Goa Gazette, No. 2021-30, 22 October 2020

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RNI No. GOAENG/2002/6410 Reg. No. G-2/RNP/GOA/32/2018-2020

Panaji, 22nd October, 2020 (Asvina 30, 1942) SERIES I No. 30 PUBLISHED BY AUTHORITY

NOTE

There is an Extraordinary issue to the Official Gazette, Series I No. 29 dated 15-10-2020, namely:—

(1) Extraordinary dated 15-10-2020 from pages 1223 to 1224 from Department of Law (Legal Affairs), Notification No. 8/11/2020-LA regarding the Goa Non-Biodegradable Garbage (Control) (Amendment) Ordinance, 2020.

INDEX

Department Order/Notification Subject Pages

1.a. Animal Husbandry & Not.- 13-91/Kamd/(S)/ Kamdhenu Scheme (Sudharit) Amended 1225 Veterinary Services 2020-21/4148 Dir. & ex officio Jt. Secy.

b. —do— Corri.- 2-3(15)2020-21/4095 — 1226

2. Goa Legislature Corri.- LA/Legn/2020/ — 1227 Secretariat /1118/(Corri) Secretary

3.a. Law Not.- 10/6/2020-LA The Farmers (Empowerment and Protection) 1227 Legal Affairs Division Agreement on Price Assurance and Farm Joint Secretary

Services Ordinance, 2020.

b. —do— Not.- 10/6/2020-LA The Banking Regulation (Amendment) 1239

Ordinance, 2020.

4. Revenue Ord.- 14/59/2017-RD Rates of services at CSC Bardez Taluka. 1244 Under Secretary (Part-II)/7203

5.a. Women & Child Dev. Not.- 2-279-LL-2012- Laadli Laxmi Scheme. 1247 Dir. & ex officio Jt. Secy. -DWCD/PART(I)/8327

b. —do— Not.- 2-1232-GA/2019-20/ Griha Aadhar Scheme 1256

DWCD/8354

GOVERNMENT OF GOA

Gazette, Series I No. 33 dated 15-11-2012.

Department of Animal Husbandry & Veterinary Services __

Notification

13-91/Kamd/(S)/2020-21/4148

(2) Kamdhenu Scheme (Sudharit) amended vide Notification No. 13- -91/Kamd/(S)/2014-15/911 dated 27-05-2014 published in Official Gazette, Series I No. 10 dated 05-06-2014.

(3) Kamdhenu Scheme (Sudharit) amended vide Notification No. 13- -91/Kamd/(S)/2015-16/1563 dated Read: (1) Kamdhenu Scheme (Sudharit) notified vide Notification No. 13-91/ /Kamd/(S)/2012-13/4109 dated 05-11-2012 published in Official1225 Suggestions are welcomed on e-mail: dir–[email protected] OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020 19-06-2015 published in Official Gazette, Series I No. 13 dated 25-06-2015.

(4) Kamdhenu Scheme (Sudharit) amended vide Notification No. 13- -91/Kamd/(S)/2015-16/3341 dated 02-09-2015 published in Official Gazette, Series I No. 24 dated 10-09-2015.

(5) Kamdhenu Scheme (Sudharit) amended vide Notification No. 13- -91/Kamd/(S)/2015-16/3539 dated 23-09-2015 published in Official Gazette, Series I No. 27 dated 01-10-2015.

(6) Kamdhenu Scheme (Sudharit) amended vide Notification No. 13- -91/Kamd/(S)/2016-17/2592 dated 05-08-2016 published in Official Gazette, Series I No. 19 dated 11-08-2016.

(7) Kamdhenu Scheme (Sudharit) amended vide Notification No. 13- -91/Kamd/(S)/2016-17/3405 dated 16-09-2016 published in Official Gazette, Series I No. 25 dated 22-09-2016.

(8) Kamdhenu Scheme (Sudharit) amended vide Notification No. 13- -91/Kamd/(S)/2018-19/121 dated 06-04-2018 published in Official Gazette, Series I No. 3 dated 19-04-2018.

(9) Kamdhenu Scheme (Sudharit) amended vide Notification No. 13- -91/Kamd/(S)/2018-19/2782 dated 26-07-2018 published in Official Gazette, Series I No. 18 dated 02-08-2018 .

(10) Kamdhenu Scheme (Sudharit) amended vide Notification No. 13- -91/Kamd/(S)/2019-20/2083 dated 09-07-2019 published in Official Gazette, Series I No. 15 dated 11-07-2019.

KAMDHENU SCHEME (SUDHARIT)

AMENDED

Whereas the Government has notified the Kamdhenu Scheme (Sudharit) Amended vide Notification No. read at Sr. No. 1 above and further amended vide Notification read at Sr. No. 2, 3, 4, 5, 6, 7, 8, 9 and 10 above.

Whereas the above referred to Notifications under Kamdhenu Scheme (Sudharit) Amended, after Clause (19) of the above referred to Notifications, Clause (20) shall be inserted as follows:

"(20) The Government may relax any of the clauses/conditions if deemed necessary".

By order and in the name of the Governor

of Goa.

Dr. Santosh V. Desai, Director & ex officio

Jt. Secretary (AH).

Panaji, 16th October, 2020.

——––– Corrigendum

2-3(15)/2020-21/4095

Read: Goatery Scheme (Assistance for Goat Rearing) notified vide Notification No. 2-3(15)/2018-19/6795 dated 07-02-2019 published in Official Gazette, Series I No. 46 dated 14th February, 2019.

In partial modification of the above referred Notification of the Goater y Scheme (Assistance for Goat Rearing) Sr. No. 3 under the eligiblity criteria viz. "Should have a Goat Shed on height of approx 1.5 mts. from ground admeasuring minimum 30 sq mts. with flooring of bamboo/matti and roof of tiles/ /sheets/straw" stands deleted.

Rest all other contents in the Scheme

remains unaltered.

By order and in the name of the

Governor of Goa.

Dr. Santosh V. Dessai, Director & ex officio

Jt. Secretary (AH).

Panaji, 14th October, 2020.

Goa Legislature Secretariat

___

Corrigendum

—( ) — REGISTERED NO. DL—(N)04/0007/2003—20

LA/Legn/2020/1118/(Corri)

Read: Goa Legislature Secretariat Notification No. LA/Legn/2020/1005 dated 12-10-2020, published in the Official Gazette, Series I No. 29 dated 15-10-2020.

In the Goa Legislature Notification No. LA/Legn/2020/1005 dated 12-10-2020, published in the Official Gazette, Series 1 No. 29 dated 15-10-2020, for "By order and in the name of Governor of Goa", read "By order and in the name of the Speaker".

By order and in the name of the Speaker,

Namrata Ulman, Secretary to the Goa Legislative Assembly.

Assembly Hall, Porvorim, 15th October, 2020.

(cid:160)(cid:546).(cid:135)(cid:546).-(cid:140)(cid:546).(cid:102)(cid:155).-(cid:92).-05062020-219750

xxxGIDHxxx

———ttt———

xxxGIDExxx

Department of Law

Legal Affairs Division

__

EXTRAORDINARY

II — 1

Notification

PART II — Section 1

10/6/2020-LA

36]

The Farmers (Empowerment and Protection) Agreement on Price Assurance and Farm Services PUBLISHED BY AUTHORITY Ordinance, 2020 (Ordinance No. 11 of 2020), which has been Promulgated by the President in the Seventy-first Year of the Republic of India and published in the Gazette of India, Extraordinary, Part II, Section 1, dated 5-6-2020, is hereby published for the general information of the public.

No. 36] NEW DELHI, FRIDAY, JUNE 5, 2020/JYAISHTHA 15, 1942 (SAKA)

D. S. Raut Dessai, Joint Secretary (Law).

Porvorim, 16th July, 2020.

Separate paging is given to this Part in order that it may be filed as a separate compilation.

_______

MINISTRY OF LAW AND JUSTICE

(Legislative Department)

New Delhi, the 5th June, 2020/Jyaishtha 15, 1942 (Saka)1227 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020 2 THE GAZETTE OF INDIA EXTRAORDINARY [PART II—

RAM NATH KOVIND, President.

————

DR. G. NARAYANA RAJU, Secretary to the Govt. of India.

Notification

असाधारण

10/6/2020-LA-140

भाग खण्ड

The Banking Regulation (Amendment) Ordinance, 2020 (Ordinance No. 12 of 2020), which has been Promulgated by the President in the Seventy-first Year of the Republic of India and प्राधिकार से प्रकाशित published in the Gazette of India, Extraordinary, Part II, Section 1, dated 26-6-2020, is hereby published for the general information of the public.

Smita R. Chandwani, Joint Secretary (Law).

सं॰ नई दिल्ली, शुक्र वार, जून 26, 2020/ आषाढ़ 5, 1942 (शक)

Porvorim, 23rd July, 2020.

इस भाग में भिन्न पृष्ठ संख्या दी जाती है जिससे कि यह अलग संकलन के रूप में रखा जा सके।

_______

MINISTRY OF LAW AND JUSTICE

(Legislative Department)

New Delhi, the 26th June, 2020/Ashadha 5, 1942 (Saka)

RAM NATH KOVIND, President.

————

DR. G. NARAYANA RAJU, Secretary to the Govt. of India.

———ttt———

Department of Revenue __

Order

14/59/2017-RD(Part-II)/7203

Read: Order No. 14/59/2017-RD dated

16-04-2018

Government of Goa has approved the proposal of setting up the Citizen Services Centre (CSC) at Bardez Taluka to deliver the various Citizen Centric Services of various Government Departments to the Citizens.

The Citizen Services Centre (CSC) will be

set up at Kadamba Bus Stand, Mapusa,

Bardez, Goa. The same shall be brought into

force w.e.f. 14-10-2020.

The applicant/people should therefore avail

this service through Citizen Services Centre

(CSC) only.

The details of services provided through

CSC with the prescribed rate are as

under:—

Sr. No. Services

Fees

1

2

3

1) Every certified computerized copy of a serial number Rs. 45/- for the first page and @ or entry in the record of rights, register of mutations Rs. 15/- for every additional page. and from the registers, accounts and records, other than maps, maintained by a Talathi under section 8 of the Code.

2) Every certified copy of an entry in the register of property Rs. 60/-

maintained by the City Survey Officer (Form D).

3) Every certified copy of a map of a survey number or of a Rs. 150/- per Survey Number/ sub-division of a survey number or of any (uncoloured) /Sub-Division Number. map of any immoveable property prepared under clause (a) of section 101 of the Code.

4) Every certified copy of a map of a survey number or of a Rs. 150/- per Survey Number/ sub-division of a survey number or of an ordinary /Sub-Division Number. (uncoloured) map or plan of any immovable property prepared under section 56 of the Code.

5) Every certified computerized copy of a map of a survey Rs. 180/- per Survey Number/ number or of a sub-division of a survey number or of /Sub-Division Number. map or plan of any immovable property prepared under section 56 of the Code.

6) Every certified copy of computerized map of a survey Rs. 180/- per Survey Number/ number or of a sub-division of a survey number or of /Sub-Division Number. map or plan of any immovable property prepared under section 56 of the Code with details of Form I appended to the Goa, Daman and Diu Land Revenue (Records of Rights and Register of Cultivators) Rules, 1969.

7) Every certified copy of a map or plan of a non-agricultural Rs. 150/- per Survey Number/ survey number or a sub-division of such a survey number /Sub-Division Number. or of an extract of city survey prepared under section 65 of the Code.

8) Every certified computerized copy of a map or plan of a Rs. 180/- per Survey Number/ non-agricultural survey number or a sub-division of /Sub-Division Number. such a survey number

9) Every certified computerized copy of full size copy of Rs. 180/- for a Survey Number/ P. T. Sheet.

/Sub-Division Number and Rs. 80/- for remaining each Survey Number/Sub-Division Number.

10) Every certified copy of following map or plan or certified

computerized copy of a map or a plan or of any portion of map or plan (coloured copies with all details).

(a) detail Village map (As per the available scale) Rs. 450/- for a copy upto 10 P.T.

Sheets and Rs. 100/- for each additional P. T. Sheet with all details.

1

2

3

(b) Taluka map with Village boundary details Rs. 1000/-

(As per the available scale)

(c) District map with Taluka boundary Rs. 2000/-

(As per the available scale)

(d) Map of State of Goa (As per the available scale) Rs. 2500/-

11) Every certified copy of Form XV/Resurvey map under Rs. 220/- per Survey Number/ section 65-A of the Code.

/Sub-Division Number.

12) Every digitally signed copy of a map of survey number Minimum of Rs. 220/- per or of a Sub-Division of a survey number or plan of any Survey Number/Sub-

immovable property prepared under section 56 of the -Sub-Division Number.

Code with the details of Form I appended to the Goa,

Daman and Diu Land Revenue (Record of Rights and

Register of Cultivators) Rules, 1969.

13) Every digitally signed copy of a map or plan of survey Rs. 250/- per Survey Number/ number or a sub-division of a survey number prepared in /Sub-Division Number.

Form J appended to the Goa, Daman and Diu Land Revenue

(City Survey) Rules, 1969 (Integrated Land Record).

14) Every digitally signed copy of a map of a survey number Minimum of Rs. 200/- per or of a sub-division of a survey number or of a map or Survey Number/Sub-

plan of any immovable property prepared under section -Division Number.

56 of the Code.

Certificates

Sr.  No.        Name of the e-services                      Fees
  1.            Residence  Certificate                       50/-
  2.            Domicile  Certificate                        50/-
  3.            Mediclaim  Certificate                       50/-
  4.            Divergence  Certificate                      50/-
  5.            Caste Certificate                            50/-

It is further informed that no services in the form of Certificate or the services which are processed through e-district module will be issued from office of concerned Mamlatdar,

Dy. Collector and Collector & DSLR.

Isha M. Sawant, Under Secretary (Revenue-I)/Link.

Porvorim, 15th October, 2020.

Department of Women & Child Development

Directorate of Women & Child Development __

Notification

2-279-LL-2012-DWCD/PART (I)/8327

Read: 1. Notification No. 2/279/LL/2012/ DW&CD/2562 dated 06-07-2012 and published in the Official Gazette No. 16, Series I, dated 19-07-2012;

2. Amendment Notification No. 2/279/ LL/2012/DW&CD/2969 dated 07-08-2012 published in the Official Gazette No. 19, Series I, dated 09-08-2012;

3. Amendment Notification No. 2/279/ LL/2012/DW&CD/0032 dated 02-01-2013 published in the Official Gazette No. 44, Series I, dated 31-01-2013;

4. Amendment Notification No. 2/279/ LL/2012/DW&CD/4163 dated 22-04-2013 published in the Official Gazette No. 4, Series I, dated 25-04-2013

5. Amendment Notification No. 2/279/ LL/2012/DW&CD/4231 dated 30-04-2013 and published in the Official Gazette No. 6, Series I, dated 09-05-2013

6. Amendment Notification No. 2/279/ / L L / 2 0 1 2 / DW & C D / Pa r t ( I ) / 4 7 8 0 dated 26-06-2013 and published in the Official Gazette No. 13, Series I dated 27-06-2013

7. Amendment Notification No. 2-277- -LL-2015-DW&CD/(Par t-I)/03835 dated 24-09-2015 and published in the Official Gazette No. 28, Series I dated 08-10-2015

8. Amendment Notification No. 2-279- -LL -2012-DW&CD/(Par t-I)/3401 dated 20-04-2016 and published in the Official Gazette No. 4, Series I dated 28-04-2016

9. Amendment Notification No. 2-279- - L L - 2 0 1 2 - DW & C D / Pa r t ( I ) / 4 0 5 7 dated 24-05-2016 and published in the Official Gazette No. 9, Series I dated 02-06-2016

10. Amendment Notification No. 2-279- - L L - 2 0 1 2 / DW & C D / Pa r t ( I ) / 7 2 6 9 dated 02-11-2016 and published in the Official Gazette No. 32, Series I dated 10-11-2016

11. Amendment Notification No. 2-279- -LL-2012/DW&CD/Par t(I)/10382 dated 06-03-2019 and published in the Official Gazette No. 50, Series I dated 14-03-2019

12. Amendment Notification No. 2-279- - L L - 2 0 1 2 - DW & C D / Pa r t ( I ) / 4 9 2 0 dated 11-11-2019 and published in the Official Gazette No. 33, Series I dated 14-11-2019

In exercise of the powers conferred under clause 6(3) of Laadli Laxmi Scheme notified vide Notification No. 2/279/LL/2012/DW&CD/ 2562 dated 06-07-2012 and published in the Official Gazette No. 16, Series I, dated 19-07-2012, the Government hereby further amends and publishes the said Scheme as under:—

Objective of the Scheme:— The scheme proposes to financially empower the girl child to meet educational and other expenses on becoming a major of age and to improve the female sex ratio in the State.

I. Short title and commencement.— (1) This scheme shall be called "Laadli Laxmi Scheme".

(2) The scheme shall come into force with

immediate effect.

II. Eligibility and other conditions.— (1)(A) Any Girl who fulfils all of the following conditions is eligible to apply:

(a) born in the State of Goa;

(b) resident of Goa for the last fifteen

years; and

(c) (i) whose at least one of the parents is born in Goa and is also a resident of Goa for the last fifteen years; or1247 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020 (ii) whose one of the parents is residing

in Goa for last twenty five years.

(iii) whose parental income does not

exceed Rs. 3.00 lakhs per annum.

(B) Provided that a Girl, who is born outside

Goa, shall be eligible if she is:

(a) resident of Goa for the last fifteen

years;

(b) educated in Goa; for a minimum

period of 7 years (continuous); and

(c) (i) whose at least one of the parents is born in Goa and is also a resident of Goa for the last fifteen years; or

(ii) whose one of the parents is residing

in Goa for last twenty five years.

(iii) whose parental income does not

exceed Rs. 3.00 lakhs per annum.

(2) If any doubt arises regarding eligibility of any, the same shall be decided by a Committee consisting of the following:

(i) Secretary to Government of Goa in charge of Department of Women and Child Development as Chairperson,

(ii) One Social Worker to be appointed

by the Government as Member,

(iii) Additional/Joint Secretar y to Government of Goa in charge in the Department of Finance as Member, and

(iv) Director, Directorate of Women and Child Development as Member Secretary.

(3) The decision of the above Committee shall be final and binding. No appeal or request for reconsideration of decision shall be allowed under the scheme.

(4) (a) All applications received from a girl child who is an orphan or a destitute child or who is born outside a legitimate wedlock or an adopted girl child or any other case which is covered under the objective of the scheme;

shall be referred to the Committee mentioned above, if the application is made by the guardians or the Institution/Organisations which is taking care of the child.

(b) In case if an applicant is unable to produce documents pertaining to parent's birth, residence, etc. on account of their opposition to her marriage, such an application shall be placed before the Committee for decision.

(c) If the applicant fulfils all the criteria and has submitted all her documents required as per the scheme but is unable to furnish her parents documents due to death of both parents, such an application shall be sanctioned if the applicant submits her 15 years of residence certificate and birth certificate along with death certificates of both parents. Submission of parental income certificate in case of such applicants shall be waived off.

(5) The beneficiaries shall be grouped into

two categories, namely:—

(a) Those applicants who attain the age of majority i.e. 18 years on or af ter 01-04-2012 (unmarried applicants), and

(b) Those who have already attained the age of 18 years before 01-04-2012 and are in the age group of 19 to 45 years (married applicants) prospectively from 1st April, 2016.

(6) In case the applicant is an affected person of Tillari Irrigation Project, which is a joint venture of Government of Goa and Government of Maharashtra and rehabilitated in the State of Goa, her application shall be sanctioned if she produces a certificate issued by the Collector, North Goa District relaxing the condition of 10/15 years domicile in the State of Goa for various purposes for her family.

III. Mode of operation.— (1) The unmarried beneficiaries under the scheme shall be paid Rs. 1.00 lakh as financial assistance, by means of bank fixed deposit, jointly in the name of1248 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020 the Director of Women and Child Development and the applicant (the girl).

(2) The fixed deposit shall be renewed annually automatically on maturity, along with the amount of interest accrued, till the date of claim by the applicant as per the scheme or until the age of 45 years whichever is earlier.

(3) The married beneficiaries under the scheme shall be paid Rs. 1.00 lakh as financial assistance, by means of cash payment.

For the purpose of operation of this scheme through the bank/financial institution concerned, the Government, shall execute a Memorandum of Understanding (MoU), detailing the terms and conditions of operation of the bank account, the fixed deposit account/certificate, amount of interest accrued, authorization procedure for payment to the beneficiary, terms of payment by the Government to the bank/financial institution, credit to the Government on closure of individual account etc.

IV. Application procedure.— (1) The applicant who attains the age of majority i.e. 18 years on or after 1st April 2012 [i.e. those beneficiaries covered under clause 2(5)(a) above] may apply to the Director of Women and Child Development, Panaji-Goa, in the prescribed form ("Annexure I" to this scheme), complete in all respects, along with two passport size photographs and the following documents:

(i) Attested copy of the Birth Certificate

of the applicant.

(ii) Attested copy of any document as a proof of 15 years residence of the applicant in the State of Goa. In lieu of the Residence Certificate, the previous School Leaving Certificate and the current Bonafide Student Certificate issued by the recognized Educational Institution in which the girl is presently studying can also be produced. However, in case of girls who discontinued education at school level, the gap period i.e., from the time of discontinuation of education till completion of 18 years of age/marriage as the case may be, may be proved by production of residence certificate. In case of graduates, the Certificates of passing of Xth, XIIth and Graduation is adequate evidence.

(iii) 15 years or 25 years Residence Certificate of the parent(s) as the case may be. In lieu of the Residence Certificate, any documentary evidence to prove the residence for the specified period can also be produced which may include:

(a) The land records i.e. tenancy rights, mundcarial rights, occupancy rights, etc;

(b) Employment certificate; or

(c) Any such records to the satisfaction

of the Committee.

(d) In case of a girl whose father/ mother is in service either with the State Government or the Central Government or the public sector undertakings, in lieu of the certificate of residence such applicant may produce the service certificate of 25 years issued by the Head of the Department. However, the girl should be born in Goa and should have studied in Goa up to Xth class.

(iv) Birth Certificate of the parent(s). If no birth certificate is available one of the following documents can be produced showing the details namely the date and place of Birth of the parent(s):

(a) Baptism certificate;

(b) School leaving certificate of the

parent(s) etc;

(c) Any document which establishes that one of the grandparents of the girl has lived in Goa around the time of the date of birth claimed by the parent(s); or

(d) Any such records, which establishes the date of birth of the parent(s).

(v) Attested copy of the Aadhar card if

any, and

(vi) A Self-Declaration in the format as

given in "Annexure II" to this scheme.

(vii) Annual Income Certificate of parents of the immediate previous financial year at the time of submission of application, issued by the Competent Authority. The Income Certificate shall include the annual income of the mother and father of the applicant taken together and not the income of the family.

Note 1: The Aadhar card will be compulsory for all applicants after 01-04-2013. However, the Government by separate Order may relax the requirement of producing the Aadhar card and such other certificate(s), for a further period of time, as may be prescribed in the said Order.

Note 2: The application form (Annexure-I) shall be serially numbered and issued by the designated Offices notified by the Director of Women and Child Development/designated branches of the bank concerned. Application forms in any other format or proforma or reprographic copies of the same shall not be accepted.

Note 3: The application form (Annexure-I) shall be signed by the applicant in the presence of either the Member of Legislative Assembly, the Member of Parliament, Government Officer (not below the rank of Additional/Special Secretary to the Government of Goa) or the District Magistrate.

(2) In case of those beneficiaries who have already attained the age of 18 and above before 01-04-2012 [i.e. those beneficiaries covered under clause 2(5)(b) above] and have got/are getting married hereinafter, may apply to the Director of Women and Child Development, Panaji-Goa, in the prescribed form, in "Annexure-I" of this scheme with all the documents listed in clause 4 (1) above along with following additional documents;

(i) Attested copy of the Civil Marriage Registration Certificate (which may also include the first registration certificate) provided the certificate is dated on or after 01-04-2012 only.

(3) The application shall be submitted within one year, from the date of attaining the age of 18 years or from the date of Civil Marriage Registration. All applications received beyond the specified period of one year shall be rejected.

(4) The application duly filled and complete in all respect, received by the Directorate of Women and Child Development, shall be scrutinized and sanctioned by the Director of Women and Child Development, in the chronological order in which application is received in his Office.

(5) The applicant shall have to open an account in the bank/financial institution as declared by the Government, in any of its branches in the State of Goa.

(6) In order to receive the money after civil marriage, the beneficiary shall personally present herself before the designated officer(s) or the Director of the Directorate, Women and Child Development for issue of withdrawal order/letter, which in turn can be presented in the bank/financial institution for withdrawal of the money/amount due and payable. The withdrawal order/letter shall be issued based on the submission of the Civil Marriage Registration Certificate (which may also include the first registration certificate).

(7) If the girl who has been sanctioned the benefits under the scheme, intends to withdraw the said amount for her use in business/profession or for her further studies, should apply in the prescribed Form 'A' duly completed in all respects alongwith the relevant documents directly to the Department such cases shall be placed before the Committee for decision.

V. Other Conditions.— (1) (a) In the event of death of the beneficiary before the marriage, the amount in the fixed deposit shall be paid by the bank/financial institution1250 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020 concerned to the Director of Women & Child Development, who shall deposit the same into an appropriate Government account.

(b) In the event of death of the beneficiary after marriage before claiming the benefit, the financial assistance shall be released to the parents. If both the parents of the beneficiary are expired, the assistance shall be released to the guardian whose name is mentioned in the Laadli Laxmi application of the expired beneficiary.

(2) A separate account shall be opened with one of the bank/financial institution concerned to be identified by the Government for implementation of the scheme, which shall prepare a fixed deposit in the name of the applicant as per the sanction order issued by the Director, Women and Child Development, from time to time.

(3) The money under the fixed deposit shall be permitted to be withdrawn from the bank/ financial institution, provided the beneficiary produces the withdrawal order/letter from the Director, Women and Child Development or any other authorised official and also personally present herself before the bank officials.

(4) The benefits under the scheme shall be given only once in the lifetime of each beneficiary.

(5) The unpaid money under the fixed deposit shall be credited back to the Government along with the interest accrued thereon and no family members/co-signatory/ guardian, as the case may be shall have right/ claim of whatsoever on the same.

(6) In the event, there is no claim by the beneficiary till attaining the age of 45 years, the fixed deposit shall be closed and the amount shall be credited back to the Government along with the interest accrued thereon. No further assistance of any nature shall be provided to the concerned.

(7) This scheme does not confer any right on any one merely on application made under the scheme, for claiming the benefits under this scheme and denial of the benefits under the scheme, after the same has been examined by the Director of Women and Child Development as well as the Committee constituted under clause 2(2) above, shall not be disputed.

(8) The disbursement of benefits under this scheme shall be subject to the availability of funds provided for the purpose annually by means of budgetary support.

(9) Any person who avails financial assistance under the scheme on the basis of false information, submitting false declaration or by concealing material information, shall be liable for criminal prosecution. Notwithstanding any criminal prosecution that may be initiated or result thereof, such person shall also be debarred for life for getting any benefits and or assistance under any other schemes of the Government.

VI. Power to relax.— (1) For removal of any difficulties in the implementation of the scheme, there shall be a four member Committee constituted as in clause 2(2) above.

(2) The decision of the Committee shall be

final and binding on all concerned.

(3) The Government shall have the power to amend, modify and cancel any part or whole of the scheme at any time.

This notification shall come into force with effect from the date of publication of this notification in the Official Gazette.

This issues with approval of the Government vide U.O. No. 288/F dated 06-10-2020 and concurrence of Finance (Expenditure) Department vide U. O. No. 1400068894 dated 08-08-2020.

By order and in the name of the Governor

of Goa

Umeshchandra Joshi, Director & ex officio Joint Secretary (Women & Child Development).

Panaji, 14th October, 2020.

Price: Rs. 100/-

Sr. No.

Annexure – I (Bank Copy)

Application Form for 'LAADLI LAXMI' Scheme.

PART I

Passport size Photograph of the applicant, countersigned by the MLA or MP Government Officers, not below the rank of Additional/ Special Secretaries to the Government of Goa and the District Magistrates.

1. *Name of the applicant (Girl):_________________________________________ (As specified on birth certificate) (Surname) (Name) (Middle Name)

2. *Applicant's Date of Birth:

(dd/mm/yyyy)

3. *Name of the Applicant's (i) Mother:________________________________________

(ii) Father:_________________________________________

(iii) Guardian:_____________________________________ 4. *Married: Yes No

5. *Residential address (in full):

House No.: ___________________________________ Ward No. _________________________________ Street/Bldg. Name:_____________________________________________ City/Village: _______________ Constituency : ________________________________ Taluka : _______________ District :___________ Post Office : ___________________________________ Pin Code : _________________________________ 6. *Contact details:

(i) Landline: ______________________________________

(ii) Mobile: _______________________________________

(iii) e-mail: ________________________________________

7. *Religion: Hindu Muslim Christian Others

8. Category: SC ST OBC Others

9. *Aadhar Card No.:

10. EPIC number (if any):

11. Annual Parental Income: _________________________________________________________________

DECLARATION

I, the undersigned, hereby declare that the information given above is true and correct, and nothing stated is false and I have not been benefited with this scheme earlier. I shall be personally responsible for any false and incorrect information/documents, for which the authorities shall be at liberty to take penal action as deem fit against me including filing criminal case.

Dated:

(Name & Signature of the Applicant) Signed in presence of:

Signature, Name & Seal of

Member of Legislative Assembly/Member of Parliament, Government Officers, not below the rank of Additional/Special Secretaries to the Government of Goa and the District Magistrates.

Note: Fields marked in * are compulsory1252 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020

FOR OFFICE USE ONLY

Authorisation to the Bank

Date : …………………………..

To,

The Branch Manager/Authorised Officer of

_______________________________________________________________________________ (Name of Bank)

Sir/Madam,

Your are authorised to release an amount of Rs. 1,00,000/- to Ms. ___________________ ___________________________________________ whose details have been verified, in the form of cash payment/fixed deposit receipt.

______________________________ Director Directorate of Women & Child Development

_________

Price: Rs. 100/- Sr. No.

Annexure – I (Office Copy)

Application Form for 'LAADLI LAXMI' Scheme

PART I

1. *Name of the applicant (Girl):_____________________________________________

Passport size Photograph of the applicant, countersigned by the MLA or MP Government Officers, not below the rank of Additional/ Special Secretaries to the Government of Goa and the District Magistrates.

(As specified on birth certificate) (Surname) (Name) (Middle Name)

2. *Applicant's Date of Birth:

(dd/mm/yyyy)

3. *Name of the Applicant's (i) Mother:________________________________________

(iii) Father:_________________________________________

(iv) Guardian:______________________________________

4. *Married:

Yes No

5. *Residential address (in full):

House No.: _______________________________ Ward No. _____________________________________ Street/Bldg. Name:_____________________________________________ City/Village: _______________ Constituency : ______________________________ Taluka : _____________ District :___________ Post Office : _____________________________ Pin Code : _________________________________ 6. *Contact details:

(i) Landline: ______________________________________

(ii) Mobile: _______________________________________

(iii) e-mail: ________________________________________

7. *Religion: Hindu Muslim Christian Others

8. Category: SC ST OBC Others

9. *Aadhar Card No.:

10. EPIC number (if any):

11. Annual Parental Income: _____________________________________________________________1253 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020

DECLARATION

I, the undersigned, hereby declare that the information given above is true and correct, and nothing stated is false and I have not been benefited with this scheme earlier. I shall be personally responsible for any false and incorrect information/documents, for which the authorities shall be at liberty to take penal action as deem fit against me including filing criminal case.

Dated:

(Name & Signature of the Applicant)

Signed in presence of:

Signature, Name & Seal of

Member of Legislative Assembly/Member of Parliament, Government Officers, not below the rank of Additional/Special Secretaries to the Government of Goa and the District Magistrates.

Note: Fields marked in * are compulsory.

PART II

The application shall be enclosed with the following documents:—

1. Self Certified copy of Birth Certificate of the applicant.

2. Residence Certificate of the applicant. In lieu of the Residence Certificate, the previous School Leaving Certificate and the current Bonafide Student Certificate issued by the recognized Educational Institution in which the Girl is presently studying can also be produced. However, in case of girls who discontinued education at school level, the gap period i.e. from the time of discontinuation of education till completion of 18 years of age/marriage as the case may be proved by production of residence certificate. In case of graduates, the certificates of passing of Xth, XIIth and Graduation is adequate evidence.

3. Self Certified copy of Aadhar Card.

4. Self Certified copy of the Civil Marriage Registration Certificate, which may also include the first registration certificate.

5. Self Certified copy of 15 years or 25 years Residence Certificate of one of the parent(s) of the applicant as the case may be. In lieu of the Residence Certificate, any documentary evidence to prove the residence for the specified period can also be produced which may include:

i. the land records i.e. tenancy rights; mundcarial rights; occupancy rights, etc;

ii. Employment certificate; or

iii. Any such records to the satisfaction of the Committee.

6. Self Certified copy of Birth Certificate of one of the parent(s) of the applicant as the case may be:

If no birth certificate is available, one of the following documents can be produced showing the details namely the date and place of Birth of the parent(s):

i. Baptism certificate;

ii. School leaving certificate of the parent(s);

iii. Any document which establishes that one of the grandparents of the girl have lived in Goa around the time of the date of birth claimed by the parent(s); or

iv. Any such records, which establishes the date of birth of the parent(s).

7. Self-Declaration of the applicant.

8. Pre-receipt with revenue stamp (in duplicate) as prescribed.

9. Annual Income Certificate of parents issued by the Competent Authority.

Note:

1. The Application shall be submitted within one year, from the date of attaining the age of 18 years or from the date of Civil Marriage Registration. All applications received beyond the specified period of one year shall be rejected.

2. Applicants shall attach their recent passport size photograph only, Edited photographs shall not be attached.

Annexure – II

(Fill in the blanks and strike out whichever is not applicable)

SELF-DECLARATION

Passport size signed Photograph of the Applicant

I, ________________________________________________________________________ daughter of Shri___________________________________________ aged ______________ years, Indian National, resident of ——————————————————————————— do hereby state and declare as under:

1. That I have applied for financial assistance under the Laadli Laxmi Scheme.

2. That I am born at _____________________, State_________________ on ______________

3. That I have completed 18 years of age as on ______________________________ and that I am not above 45 years of age.

4. That I belong to ______________________ religion.

5. That I belong to SC/ST/OBC/OTHERS category.

6. That I have been residing at the above notified address for last _____________________ years and that I am resident of Goa for the last ______________ years.

7. That my mother, _______________________ (name of mother) aged _________ years is born in Goa/ outside Goa and is also the resident of Goa for the last ______ years and is alive till date/died on ______ 8. That my father,___________________________ (name of father) aged ________ years is born in Goa/ outside Goa and is also resident of Goa for last________ and is alive till date/died on______________.

9. (a) That I have studied/studying in Goa from Std. ________________ to ______________ for the period from ____________ to __________ (till date) for ___________years.

(b) That I am working/unemployed/self employed in Goa for the period from ______ to _________ for ____________ years.

10. That my mother is working/self employed/retired/pensioner/unemployed at ____________________ _______________________ _____________ (name and address of the Organization) having annual income of Rs. ____________/-.

11. That my father is working/self employed/retired/pensioner/unemployed at_____________________ ________________________ ________ (name and address of the Organization) having annual income of Rs. _________________/-.

12. That apart from the above my parents do not have any other source of income.

13. That my annual parental income is Rs. ______________________________ /- per annum and does not exceed Rs. 8,00,000/- per annum.

14. That the information given above is true and correct, and nothing stated is false and I shall be responsible for correctness of the information."

Declared on this ———-th day of month of ———————of the year—————

____________________________

DECLARANT

_________

Consent for Authentication

I, the holder of Aadhaar number _______________________, hereby give my consent to Directorate of Women & Child Development to obtain my Aadhaar number, Name and Fingerprint/Iris for authentication with UIDAI. Directorate of Women & Child Development has informed me that my identity information would only be used for Laadli Laxmi Scheme and also informed that my biometrics will not be stored/shared1255 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020 and will be submitted to Central Identities Data Repository only for the purpose of authentication.

(Signature of the Aadhaar Number Holder/I agree)

________

Sr. No.

PRE-RECEIPT

Received with thanks from Director of Women and Child Development, Panaji a sum of Rs. 1,00,000/-

(Rupees one lakh only) in the form of Fixed Deposit Receipt (FDR)/Cash towards financial assistance under Laadli Laxmi Scheme.

Date :

Affix Re. 1/- Revenue stamp

Name: __________________________________________

Place:

Address: ______________________________________

______________________________________

______________________________________

________

Sr. No.

PRE-RECEIPT

Received with thanks from Director of Women and Child Development, Panaji a sum of Rs. 1,00,000/- (Rupees one lakh only) in the form of Fixed Deposit Receipt (FDR)/Cash towards financial assistance under Laadli Laxmi Scheme.

Date :

Name: __________________________________________

Place:

Address: ______________________________________

______________________________________

______________________________________

_________

Notification

2-1232-GA/2019-20/DWCD/8354

Read:- (1) Notification No. 2-280-SL-2012-

-DW&CD/4291 dated 01-10-2012

(2) Amendment Notification No. 2- -280-SL-2012-DW&CD/6524 dated 26-11-2012

(3) Amendment Notification No. 2- 280-SL-2012-DW&CD/09562 dated 30-10-2014

(4) Amendment Notification No. 2- 280-SL-2012-DW&CD dated 18-02-2015

(5) Amendment Notification No. 2- 280-SL-2012/DW&CD/Part file/362 dated 14-07-2015

(6) Amendment Notification No. 2- 280-SL-2012-DW&CD/362 dated 20-01-2016

(7) Amendment Notification No. 2- 280-SL-DW&CD/Par t file/2461 dated 15-03-2016

(8) Amendment Notification No. 2- 280-SL/DW&CD/Par t file/4690 dated 22-06-2016

(9) Amendment Notification No. 2- 280-SL-2012-DWCD/Part File/1590 dated 04-07-2017

(10) Amendment Notification No. 2- 280-SL-2012-DWCD/8666 dated 26-12-2018

(11) Amendment Notification No. 2- 1232- GA/2019-20/DWCD/7037 dated 31-01-20201256 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020 GRIHA AADHAR SCHEME

In exercise of the powers conferred under clause 7 of Griha Aadhar Scheme notified vide Notification No. 2-280-SL-2012-DW&CD/4291 dated 01-10-2012 and published in the Official Gazette No. 27, Series I, dated 04-10-2012, the Government hereby further amends and publishes the said Scheme as under:-

Objective of the Scheme.— The objective of the scheme is to address the problem of spiraling prices and to provide support to the housewives/homemakers from middle, lower middle and poor section of the society, to maintain a reasonable standard of living for their families. Under this scheme a monthly disbursement of an amount as prescribed under the scheme will be provided every month directly at the hands of the housewives/homemakers to achieve the objective.

1. Short title and commencement.— (a) This scheme shall be called "Griha Aadhar Scheme".

(b) This amended scheme shall replace the existing scheme and come into force with immediate effect.

2. Eligibility and other conditions.— Any married woman above the age of 18 years, who fulfils all of the following conditions is eligible to apply:

(a) She should be a resident of Goa for

the last fifteen years; and

(b) The gross income of the husband and wife, taken together should not exceed Rs. 3,00,000/- per annum.

(c) This scheme shall not be applicable to those married woman who or whose husband is employed in any of the following entities on regular basis (contract/daily wages are excluded)

(i) Government of Goa or its' Corporation or Autonomous organization funded by State Government.

(ii) Government of India or any other State Government or its Corporations/ Autonomous bodies.

(iii) Scheduled Banks but excluding Co-operative banks (subject to actual income in case of Co-operative Banks).

(d) The married woman or her husband shall not be in receipt of benefit under the Dayanand Social Security Scheme (DSSS) rolled out by Directorate of Social Welfare, Government of Goa. Notwithstanding this proviso, widow with minor child who is in receipt of benefit under the Dayanand Social Security Scheme (DSSS) rolled out by Directorate of Social Welfare, Government of Goa shall be eligible for benefit under this scheme. On completion of 18 years of the child, she shall be entitled to receive the benefits of any one of the above schemes.

Note 1: The term 'married woman' includes a widow and a divorcee. In such cases also the gross income of the beneficiary should not exceed Rs.3,00,000/- per annum.

Note 2: The term 'gross income', means the income receivable by the beneficiary as salary, any sort of remuneration, any sort of earnings from profession, agriculture or business or any other income from any other sources; before computing any other amount accounted towards statutory, essential and other deductions required to be done from the gross income.

3. Financial Assistance.— The beneficiary under the scheme shall be paid an amount of Rs. 1,500/- per month, as financial assistance w.e.f. payment of September, 2016.

4. Application procedure.— (a) The eligible beneficiary shall apply to the Director of Women and Child Development, Panaji-Goa in the prescribed form (Annexure-A), complete in all respects with the self-certified copies of the following documents:

(i) Aadhar Card,

(ii) Marriage Certificate issued by the competent authority. In case of non- availability of Marriage Certificate, Birth Certificate of the child indicating the name of the beneficiary as the mother may be considered. All such cases shall be referred to the Committee constituted in terms of clause 6 (a) for decision. However, Marriage1257 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020 Certificate shall be an essential document in case of beneficiaries who are getting married, on or after the date, this scheme comes into force. In such cases, alternate documents as indicated above shall not be accepted and no relaxation shall be granted. Such cases shall not be referred to the Committee and the application shall be rejected.

(iii) Proof of present residential address (which may include Election Photo Identity Card (EPIC), or any such document which establishes the present address);

(iv) 15 years Residence Certificate issued by Mamlatdar of the Taluka concerned. Provided that in case of a married women who is originally native from outside the State and has married to a person of Goan origin residing in Goa for at least 15 years provided they are settled in Goa for a period of one year, along with her birth certificate as a proof that she is native of outside Goa, birth certificate and 15 years Residence Certificate of her husband.

(v) Income Certificate issued by the Competent authority (i.e. Secretary, Village Panchayat/Chief Officer, Municipal Council). Alongwith this applicant should submit a self-declaration in form duly certified and attested before a Gazetted Officer of the State Government, declaring therein that the annual income from all sources does not exceed Rs. 3,00,000/- and also that the applicant or her husband is not employed in any of the entities on regular basis as mentioned in Clause 2. (c). This self-declaration need not be notarized.

(vi) Self attested copy of savings bank account pass book (with IFSC and MICR details). The bank account submitted should be preferably Aadhar linked for DBT (Direct Benefit Transfer) purpose.

(vii) Birth certificate of the child along with life certificate (in case of widow who is DSSS beneficiary).

(b) The applications shall be scrutinized and sanction will be issued by the Director of Women and Child Development. The Director of Women and Child Development shall establish facilitation centres in the taluka level offices for processing the application forms.

(c) From September, 2016, the financial assistance of Rs. 1500/- (Rupees one thousand five hundred only) shall be paid every month directly into the savings bank account of the eligible beneficiary by ABPS (Aadhar Bridge Payment System)/ACH (Automated Credit House)/NEFT (National Electronic Fund Transfer) subject to other conditions.

(d) The total net quota of number of cases under the scheme that can be sanctioned is capped at 152000 Nos.

5. Other conditions.— (a) The beneficiary shall submit a life certificate alongwith an income certificate issued by the Competent authority (i.e. Secretary, Village Panchayat/ Chief Officer, Municipal Council) every year, only in that respective month in which she was sanctioned the benefits under the Griha Aadhar Scheme in the prescribed form at such place identified by the department for the purpose (Annexure – B). In case of a widow who is a DSSS beneficiary and having a child, the beneficiary shall also submit additionally a life certificate in respect of such child every year in that respective month in which she was sanctioned the benefits under the Griha Aadhar Scheme. The period/month of submission prescribed herein above will be extended upto a maximum of one month.

(b) The Life Certificate stated in this clause shall be signed by any Gazetted Officer or MLA or MP in the Format at Annexure-B.

(c) In the event, the beneficiary fails to file the Life Cer tificate alongwith Income Cer tificate as prescribed; the monthly financial assistance sanctioned shall be stopped forthwith. On receipt of the Life Certificate and Income Certificate, and subject to the fulfillment of other conditions, prescribed from time to time, the monthly financial assistance shall be resumed prospectively from the next month from the date of receipt of the Life Certificate and Income Certificate.

(d) In case of non-withdrawal of financial assistance received by the beneficiary under the scheme for a continuous period of 6 months and above, then the accumulated amount shall be reversed in the form of Demand Draft in favour of Director, Directorate of Women & Child Development by the concerned bank.

(e) In case the benefits under the scheme are availed by the beneficiary based on wrong/ false information or declaration, an action to prosecute shall be initiated and person shall be debarred from getting the benefits under any other schemes of the Government.

6. Power to remove difficulties.— (a) For the purpose of removal of any difficulties in the implementation of the Scheme, there shall be a four member committee consisting of the following:

(i) Secretary (Women and Child Development) as Chairperson;

(ii) One Social Worker to be appointed by the Government as Member;

(iii) Additional/Joint Secretary (Finance) as Member; and

(iv) Director of Women and Child Development as Member Secretary.

(b) The decision of the Committee shall be final and binding on all concerned.

7. Power to relax.— The Government shall have the power to amend, modify and cancel any part or whole of the scheme at any time.

This notification is issued with the approval of the Government vide U.O. No. 307/F dated 14-10-2020.

By order and in the name of the Governor of Goa.

Umeshchandra Joshi, Director & ex officio Joint Secretary (Women & Child Development).

Panaji, 14th October, 2020.

________

Price Rs. 50/-

Serial No.

ANNEXURE – A

Application form for Financial Assistance under Griha Aadhar Scheme

To, The Director, Women and Child Development, Government of Goa, Panaji–Goa.

PART – I

Applicant's photo to be attested by any Gazetted Officer or MLA or MP.

1. Name of the applicant (in full) : _____________________________________________

2. Date of Birth (age)

(Surname) (Name) (Middle Name)

: _____________________________________________ 3. Residential address(in full) : _____________________________________________ (Please attach proof)

House No.

: _____________________________________________ Street/Road/Building name : _____________________________________________1259 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020

Ward name/No.                          :  _____________________________________________
City/Village                           :  _____________________________________________
Constituency                           :  _____________________________________________
Taluka                                 :  _____________________________________________

4. Details of family members

5. Contact details of the applicant : Contact No. : __________________________________

e-mail : _______________________________________ 6. Religion

: _____________________________________________ 7. Category (Whether SC/ST/OBC/Others) : _____________________________________________ 8. EPIC No. (Please attach photocopy) : _____________________________________________ 9. Aadhar Card No. (Please attach photocopy) : _____________________________________________ 10. Annual income (includes husband and : _____________________________________________ wife, taken together) (Please attach proof)

11. Bank Account Details : _____________________________________________ (Please attach photocopy of bank pass book)

Name of the Bank : _____________________________________________ Branch

: _____________________________________________ Type of Account

: _____________________________________________ Account No.

: _____________________________________________ IFSC code

: _____________________________________________ MICR code

: _____________________________________________ 12. Whether you or your spouse is a : _____________________________________________ beneficiary under Dayanand Social Security Scheme:

13. Details of other scheme benefits availing, : _____________________________________________ if any

14. Marital Status

: Married/widow/divorced

15. Date of Birth & Age of the minor child, : _____________________________________________ if any (in case of widow availing DSSS)

DECLARATION

I, the undersigned ________________________ w/o _________________ do hereby declare that the information given above is true and correct and nothing is false. That I shall be personally responsible for the correctness of the information. I further declare that for wrong and false information, authorities may be at liberty to take action, as deem fit against me, including filing criminal case and I shall be debarred from receiving the benefit from any other Government Scheme.

(Signature of the applicant) Place:_____________ Date: _____________1260 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020 PART - II

SELF DECLARATION OF OCCUPATION AND INCOME

(To be certified and attested before a Gazetted Officer of the State Government)

I, Smt. _______________________________________ wife/daughter of _____________________ major of age, resident of ______________________ do hereby solemnly declare as under:

1. I say and declare that, presently I am working/self-employed as _______________ /not working/ housewife/home-maker (strike out whichever not applicable), and my monthly salary/income is Rs. _________ (Rupees ___________________ ___________________only).

2. I say and declare that, my husband is presently working/self-employed as _______________ /not working (strike out whichever not applicable), and my monthly salary/income is Rs. _________ (Rupees ___________________ ___________________only).

3. I say and declare that me and my husband are not employed in any of the following entities on regular basis.

(i) Government of Goa or its' Corporation or Autonomous organization funded by State Government. (ii) Government of India or any other State Government or its Corporations/Autonomous bodies.

(iii) Scheduled Banks but excluding Co-operative banks (subject to actual income in case of Co-operative Banks).

4. I say and declare that my annual income from all sources does not exceed Rs.________________ (Rupees _____________________________only).

(a) Income from agriculture sources Rs.______________.

(b) Income from Bank deposits : Rs. ________________.

(c) Income from other sources : Rs. _________________.

(d) Income of husband (if applicable): Rs. _________________.

5. I say and declare that the present self-declaration is produced in the Office of Directorate of Women & Child Development, Government of Goa, for availing the financial assistance under the GRIHA AADHAR SCHEME.

6. I say and declare that the above contents are true to the best of my knowledge and nothing false has been stated.

7. I say and declare that, in the event of any false declaration I shall be held responsible and shall be liable for penal action as deemed fit against me including filing criminal case.

Solemnly declared at __________________ on this ________________ day of the month of ___________ of the year ________.

(SIGNATURE OF THE DECLARANT)

Signed before me and attested: Signature : _____________________

Name & Designation of the Gazetted Officer : _____________________

Address : _____________________

Seal1261 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 30 22ND OCTOBER, 2020 PART - III

CONSENT FOR AUTHENTICATION

I, the holder of Aadhaar number _______________________, hereby give my consent to Directorate of Women & Child Development to obtain my Aadhaar number, Name and Fingerprint/Iris for authentication with UIDAI. Directorate of Women & Child Development has informed me that my identity information would only be used for Griha Aadhar Scheme and also informed that my biometrics will not be stored/ shared and will be submitted to Central Identities Data Repository only for the purpose of authentication.

(Signature of the Aadhaar Number Holder/I agree)

________

PART - IV

VERIFICATION

(To be signed by any Gazetted Officer or MLA or MP)

I, Shri/Smt._______________________________________________ do hereby certify that I personally know Smt._____________________________ (applicant). I further certify that I have checked the particulars/ information given in this application and the same is found to be correct.

I recommend Smt. ________________________________ (applicant) for grant of financial assistance under Griha Aadhar Scheme as she fulfills all the conditions/criteria.

Signature : _____________________

_____________________ (Name in block letters)

Designation : _____________________

Address & : _____________________

Seal _____________________

_____________________

Telephone No. _____________________

Place:___________

Date: ___________

__________

ANNEXURE – B

Registration No./Sanction No./Aadhar Card No._________________ Mobile No._____________

LIFE CERTIFICATE

(To be signed by any Gazetted Officer or MLA or MP)

Life Certificate of Applicant

Life Certificate of Child (Tick whichever applicable/or both)

I, Shri/Smt_____________________ do hereby certify that I personally know Smt______________________, w/o_______________________, R/o. _____________________________________________________, the beneficiary of Griha Aadhar Scheme since last ______________ years.

I further certify that above said Smt.____________________ is alive as on date.

* I further certify that Mast./ Ms. _________________________ is the son/daughter of the above said Smt. _______________________________, and that he/she is below eighteen years of age and is alive as on date.

__________________________

Signature of the Beneficiary

(Name in block letters)

Designation : _____________________

Seal

Address & : _____________________

Telephone No. : _____________________

Place:___________

Date:___________

* Strike out if not applicable

NOTE: The application shall be enclosed with the following documents:

1. Self attested copy of Marriage certificate issued by the competent authority;

2. Self attested copy of 15 years Residence Certificate issued by Taluka Mamlatdar;

3. Proof of present residential address (includes Election Photo Identity Card–EPIC or any such document which establishes the present address);

4. Attested copy of Birth certificate alongwith one year residence certificate of the applicant and Birth certificate alongwith 15 years Residence certificate of her husband (in case of applicant who is originally native from outside the State and has married to a person of Goan origin);

5. Attested copy of Aadhar card;

6. Income Certificate issued by the Competent authority (i.e. Secretary, Village Panchayat/Chief Officer, Municipal Council);

7. Attested copy of savings bank account pass book with IFSC & MICR details (The bank account submitted should be preferably Aadhar linked for DBT (Direct Benefit Transfer) purpose.), and;

8. Birth certificate of the child along with life certificates as in Annexure B (in case of widow who is a DSSS beneficiary).

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