Received by NSD/FARA Registration Unit 01/16/2018 10:13:32 AM OMB No. 1124-0005; Expires May 31.2020 Short Form Registration Statement Pursuant to the Foreign Agents Registration Act of 1938, as amended , U.S. Department of Justice Washington, DC 20530- INSTRUCTIONS. Each partner, officer, director, associate, employee, and agent of a registrant is required to file a short form registration statement unless he engages in no activities in furtherance of the interests of the registrant's foreign principal or unless the services he renders to the registrant are in a secretarial, clerical or in a related or similar opacity. Compliance is accomplished by filing an electronic short form registration statement at https://www,fara.gov. Privacy Act Statement The filing of this document is required for the ForeigD Agents Registration Act of 1938, as amended, 22 U.S.C. § 611 etseq., for the purposes of registration under the Act and public disclosure. Provision of die information requested is mandatory, and failure to provide the information is subject to the penalty and enforcement provisions established in Section 8 of the Act. Every registration statement, short form registration statement, supplemental statement, exhibit, amendment, copy of informational materials or other document or information filed with die. Attorney General under this Act is a public record open to public examination, inspection and copying (hiring die. posted business hours of the Registration Unit in Washington, DC. Statements are also available online at die Registration Unit’s webpage: https://www.fara.gov. One copy of every such document, other than informatiohal matenals, is automatically provided to the Secretary of State pursuant to Section 6(b) of die Act, and copies of any and all documents are routinely made available to other agencies, departments and Congress pursuant to Section 6(c) of the Act. The Attorney General also transmits a semi-annual report to Congress on the administration of the Act which lists die names of all agents registered under the Act and die foreign principals they represent. This report is available to die public and online at: https://www.fara.gov. Public Reporting Burden. Public reporting burden for this collection of information is estimated to average .429 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining die data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Chief, Registration Unit, Counterintelligence and Export Control Section National Security Division, U.S. Departinqjt of Justice, Washington, DC 20530; and to die Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. 1. Name 2. Registration No. Ngodup tsering 1699 3. Residence Address(es) 363616th Street NW Apt# a569 Washington DC 20010 4. Business Address(es) 122817th Street NW Washington DC 20036 5. Year of Birth <0*1953 6. Ifpresent citizenship was not acquired by birth, indicate when, and how acquired. ( Nationality Tibetan 3^ Present Citizenship USA 7. Occupation Representative of His Holiness the Dalai Lama 8. What is the name and address of the'primary registrant? Namc Office of Tibet 9. Indicate your connectionwith the primary registrant: □ partner Q director □ officer □ other (specify) O associate 122817th Street NW Washington DC 20036 Q employee Q consultant g agent □ subcontractor 10. List every foreignprincipal to whbnfyou will render services m support of die primary registrant His Holiness the Dalai Lama and the Central Tibetan Administration 11. Describe separately and in detail all services which you will render to the foreign principals) listed in Item 10 either directly, or through die primary registrant listed in Item 8, and the date(s) of such services. (Ifspace is insufficient, afall insert page must be used.) The registrant will support the Office of Tibet and Central Tibetan Administration by arranging meetings with relevant think tanks, non-profit organizations and media. FORMNSD-6 Revised 05/17 Received by NSD/FARA Registration Unit 01/16/2018 10:13:32 AM Received by NSD/FARA Registration Unit 01/16/2018 10:13:32 AM 12. Do any of the above described services include political activity as defined in Section l(o) of the Act and in the footnote below? Yes 0 No □ If yes, describe separately and in detail such political activity. The registrant will arrange meetings with relevant think tanks, non-profit organizations, and media, among others, in relation to how the U.S. government engages and should engage with China and other countries on the issues of Tibet 13. The services described in Items 11 and 12 are to be rendered on a El full time basis □ put time basis ' □ special basis 14. What compensation or thing of value have you received to date or will you receive for the above services? El Salary- Amount S 3,768.00 per month_____ Q Commission at% of____________ □ Salary: Not based solely on services rendered to the foreign principal(s). □ Fee: Amounts___________ □ Other thing of value 15. During the period beginning 60 days prior to the date of your obligation to register to the time of filing' thisstatanient, did you make any contributions of money or other things of value from your own funds or possessions and on your own behalf in connection with any election to political office or in connection with any primary election, convention, or caucus held to select candidates for any political office? Yes □ No □ If yes, furnish the following information: Date Amount or Thing of Value Political Organization or Candidate Location of Event EXECUTION hi accordance with 28 U.S.C. § 1746, the undersigned swears or affirms under penalty of perjury that he/she has read the information set forth in this registration statement and that he/she is familiar with the contents thereof and tferfsuch contents are in their entirety true and accurate to the best of his/her knowledge and belief. mt (Date ofsignature) < / (Signature) Footnote; "Political activity," as defined in Section l(o) of the Act, means any activity which the person engaging in believes wilL'or that the person to, in any way influfTKf any agency or official of the Government of the United States or anv section of the public within the United States with reference to «, ranging ik. domestic or foreign policies of the.United Stines or with reference to the political or public interests, policies, or relations of a government of a foreign country or aforeign piylrtiml Received by NSD/FARA Registration Unit 01/16/2018 10:13:32 AM