413

EXTRAORDINARY

GOVERNMENT OF GOA

Department of Finance

Debt Management Division

__

Notification

5-2-2021-Fin(DMU)

Government of Goa hereby notifies the sale

of Goa Government Stock (Securities) of

10-year tenure for an aggregate amount of

Rs. 100.00 crore (Nominal). The sale will be

subject to the terms and conditions spelt

out in this notification (called specific

notification) as also the terms and condi-

tions specified in the General Notification

No. 1-45-2005/Fin (DMU)/572 dated April 25,

2017 of Government of Goa.

Object of the Loan

1. (i) The proceeds of the loans will be

utilized for financing capital expenditure

in

connection

with

the

development

programmes of the Government of Goa.

(ii) Consent of Central Government has

been obtained to the floatation of this loan as

required by Article 293(3) of the Constitution

of India.

Method of issue

2. Government stock will be sold through

the Reserve Bank of India, Mumbai Office

(PDO) Fort, Mumbai - 400 001 by auction in

the manner as prescribed in paragraph 6.1 of

the General Notification No. 1-45-2005/Fin

(DMU)/572 dated April 25, 2017 at a coupon

rate to be determined by the Reserve Bank of

India at the yield based auction under

multiple price formats.

Allotment to Non-competitive Bidders

3. The Governments stock up to 10% of the

notified

amount

of

the

sale

will

be

allotted

to

eligible

individuals

and

institutions subject to a maximum limit of 1%

of the notified amount for a single bid as per

the Revised Scheme for Non-competitive

Bidding Facility in the Auctions of State

Government

Securities

of

the

General

Notification (Annexure II).

Place and Date of Auction

4. The auction will be conducted by the

Reserve Bank of India, at its Mumbai Office,

Fort, Mumbai 400 001 on July 06, 2021. Bids

for the auction should be submitted in

electronic format on the Reserve Bank of

India Core Banking Solution (E-Kuber) system

as stated below on July 06, 2021.

(a) The competitive bids shall be

submitted electronically on the Reserve

Bank of India Core Banking Solution

(E-Kuber) system between 10:30 a.m. to

11:30 a.m.

SERIES I No. 14

Panaji, 2nd July, 2021 (Asadha 11, 1943)

Reg. No. RNP/GOA/32/2021-23

RNI No. GOAENG/2002/6410

__________________________________________________________________________________________

Suggestions are welcome on e-mail: [email protected]

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414

(b) The non-competitive bids shall be

submitted electronically on the Reserve

Bank of India Core Banking Solution (E-

Kuber) system between 10:30 a.m. to 11:00

a.m.

Result of the Auction

5. The result of the auction shall be

displayed by the Reserve Bank of India

on its website on the same day. The payment

by successful bidders will be on July 07,

2021.

Method of Payment

6. Successful bidders will make payments

on July 07, 2021 before close of banking

hours by means of cash, bankers’ cheque/pay

order, demand draft payable at Reserve Bank

of India, Mumbai/Mumbai or a cheque drawn

on their account with Reserve Bank of India,

Mumbai (Fort)/Mumbai.

Tenure

7. The stock will be of 10-year tenure. The

tenure of the stock will commence on July 07,

2021.

Date of Repayment

8. The loan will be repaid at par on July 07,

2031.

Rate of Interest

9. The cut-off yield determined at the

auction will be the coupon rate percent per

annum on the stock sold at the auction. The

interest will be paid on January 07 and July

07.

Eligibility of Securities

10. The investment in Government Stock

will be reckoned as an eligible Investment in

Government Securities by banks for the

purpose of Statutory Liquidity Ratio (SLR)

under section 24 of the Banking Regulation

Act, 1949. The stocks will qualify for the

ready forward facility.

By order and in the name of the Governor

of Goa.

Puneet Kumar Goel, Principal Secretary

(Finance).

Porvorim, 1st July, 2021.

——————

Department of Social Welfare

Directorate of Social Welfare

___

Notification

No. 7-2021-22-EPWD/DSSS/984

Government of Goa is pleased to make the following scheme and is hereby published for

general information of public, which shall come into force from the date of publication in the

Official Gazette.

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

Umeshchandra Joshi, Director & ex officio Joint Secretary (Social Welfare).

Panaji, 2nd July, 2021.

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

SCHEME TO PROVIDE EX-GRATIA FINANCIAL ASSISTANCE

TO THE FAMILY OF THE VICTIMS OF COVID-19

I. Objective of the scheme.— The objective of this scheme is to provide one time ex-gratia of

Rs. 2.00 Lakhs to families of the deceased victim due to Covid-19 infection whose income limit

does not exceed Rs. 8.00 Lakhs per annum subject to maximum of one claim per family.

II. Target Group.— Family of Covid-19 victim who passed away due to Covid-19.

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III. Commencement of the scheme.— The scheme shall come into force from date of

publication of scheme in the Official Gazette.

IV. Definitions.— (1) ‘Government’ means the Government of Goa.

(2) ‘Director’ means the Director of Social Welfare, Government of Goa.

(3) ‘Ex-gratia’ means one time amount to be given in exigencies for relief.

(4) ‘Family’ means husband/wife and their dependent children of the deceased victim due to

Covid-19 infection.

V. Eligibility Criteria.— (1) All deaths in the families due to Covid-19 subject to maximum of

one claim per family.

(2) Income of a family shall not exceed Rs. 8.00 Lakhs per annum.

(3) Minimum Residence shall be 15 years in the State of Goa.

VI. Required Documents.— 1. Death certificate issued by Competent Authority.

2. Medical Certificate in the prescribed proforma issued by the concerned Hospitals where

the victim expired due to COVID-19. The Medical Report should have reference of the

RTPCR/RAT report of any authorized LAB of ICMR.

3. Income Certificate of the applicant showing the annual income of the family not exceeding

Rs. 8.00 Lakhs issued by the Competent Authority.

OR

Notorized affidavit of the applicant declaring the annual family income not exceeding

Rs. 8.00 Lakhs.

4. Residence Certificate of minimum 15 years of the applicant issued by the Competent

Authority/Gazetted Officer, Government of Goa.

5. Aadhar Card of Covid-19 victim.

6. EPIC Card of Covid-19 victim issued by Authorities in Goa.

7. Birth Certificate/proof of age of Covid-19 victim.

8. Aadhar Card of applicant.

9. Epic Card of applicant.

10. Bank Mandate Form alongwith Bank Passbook copy of the applicant.

VII. Financial Assistance.— One time amount of Rs. 2.00 Lakh shall be sanctioned by

Director, Directorate of Social Welfare after verifying and confirming eligibility as per document

received from the applicant with respect ‘Clause VI’ mentioned above.

VIII. Who can apply.— Husband/wife/dependent children can apply, in the following order

of preference for the benefit of entire dependent family.—

1. Spouse of the victim.

OR

2. In case spouse is not alive then any major dependent can apply; provided financial

assistance released is deposited in the joint account of all family members or in the individual

OFFICIAL GAZETTE — GOVT. OF GOA

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saving bank account with the condition that the minor can withdraw from his account upon

attaining majority.

OR

3. In case there is no major dependents then Legal Guardian of minor family member can

apply and financial assistance will be released in the individual saving bank account of all the

minor members of the family. However, the amount of ex-gratia can be withdrawn by minor

dependents on completion of age of 18 years.

Mode of Application.— Application for financial assistance shall be submitted to the Director of

Social Welfare in the Prescribed Format in Annexure-I and shall be accompanied with the

following documents:—

1. Death certificate issued by Competent Authority.

2. Medical Certificate in the prescribed proforma issued by the concerned Hospitals where

the victim expired due to COVID-19. The Medical Report should have reference of the

RTPCR/RAT report of any authorized LAB of ICMR.

3. Income Certificate of the applicant showing the annual income of the family not exceeding

Rs. 8.00 Lakhs issued by the Competent Authority.

OR

Notorized affidavit of the applicant declaring the annual family income not exceeding

Rs. 8.00 Lakhs.

4. Residence Certificate of minimum 15 years of the applicant issued by the Competent

Authority/Gazetted Officer, Government of Goa.

5. Aadhar Card of Covid-19 victim.

6. EPIC Card of Covid-19 victim issued by Authorities in Goa.

7. Birth Certificate/proof of age of Covid-19 victim.

8. Aadhar Card of Applicant.

9. Epic Card of Applicant.

10. Bank Mandate Form alongwith Bank Passbook copy of the applicant.

Interpretation and Relaxation.—

1. The Secretary, Social Welfare shall be the Final Authority concerning the interpretation of

this scheme.

2. The Government may relax any of the provision of this scheme.

Terms and Conditions.—

The grant of financial assistance under the scheme cannot be claimed as a matter of right.

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

Umeshchandra Joshi, Director of Social Welfare/ex officio Joint Secretary.

Panaji, 2nd July, 2021.

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ANNEXURE-I

APPLICATION FORMAT

APPLICATION FOR EX -GRATIA FINANCIAL ASSISTANCE

TO THE FAMILY OF THE VICTIMS OF COVID-19

To,

The Director,

Directorate of Social Welfare,

18th June Road,

Panaji Goa.

Sir/Madam,

I, Shri/Smt/Kum. ________________________________ hereby apply for Ex-gratia financial assistance

to the family of the Victims of COVID-19.

------------------- /---------------------------- /---------------------

I. Details of person expired due to COVID -19

i.

Name: __________________________________________________________________________________

ii.

Father’s/Husband’s Name: _______________________________________________________________

iii. Residential Address

House No.___________________________

Ward ________________________________

Village/Town _______________________

Constituency__________________________

Taluka _____________________________

District_______________________________

Nearest Landmark: __________________

iv. Date of Birth/Age: __________________

v.

Gender:- Male/Female/Transgender: __________________

vi. Whether Belongs to SC/ST/OBC/Minority/Person with Disabilities/General: __________________

vii. Aadhar card No.: _____________________________

viii. Date of death: _______________________________

ix. Date of Medical Certificate issued and details (copy to be enclosed): _________________________

II. My particulars are as under.

i.

Name: __________________________________________________________________________________

ii.

Father’s/Husband’s Name: _______________________________________________________________

iii. Relationship with the deceased person: ________________________________________________

iv. Residential Address

House No.___________________________

Ward ________________________________

Village/Town _______________________

Constituency__________________________

Taluka _____________________________

District_______________________________

Nearest Landmark: __________________

Photo of the

Applicant

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v.

Date of Birth/Age: __________________

vi. Gender:- Male/Female/Transgender: __________________

vii. Whether Belongs to SC/ST/OBC/Minority/Person with Disabilities/General:-_________________

viii. Aadhar card No.: _____________________________

ix. Contact No.: _________________________________

x.

Email Id (If any) ______________________________

xi. Total Family Income from all sources for the year 2020-21 is Rs. _____________________

(Rupees __________________________________________ only).

xii. Date of certificate of Notarized Affidavit (copy to be enclosed): ______________________

II. Details of family members

Sr.

No.

Name of family member

Relationship with the

deceased person

Whether

employed

Annual income

1

2

3

4

5

DECLARATION

I, hereby declare that

1. I have not availed the benefit of such scheme sponsored by Government or any other agency in

past.

2. The contents mentioned in the application are correct to the best of my knowledge and belief and

nothing has been concealed therein.

3. I undertake that the Ex-gratia amount shall be utilized for entire family.

4. I undertake to return the Ex-gratia amount, if my declaration is proved to be wrong and liable for

all Civil/Criminal action in case of any wrong declaration.

Date:

Name: _______________________

Signature of the applicant

Documents to be submitted alongwith the application

Death certificate issued by competent authority.

Medical Certificate in the prescribed proforma issued by the concerned Hospitals where the victim

expired due to COVID-19. The Medical Report should have reference of the RTPCR/RAT report of

any authorized LAB of ICMR.

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Income Certificate of the applicant showing the annual income of the family not exceeding Rs. 8.00

Lakhs issued by the Competent Authority.

OR

Notorized affidavit of the applicant declaring the annual family income not exceeding Rs. 8.00

Lakhs.

Residence Certificate of minimum 15 years of the applicant issued by the Competent Authority/

/Gazetted Officer, Government of Goa.

Aadhar Card of Covid-19 victim.

EPIC Card of Covid-19 victim issued by Authorities in Goa.

Birth Certificate/proof of age of Covid-19 victim.

Aadhar Card of Applicant.

Epic Card of Applicant.

Bank Mandate Form alongwith Bank Passbook copy of the applicant

Legal Guardian Certificate (If applicable).

______

ANNEXURE-II

MEDICAL CERTIFICATE

1. This is to Certify that Shri/Smt. ………………………………………… age ……………… resident of

House No. …………… ward………………… Village/town …………………. Constituency ………………..

Taluka………………… has expired due to COVID-19 on ………………….

2. His/Her RTPCR/RAT Lab report and reference No. is ……………………………………… issued by

…………………………. (Name of Lab) which is authorized by ICMR.

His/Her Aadhar Card No. is …………………………………

3. I declare that above facts are true.

Name of Doctor …………………………………………..

Reg. No. ……………………………………………………

Phone No. of the Doctor…………………………………

Signature of Doctor

Official Rubber Stamp

Date……………………………………….

Place………………………………………

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ANNEXURE-III

AFFIDAVIT

I Shri/Smt. ………………………………………………. r/o ………………………………… solemnly state on

oath as under:

That my annual family income from all sources for the year ………. (Current Year) is Rs. ………………

(Rupees ……………………………………….. only).

That Victim of Covid-19 is ………………………………… in relation to me.

That I have not availed the benefit of such scheme sponsored by Government or any other agency in

past.

This affidavit is sworn by me to produce in Directorate of Social Welfare, Panaji for the purpose of

availing Ex-gratia financial assistance to the family of Covid-19 Victim.

I undertake to return the Ex-gratia amount, if my declaration is proved to be wrong and liable for all

Civil/Criminal action in case of any wrong declaration.

The contents mentioned in the application are correct to the best of my knowledge and belief and

nothing has been concealed therein

DEPONENT

Place: …………….

Date: ……………..

______

ANNEXURE-IV

RESIDENCE CERTIFICATE

(To be signed by Mamlatdar, or Gazetted Officer of the State Government)

Certified that Shri/Smt/Kum. _________________________________ Married/unmarried, age________

years, son/wife/daughter of Shri ___________________________ is residing at House No.____________

situated at Ward ___________Village/Town____________ Taluka__________ Goa, for the last _____ years

and _____ months since _____.

This certificate is issued at the request of Shri/Smt/Kum.________________________________ for

producing the same in the office of Directorate of Social Welfare, Panaji-Goa, for availing EX-GRATIA

FINANCIAL ASSISTANCE TO THE FAMILY OF THE VICTIMS OF COVID-19.

Signature: ________________________________________

Name in block letters: _____________________________

Designation: ______________________________________

Address (Official): _________________________________

________________________________

Telephone No. (official): _____________________________

Affix Seal

Date:_____________

Place:_____________

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