RNI No. GOAENG/2002/6410 Reg. No. RNP/GOA/32/2021-2023
Panaji, 17th November, 2022 (Kartika 26, 1944) SERIES I No. 33 PUBLISHED BY AUTHORITY
NOTE
There is one Supplement and two Extraordinary issues to the Official Gazette, Series I No. 32 dated 10-11-2022,
namely:—
(1) Supplement dated 10-11-2022 from pages 1067 to 1116 regarding Draft Notifications of Minimum Wages Act from
Department of Labour.
(2) Extraordinary dated 14-11-2022 from pages 1117 to 1118, Notification from Department of Finance regarding
date of appointment from which Goa Goods and Services Tax (Amendment) Act, 2022 shall come into force.
(3) Extraordinary (No. 2) dated 15-11-2022 from pages 1119 to 1120, Notification from Department of Information &
Publicity regarding Goa State Journalist Awards Scheme (Second Amendment) 2022.
INDEX
Department Notification/order/Corri Subject Pages
1
2
3 4
1.a. Revenue Ord.- 35/1/2002-RD(5902)/1401 Remission of Stamp Duty. 1121
b. —do— Corr.- 35/4/2016-RD/1368 Indian Stamp Act, 1899. 1122
2. Science & Technology & Not.- 3-12-2022/S&T&WM/913 Scheme—Goa Rajya Vidnyanik Puraskar. 1122 Waste Management
3. Women & Child Not.- 2-279-LL-2012-DWCD/6805 Amendment to Laadli Laxmi Scheme. 1124
Development
GOVERNMENT OF GOA
Department of Revenue __
Order
35/1/2002-RD(5902)/1401
within entry 96 in List I in the Seventh Schedule to the Constitution, when executed in any part of the State of Goa by or in favour of ex-serviceman or his widow, in respect of one transaction only, either relating to purchase of a agricultural plot or a residential structure, for his/her personal benefit, subject to the condition that such ex-serviceman or his widow, as the case may be, furnishes an undertaking to that effect.
Note: The aforesaid remission of Stamp Duty shall not
be allowed on instruments executed for any commercial,
business or real estate activities.
This order shall come into force on the date
of it's publication in the Official Gazette.
By order and in the name of the Governor
of Goa.
Sandeep Gawde, Under Secretar y
(Revenue-I).
In exercise of the powers conferred by clause (a) of sub-section (1) of section 9 of the Indian Stamp Act, 1899 (Central Act 2 of 1899), as in force in the State of Goa, (hereinafter referred to as the "said Act") and in supersession of the Government Order No. 35/1/2002-RD(5902)/1849, dated 28-09-2018, published in the Official Gazette, Series II No. 27, dated 4-10-2018, the Government of Goa hereby remits the entire stamp duty chargeable on any instrument other than those mentioned in clause (a) of sub-section (2) of said section and falling Porvorim, 14th November, 2022.
OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 2022Corrigendum
35/4/2016-RD/1368
Read:- Order No. 35/4/2016-RD dated 12-10-2022, published in Official Gazette, Extraordinary No. 6, Series I No. 27 dated 12-10-2022.
The date mentioned in the order read at preamble "31-03-2017" may be read as "30-03-2017".
The word "Government" may be inserted
at Sr. No. 3 before the word order.
The other contents of the said order shall
remain unchanged.
By order and in the name of the Governor
of Goa.
Sandeep Gawde, Under Secretar y
(Revenue-I).
Porvorim, 8th November, 2022.
———ttt———
Department of Science & Technology & Waste Management __
Notification
3-21-2022/S&T&WM/913
Scheme for Goa Rajya Vidnyanik Puraskar (GRVP)
The Government of Goa is pleased to formulate a scheme to introduce an award to be given to Goan Innovators/Scientists who have implemented their ideas to innovations and also achieved the excellence in the field of Science and Technology and Innovation.
1. Introduction.— Goa Rajya Vidnyanik Puraskar (GRVP) is an award introduced by the Government of Goa through the Department of Science & Technology & Waste Management (DS&T & WM). It is an award to encourage, identif y and recognize Innovators/Scientist who have implemented their ideas to innovations that are changing the life of the world. The GRVP will be awarded each year to Innovators/Scientists who develop their ideas into a product or process that has been adopted or has high probability of being adopted in the State of Goa.
2. Short title and commencement.— (i) This scheme may be called as "Scheme for Goa Rajya Vidnyanik Puraskar (GRVP)". Herein after called as the scheme.
(ii) The scheme shall come into force from the date of notifying in the Official Gazette of Government of Goa and will remain in force for 3 years.
(iii) The scheme shall be implemented through the Goa State Innovation Council (GSInC).
3. Objectives of the Scheme.— (i) Drive the innovation agenda in the State and harness the core competencies, local resources and capabilities to create new Innovations.
(ii) Encourage Scientists, innovators, young talent in universities, educational institutes, Medium and Small Scale Industries (MSME) and R&D institutes.
(iii) Identify and reward talent in innovation
and disseminate success stories.
4. Scope of the Scheme.— (i) Scope of the scheme is to give three awards in each financial year to the Goan Innovators/ /Scientists one each, in categories of Innovation, Environment and Societal impact.
(ii) Each award shall be in the form of cash prize of Rs. 2.00 lakhs, subject to provision in the Annual Budget of the Depar tment of Science and Technology and Waste Management and same shall be directly deposited in the beneficiary's Bank Account on submission of pre-receipt for the said amount to the Director, DS&T & WM.
5. (A) Eligiblity Criteria.— (i) Students, Startups, Innovators, Research Faculty & Scientist [collectively, "applicant"(s)] may apply under this scheme.
(ii) Applicant must be a resident of the State of Goa for last 15 years certificate from competent authority shall have to be enclosed.
(iii) The project should relate to hardware
or software-based product innovation.
OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 2022(iv) The proposals preferably in the following focus sectors shall be encouraged: Green technology, Clean energy, Industrially utilizable smart materials, Waste to Wealth, Affordable Healthcare, Water & Sewage Management, Renewable Energy Sources, Electric Vehicles, Smart Cities, Agri-tech, Meditech, Health Care Tech and Digital media, ITES.
(v) Applicant shall be required to provide a Letter of Intent (LOI) in case the proposed idea/project is associated with the Industry or the Government.
(vi) Applicant must be registered under the Virtual Innovation Register (VIR) as a New Idea.
(vii) An applicant should avail of this
scheme only once.
(B) Application details.— (i) Technological Inventiveness:
l What are the technological inventions
and why they are significant?
l Innovators Resume/Bio
l Description of Societal Impact
l Scope of Commercialization or its
Potential
l Ways in which the Innovator has
inspired others?
l Non-Disclosure Agreement
(ii) Documents supporting the applications:
l Video Links or Proof of Concept or
Minimum Viable Product
l Letter of Recommendations
(C) Procedure for applying under the scheme.— Below mentioned is the procedure for applying under the Virtual Innovation Register (VIR):
(i) An individual or a registered entity (Partnership/Limited Liability Partnership/ /Private Limited Company) shall submit an application through the portal:
http://goastateinnovationcouncil.com/
/virtual-innovation-register.
(ii) An innovative shall be from the following sectors which are not absolute but include:
a. Agri-tech
b. Digital media
c. Health care tech
d. Manufacturing
e. ITES.
(D) It is mandatory for the applicant to apply under the aforesaid portal to claim benefits under the scheme.
6. Application Process.— (i) Applications should be submitted online on the date as decided and notified by the GSInC every year.
(ii) Shortlisting of applications by Technical
Advisory Committee (TAC).
(iii) Final Round Presentation in front of
Expert Committee.
(iv) Results.
7. Technical Advisory Committee (TAC).— (i) The Technical Advisory Committee (TAC) for the GRVP shall consist of a Chairman and 3 expert members, one each from the disciplines of Science, Technology & Innovations. The Chairman and the Expert members shall be appointed by the Chairman of the Goa State Innovation Council. The Project Officer from the Goa State Innovation Council will be the Member Convenor for the TAC.
(ii) The Technical Advisory Committee (TAC) for the GRVP shall scrutinize the applications and shortlist the eligible applications for the purpose of inviting for the presentation before the Expert Committee.
8. Expert Committee.— (i) The Expert Committee shall consist of a Chairman and two members. All Expert Committee Members including Chairman shall be nominated by the Government. The Committee members can be either professionals or exper ts or recipient of awards for outstanding achievements in the fields of Science, Technology & Innovations.
(ii) The Expert Committee will judge the shortlisted applicants through presentation OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 2022 on the basis of their progress that has been achieved or has high probability of being achieved.
(iii) GSInC should forward to Department of S&T & WM the decisions/results declared by the Expert Committee duly approved by the Chairman of the GSInC alongwith pre- receipt and Bank account details obtained from the beneficiaries for further process to release the award money directly in their bank account.
13. This issues with the concurrence of the Finance (Exp.) Department vide their U. O. No. 1400085879 dated 07-06-2022 and administrative approval of the Government under U. O. No. 138/F dated 25-04-2022.
By order and in the name of the Governor
of Goa.
Levinson J. Martins, Director (S&T & WM)
& ex officio Jt. Secretary.
Porvorim, 14th November, 2022.
———uuu———
Department of Women & Child Development
Directorate of Women & Child Development __
Notification
2-279-LL-2012-DWCD/6805
9. The Government reserves the right to modify the quantum of Award money as well as number of awards depending upon the budgetary provision. Government also reserves right to modify any or all the conditions or hold in abeyance or suspend or cancel the scheme at any point of time and no claim or appeal or challenge shall lie with any authority or tribunal or court in respect of this decision of the Government.
10. Relaxation of the provisions of the scheme.— The Government shall be empowered to relax any or all of the clauses or conditions of this scheme in deserving cases.
11. Interpretation of the provisions of this scheme.— If any question arises regarding
interpretation of any clause, word, expression
of the scheme, the decision about the
interpretation shall lie with the Government,
which shall be final and binding on all
concerned.
12. Redressal of grievances and dispute.—
Grievances or disputes, if any, arising out of
implementation of this scheme, shall be
referred to the Secretary (S&T & WM) who
shall hear and decide such matters and his
decision in this regard shall be final and
binding on all concerned.
Provided no grievance or dispute regarding
the decision of the Government shall lie with any authority or tribunal or court.
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/ /LL/2012/DW&CD/Par t(I)/4780 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 2022 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/(Part-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- -LL-2012-DW&CD/Par t(I)/4057 dated 24-05-2016 and published in the Official Gazette No. 9, Series I dated 02-06-2016;
10. Amendment Notification No. 2-279- -LL-2012/DW&CD/Par t(I)/7269 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/Part(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- -LL-2012-DW&CD/Par t(I)/4920 dated 11-11-2019 and published in the Official Gazette No. 33, Series I dated 14-11-2019;
13. Amendment Notification No. 2-279- -LL-2012-DW&CD/Par t(I)/8327 dated 14-10-2020 and published in the Official Gazette No. 30, Series I
dated 22-10-2020.
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 intends to ensure that the girl does not become a burden for the parent or guardian during her marriage. However, this scheme should not be construed or misunderstood as an encouragement to the practice of giving dowry in any way.
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; 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.
(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, OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 2022 (ii) One Social Worker to be appointed
by the Government as Member,
(iii) Additional/Joint Secretary 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 who is an orphan or a destitute or who is born outside a legitimate wedlock or an adopted girl 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 girl.
(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 the married applicants who are in the age group of 18 to
45 years.
(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 beneficiaries under the scheme shall be paid Rs. 1.00 lakh as financial assistance, directly into the bank account of the eligible beneficiary.
(2) The fixed deposit of Rs. 1.00 lakh, created jointly in the name of the Director of Women and Child Development and the already sanctioned beneficiary prior to this notification, shall continue to be renewed annually automatically on maturity, along with the amount of interest accrued, till the date of claim by the beneficiary as per the scheme or until the age of 45 years whichever is earlier.
(3) All the existing eligible applications of unmarried applicants pending at the department, on the date of issue of this notification shall be sanctioned af ter production of valid Civil Marriage Registration Certificate issued by the competent authority.
(4) 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 of the already sanctioned benefit prior to this notification, amount of interest accrued, 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 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 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 2022 in the State of Goa. In lieu of the Residence Certificate, School Leaving Certificates and/or Bonafide Student Certificate issued by the recognized Educational Institution can also be produced. However, in case of applicant who discontinued education at school level, the gap period i.e., from the time of discontinuation of education till Civil Marriage Registration, 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.
viii) Attested copy of the Civil Marriage Registration Certificate issued by Competent Authority.
ix) Attested copy of the 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.
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. 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.
OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 2022(2) The application shall be submitted within six months from the date of Civil Marriage Registration. All applications received beyond the specified period of six months shall be rejected. Provided that a delay of upto further six months if any may be condoned by Directorate of Women and Child Development for justified reasons in writing. This shall be applicable prospectively to marriages registered after coming into force of this amendment and applicant who have registered their marriages already before coming into force of this amendment will continue to get one year.
(3) 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.
(4) The applicant shall have to open an
account in the bank/financial institution.
V. Other Conditions.— (1) (a) In the event of death of the beneficiary 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.
(b) In the event of death of the unmarried beneficiary who was sanctioned benefit prior to this notification before her Civil Marriage Registration, the amount in the fixed deposit shall be paid by the bank/financial institution concerned to the Director of Women & Child Development, who shall deposit the same into an appropriate Government account.
(2) The money under fixed deposit of already sanctioned benefit prior to this notification 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.
(3) The benefits under the scheme shall be given only once in the lifetime of each beneficiary.
(4) The unpaid money under the fixed deposit of already sanctioned benefit prior to this notification 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.
(5) In the event, there is no claim by the already sanctioned unmarried 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.
(6) 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.
(7) 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.
(8) 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 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 2022 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.
Price: 100/-
This notification shall supersede all the
previous notifications.
These issues with approval of the Government vide U. O. No. 2352/F dated 28-10-2022 and concurrence of Finance (Expenditure) Department vide U. O. No. 2328/F dated 25-10-2022.
By order and in the name of the Governor
of Goa.
Deepali Naik, Director & ex officio Joint
Secretary (W&CD).
Panaji, 10th November, 2022.
Passport size Photograph
Annexure - I
Sr. No.
Application Form for 'LAADLI LAXMI' Scheme
PART I
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 1. *Name of the applicant : ________________________________________
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:_______________________ (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: _______________________________________________________________ OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 2022 12. *Bank Details:
(i) Bank Name: _________________________________________ (ii) Branch: ________________________ (iii) Account Number: _______________________________________________________________________ (iv) IFSC Code:_____________________________________ (v) MICR Code:_________________________
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. 15 years Residence Certificate of the applicant in the State of Goa. In lieu of the Residence Certificate, School Leaving Certificates and/or Bonafide Student Certificate issued by the recognized Educational Institution can also be produced. However, in case of applicant who discontinued education at school level, the gap period i.e., from the time of discontinuation of education till Civil Marriage Registration, 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 issued by the Competent Authority. 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 Family Income Certificate issued by the Competent Authority.
OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 202210. Attested copy of savings bank account pass book (with IFSC and MICR details). The bank account sub- mitted should be preferably Aadhar linked for DBT (Direct Benefit Transfer) purpose.
NOTE: 1. The application shall be submitted within six months, from the date of Civil Marriage Registration. All applications received beyond the specified period of six months shall be rejected. Provided that a delay of upto further six months if any may be condoned by Directorate of Women and Child Development for justified reasons in writing.
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)
Passport size signed Photograph of the
applicant
SELF-DECLARATION
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 family income is Rs. ——————————————/- per annum and does not exceed Rs. 3,00,000/- 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 OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 33 17TH NOVEMBER, 2022
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/shared 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.
Affix Rs.1/- Revenue stamp
Date :
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: __________________ __________________________
__________________________
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