1121

Panaji, 17th November, 2022 (Kartika 26, 1944)

SERIES I No. 33

Reg. No. RNP/GOA/32/2021-2023

RNI No. GOAENG/2002/6410

PUBLISHED BY AUTHORITY

Suggestions are welcomed on e-mail: dir–[email protected]

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.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

Science & Technology &

Not.- 3-12-2022/S&T&WM/913

Scheme—Goa Rajya Vidnyanik Puraskar.

1122

Waste Management

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

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

supersession

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

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

Secretary

(Revenue-I).

Porvorim, 14th November, 2022.

OFFICIAL GAZETTE — GOVT. OF GOA

SERIES I No. 33

17TH NOVEMBER, 2022

1122

Corrigendum

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

Secretary

(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, identify 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 Department

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

1123

(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

scheme.— Below mentioned is the procedure

for applying under the Virtual Innovation

(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

either

professionals or experts 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

1124

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.

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.

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

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/Part(I)/4780

OFFICIAL GAZETTE — GOVT. OF GOA

SERIES I No. 33

17TH NOVEMBER, 2022

1125

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/(Part-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/Part(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/Part(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/Part(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/Part(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

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

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

1126

(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.

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 after

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

1127

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);

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

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

proforma

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

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1128

(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

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

1129

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 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.

Price: 100/-

Sr. No.

Annexure - I

Application Form for ‘LAADLI LAXMI’ Scheme

PART I

*Name of the applicant : ________________________________________

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

*Applicant’s Date of Birth:

(dd/mm/yyyy)

*Name of the Applicant’s

(i) Mother:_______________________

(ii) Father:________________________

(iii) Guardian:_____________________

*Married : Yes

*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

OBC

Others

9. *Aadhar Card No.

10. EPIC number (if any) :

11. Annual Parental Income: _______________________________________________________________

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.

OFFICIAL GAZETTE — GOVT. OF GOA

SERIES I No. 33

17TH NOVEMBER, 2022

1130

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:—

Self Certified copy of Birth Certificate of the applicant.

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.

Self Certified copy of Aadhar Card.

Self Certified copy of the Civil Marriage Registration Certificate issued by the Competent Authority.

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:

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.

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):

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.

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

Annual Family Income Certificate issued by the Competent Authority.

OFFICIAL GAZETTE — GOVT. OF GOA

SERIES I No. 33

17TH NOVEMBER, 2022

1131

10. 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)

SELF-DECLARATION

I, ———————————————————————————— daughter of Shri ————————————

aged ————— years, Indian National, resident of —————————————————————————

do hereby state and declare as under:

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

That I am born at —————————————, State —————————— on ———————————

That I have completed 18 years of age as on ————————————————— and that I am not above

45 years of age.

That I belong to —————-———— religion.

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

That I have been residing at the above notified address for last —————— years and that I am resident

of Goa for the last ————— years.

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 ————

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 ————————.

(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

Passport

size signed

Photograph

of the

applicant

OFFICIAL GAZETTE — GOVT. OF GOA

SERIES I No. 33

17TH NOVEMBER, 2022

1132

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.

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: __________________

__________________________

Affix Rs.1/-

Revenue

stamp

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