtra Public Trust Act, 1950. We further undertake that we
have full consent in this regard. We are ready to fulfill our responsibility as per
rule. So, we are signing below.
Sr. Designati Address &
Full Name Age Sign
No. on Contacts

1. President

Vice
2.
President

3. Secretary

4. Treasurer

5. Member

6.

7.
8.
9.
10.
11.
12.
13.
14.
15.

Date:

Location:

Note:

(1) A complete application form will be considered only.

(2) Attach required documents. Do not dig the application.

(3) Remove irrelevant text.

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