INDEX
Department
Type
Subject
Page No
1
2
3
4
1.
Education
Corr.- DE/Plng/GSER 1986. Amend
ment/2025/70/2429
Corrigendum to notification no.
DE/Plng/GSER 1986. Amendment/2025/70
dated 12/03/2025
1247
2.
Finance
Not.- 1-80-2006/Fin(BUD)/8633
The Goa Money Lenders and Accredited
Loan Providers Rules,2025
1248
3.
Home
Not.- No. 2/11/2025-HD(G)/Section
173(1)-BNSS/780
Notification - Under sub-section (1) of
section 173 of the Bhartiya Nagarik
Suraksha Sanhita, 2023
1264
4.
Home
Not.- No. 2/5/2025-HD(G)/193(3)(i)-
BNSS/777
Notification under clauses (i) and (iii) of
sub-section (3) and sub-Section (9) of
section 193 of the Bharatiya Nagarik
Suraksha Sanhita, 2023
1267
5.
Home
Not.- No. 2/8/2025-HD(G)/Section 1
74-BNSS -779
Notification under sub-section (1) of section
174 of the Bhartiya Nagarik Suraksha
Sanhita 2023
1270
6.
Home
Not.- No.2/7/2025-HD(G)/Section 48
(3)-BNSS/583
Notification under section 48(3) of the
Bhartiya Nagarik Suraksha Sanhita, 2023.
1271
GOVERNMENT OF GOA
Department of Education
Directorate of Education
Corrigendum
In the Government Notification No. DE/Plng/GSER 1986. Amendment/2025/70 dated 12/03/2025, -
(i) on fifth and eight line, for words “five days”, wherever they occur, the words “fifteen days” shall be
read;
(ii) on nineteenth line, for the expression “class I to V and class IX”, the expression “class I to V and
class XI” shall be read.
By Order in the name of the Governor of Goa
Shailesh R. Sinai Zingde, Director of Education and Ex-Officio Joint Secretary to Govt. of Goa
Porvorim, 17th March, 2025
DE/Plng/GSER 1986. Amendment/2025/70/2429
Date: 19-Mar-2025
Suggestions are welcomed on e-mail: [email protected]
1247
Reg. No. RNP/GOA/32/2024-2026
RNI No. GOAENG/2002/6410
Panaji, 20th March, 2025 (Phalguna 29, 1946)
SERIES I No. 51
PUBLISHED BY AUTHORITY
..................................................................................
◆◆◆
Department of Finance
Notification
In exercise to the powers conferred by sub-section (1) of section 29 of the Goa Money Lenders and Accredited
Loan Providers Act, 2013 (Goa Act 23 of 2013), the Government of Goa hereby makes the following Rules,
namely: -
Chapter I
Preliminary
1.
Short title, extent and commencement: - (1)
These rules may be called the Goa Money Lenders
and Accredited Loan Providers Rules, 2025.
(2)
They shall come into force on such date as the Government may, by notification, bring in force, the
Goa Money Lenders and Accredited Loan Providers Act, 2013 (Goa Act 23 of 2013).
2.
Definitions: - In these rules, unless the context otherwise requires: - (1)
“Act” means the
Goa Money Lenders and Accredited Loan Providers Act, 2013 (Goa Act 23 of 2013);
(2)
“Form” means a form appended to these rules;
(3)
“section” section means a section of the Act;
(4)
Words and expressions used, but not defined in these rules, shall have the same meaning as assigned to
them in the Act.
Chapter II
Registration
3.
Application for registration: - (1) Every application for registration of commencement or to carry on
the business of providing loan shall be made by the money lender or the accredited loan provider to the
Registering Authority of the area appointed under section 3 of the Act in Form-I, alongwith registration fee of
Rs. 10,000/-.
(2) Application for renewal of the registration shall be made by the money lender or the accredited loan
provider to the Registering Authority of the area appointed under section 3 of the Act in Form-II before one
month, prior to the expiry of the registration alongwith the fee of Rs. 7,000/- for each occasion or may be
prescribed time to time by State Government.
(3) Registration for which application for renewal is not submitted within the stipulated time shall be
construed as cancelled.
4.
Acceptance or rejection of application for registration: -
1-80-2006/Fin(BUD)/8633
Date: 08-Mar-2025
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(1) The Registering Authority may, before granting registration to the accredited loan provider, require the
production of documents for examination to ascertain fulfillment or otherwise of the requirements as may be
specified by the State Government under order as may be issued from time to time by the Registering
Authority.
(2) The qualifications specified in section 14 of the Act shall also be apply to the Money Lenders, unless the
order of the State Government in this behalf directed otherwise.
3) The Registering Authority, while verifying the applications for registration, may also take into
consideration, the coverage of the area for which the registration is applied, by banks and other formal
institutional creditors.
(4) The Registering Authority shall record in writing the reasons of his/her acceptance/rejection of the
application for registration.
5.
Certificate of registration: - The Certificate of registration of a Money lender or the accredited loan
provider shall be in Form-III.
6.
Maintenance of Register: - (1) Every Registering Authority shall maintain the register of all money
lenders in Form IV-A, and the accredited loan providers in Form IV-B.
(2) The registers maintained under sub- rule (1) shall be published in at least three leading local newspapers of
the area by the Registering Authority at an interval of six months.
Chapter III
Maintenance of Books of Accounts and Submission of Returns
7.
Maintenance of books of accounts: - (1) Every money lender or the accredited loan provider shall
keep and maintain a cash book in Form-V, a ledger in Form-VI, and a register of securities in Form-VII.
(2) Every money lender or the accredited loan provider as the case may be, shall deliver or cause to be
delivered, to the borrower within seven days from the date on which a loan is made, a statement showing in
clear and distinct terms the amount and date of the loan and of its maturity, the nature of the security, if any,
for the loan, the name and address of the borrower and of the money lender and the rate of interest charged in
Form-VIII, if a passbook is not maintained.
(3) Every money lender or the accredited loan provider shall issue a passbook to every borrower showing in
clear and distinct terms amount and date of loan and the date of its maturity, rate of interest charged, the
security and which will contain space for entry of the date for each payment towards repayment of loan and
interest and in Form-IX.
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(4) The money lender or the accredited loan provider shall give a signed receipt in Form-X for receipt of any
payment from a borrower.
8.
Submissions of accounts and returns, etc.: - Every money lender or the accredited loan provider
shall file statements of accounts in Form-XI to the Registering Authority at an interval of every six months.
Chapter IV
Forfeiture of Security
9.
Forfeiture of security: - (1) The value of security that may be forfeited shall not exceed the total
amount of both the principal and the interest that may be accrued on the principal.
(2) On forfeiture of security where the value of the security deposited for loan taken exceeded the principal
and the interest that may be accrued on the principal, the money lender or the accredited loan provider, as the
case may be, shall return to the loanee the excess amount in cash or in kind within six months of the forfeiture
of the security.
(3) When there is dispute on the value of the security, the value of the security shall be determined by the
Registering Authority on the basis of the prevailing value of the security in the market.
Chapter V
Dispute Resolution
10. Procedure in dispute resolution regarding loan: - (1) In case of any dispute relating to the transactions
involving a loan upto Rs. 50,000/- or equivalent value (excluding interest), the aggrieved person may file an
application in the Form-XII to the Mamlatdar of Taluka alongwith fee of Rs. 100/-.(2) In case of any dispute
relating to the transactions involving a loan more than Rs. 50,000/- or equivalent value (excluding interest) the
aggrieved person may file an application in Form-XIII to the Collector of the District alongwith fee of Rs.
200/-.
(3) In case any person aggrieved by an order of the Mamlatdar shall appeal to the Collector and any person
aggrieved by an order of the Collector shall appeal to the Administrative Tribunal. An appeal shall be filled in
Form-XIV alongwith fee of Rs. 300/-.
Chapter VI
Miscellaneous
11.
Annual Report on the administration of the Act: - (1) The Registering Authority shall prepare and
submit the annual report on the administration of the Act and Rules in Form-XV to Secretary to the
Government of Goa, Finance Department on the last week of month of May. The period covered by the annual
report shall be financial year, namely period from 1st of April to 31st March.
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(2) Secretary to the Government of Goa, Finance Department shall prepare a consolidated annual report on the
administration of the Act and the same shall be place before the State Legislature.
By Order and in the name of the Governor of Goa
Dr. Pranab G. Bhat, Under Secretary Finance (Budget-II)
____
FORM-I
(See sub-rule (1) of rule 3)
APPLICATION FOR REGISTRATION AS MONEYLENDER/ ACCREDITED LOAN PROVIDER
To
The Registering Authority,
______________________________
______________________________
Sir,
I am to request you to kindly give permission to commence/carry on the business of providing Loan at
______________________ taluka as Money Lender/Accredited Loan Provider.
1.
Name of applicant (in Capital letter):
2.
EPIC/UID No. of the applicant:
3.
Detail permanent residential address:
4.
Name of firm/company
(in case of accredited loan provider):
5.
Qualification:
(i)
(ii)
6.
Accredited loan provider should furnish copy of agreement
with the Institutional Creditor. (Enclose self-attested copy)
7.
Names of the Director, Manager or Principal officers
Managing the company, with their addresses
In full:
8.
Names of all persons forming unincorporated body
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With their addresses in full:
9.
Name(s) of person(s) who is/are responsible or proposed
be responsible for the management of business of money
Lending and their addressed in full:
10. What is the total amount of the capital which the applicant
intends to invest in the business of money lending in the year
for which the application has been made?
11. Amount of Registration/License fee paid to Government:
(enclose a copy of treasury challan)
12. Has the application of license previously been made?
if so, when, where, and with what result?
13. Is the business of money lending the sole business of the
Applicant, or is he engaged in any other business, profession
or calling?
14. If so, state such business, profession or calling.
Certified that the best of my knowledge and belief all facts and the information stated above are true
and correct.
Yours faithfully,
Date:
Signature of applicant:
Place:
Name (in capital letter):
____
FORM-II
(See sub-rule (2) of rule 3)
APPLICATION FOR RENEWAL OF REGISTRATION
To
The Registering Authority,
______________________________
______________________________
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Sir,
I am to request you to kindly extend the validity of my registration No. ______________________
dated ______________________ which is due to expire on ____________________ for further period of 3
years to enable to carry on the business of providing loan at _____________________ Taluka as Money
Lender/Accredited Loan Provider.
Yours faithfully,
Date:
Signature of applicant:
Place:
Name (in capital letter):
____
FORM-III
(See rule 5)
OFFICE OF THE REGISTERING AUTHORITY GOVERNMENT OF GOA
CERTIFICATE OF REGISTRATION
In exercise of the powers conferred under section 3 of the Goa Money Lenders & Accredited Loan
Providers Act, 2013, read with Section 5 of the Goa Money Lenders & Accredited Loan Providers
(Regulation)
Rules,
Shri/Smt./Kum.
____________________________
having
office/permanent
residence__________________________________________________________
_______________________________________________________________________________
is here by granted Certificate of Registration to commence/carry on the business of providing loan
within_______________________ Taluka/Talukas of Goa.
Given under my hand at ____________________,
this __________ day of___________________,
two thousand_________________________.
Signature of
Registering Authority: _____________________
Full Name: __________________________________
SEAL OF THE REGISTERING AUTHORITY
____
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FORM-IV-A
(See rule 6)
REGISTER FOR MONEY LENDER
Sr.
No
Name
of
Money
Lender
Permanent
Residential
Address
&
Contact No.
Office
Address
&
Contact No.
Registration
No & Date
Validity of
Registrati
on
Area
of
operat
ion
Remark
1
2
3
4
5
6
7
8
____
FORM-IV-B
(see rule 6)
REGISTER FOR ACCREDITED LOAN PROVIDER
Sr.
No
Name of
Firm
&Compan
y
Name of
proprietor
Permanent
Residential
Address of
the
Proprietor
& Contact
No.
Office
address
&
Contact
No.
Registratio
n No &
Date
Validity of
Registratio
n
Area of
operation
Remark
1
2
3
4
5
6
7
8
9
____
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FORM-V
(See sub-rule (1) of rule 7)
Proforma for Maintenance of Cash Book of Money Lender/ Accredited Loan Providers
Year: _______________ Month: _________________
RECEIPT
DISBURSEMENT
Date of
Receipt
From
whom
received
Amount
received
Progressi
ve Total
of receipt
Date of
Disburse-
ment
To whom
disbursed
individualit
y
Amount
disbursed
individuall
y
Progressiv
e
disburseme
nt
individualit
y
Remarks
1
2
3
4
5
6
7
8
9
Monthly Cash Analysis:
a) Opening Balance : Rs. ___________________________
b) Amount Received : Rs. ___________________________
c) Total
: Rs. ___________________________
d) Amount disbursed : Rs. ___________________________
____
FORM-VI
(See sub-rule (1) of rule 7)
PROFORMA FOR MAINTENANCE OF INDIVIDUAL LEDGER FOR RECORD OF MONEY
LENDING
1.Name of borrower: ……………………………………………………………………………
2. Amount borrowed: …………………………………………………………………...............
3. Date of borrowing: …………………………………………………………………………..
4. Rate of interest as on date: …….…………………………………………………………….
5.
No.
of
installments
for
recovery
with
rate
of
installments
for
principal
amount:
......................................................................................................................................................
6.
No.
of
installments
for
recovery
with
rate
of
installments
for
interest
payment:
......................................................................................................................................................
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7. Progress of recoveries:
Date of Recovery
Amount Recovered
Progressive Total
Outstanding
Balance
____
FORM-VII
(See sub-rule (1) of rule 7)
PROFORMA FOR REGISTER OF SECURITIES IN CONNECTION WITH MONEY BORROWED
1. Name of borrower: …………………………………………………………………………
2. Amount borrowed: ……………………………………………………………………...........
3. Date of borrowing: …………………………………………………………………………...
4. Rate of interest as on date: …………………………………………………………
5. Particulars of security offered: ...............................................................................................
6. Value of Security offered: ...............................………………………………………………
7. Documents submitted for security: ……………………………………………………….....
Signature
Seal
_____
FORM-VIII
(See sub-rule (2) of rule 7)
STATEMENT SHOWING DETAILED ACCOUNTS OF MONEY LENDING
1. Name & address of money lender: ………………………………………………………..
2. Name & address of borrower: ……………………………………………………………..
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3. Amount of loan: ……………………………………………………………………………
4. Date of borrowing: …………………………………………………………………………
5. Rate of interest as on date: …………………………………………………………………
6. Particulars of security offered: …………………………………………………………….
7. Value of security offered: ………………………………………………………………..
8. Documents submitted for security: ………………………………………………………
Dated signature of Money Lender: ………………………….
Full Name: …………………………
To
Shri/Smt./Kum. (borrower)
____
FORM-IX
(See sub-rule (3) of rule 7)
PROFORMA FOR PASSBOOK SHOWING DETAILED ACCOUNTS OF MONEY LENDING
1. Name & Address of Money Lender/Accredited Loan Provider: ……………………………
2. Name & Address of Borrower: …………………………………………………....................
3. Amount of Loan: ……………………………………………………………………………..
4. Date of borrowing: …………………………………………………………………………...
5. Date of Maturity: …………………………………………………………………………….
6. Rate of interest as on date: …………………………………………………………………..
7. Particular of security offered: ………………………………………………………………..
8. Progress of recoveries:
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Date of
Recovery
Amount
Recovered
Progressive
Total
Outstanding
Balance
Initial recipient
1
2
3
4
5
____
FORM-X
(See sub-rule (4) of rule 7)
(COUNTERFOIL)
Receipt
Received Rs.___________________ (Rupees______________________________________
____________________only) from Shri/Smt./Kum. _________________________________
__________________________ being recovery of loan for _________________installment.
Signature of Money Lender/
Accredited Loan Provider
(with date)
(OUTERFOIL)
Receipt
Received Rs.______________ (Rupees___________________________________________
____________________only) from Shri/Smt./Kum. _________________________________
__________________________ being recovery of loan for _________________installment.
Signature of Money Lender/
Accredited Loan Provider
(with date)
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____
(See rule 8)
FORM- XI
PORFORMA FOR MONTHLY STATEMENT OF ACCOUNTS SUBMITTED TO REGISTERING
AUTHORITY BY MONEY LENDER/ACCREDITED LOAN PROVIDER
MONTH: ___________________
Name
of
money
lender
Name of
Registering
Authority
Name of
Institutional
Creditor
Amount
received
from
Institutional
creditor
Prog.
Total
amount
received
Amount
lent
Prog.
Total
amount
lent
No. of
Borrowers
Prog.
Total
Number
of
borrowers
Remarks
1
2
3
4
5
6
7
8
9
10
Signature of Money Lender/
Accredited Loan Provider
(With date)
____
FORM-XII
(See sub-rule (1) of rule 10)
To,
The Mamlatdar,
[Name of the Taluka],
[Address],
[City], [State] - [PIN Code].
Subject: Request for Resolution of Dispute under the Goa Money Lenders and Accredited Loan Providers Act,
2013 (Goa Act 23 of 2013).
Respected Sir/Madam,
I, [Your Full Name], son/daughter of [Father's/Mother's Name], residing at [Full Address], wish to bring to
your kind attention a grievance regarding a financial transaction with a [Money Lender/Accredited Loan
Provider] under the provisions of the [Name of the Act, e.g., Money Lenders Act, Year].
Details of the Case:
1. Name of the Money Lender/Loan Provider:
2. Nature of the Loan:
3. Date of Loan Agreement:
4. Principal Amount Borrowed:
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5. Agreed Interest Rate:
6. Amount Paid (if any):
7. Securities Deposited (if any):
8. Dispute Details:
[Briefly explain the issue, e.g. fraudulent behaviour, harassment for recovery, terms violation,
etc.]
Relevant Documents Enclosed:
1. Statement Showing Detailed Accounts of Money Lending.
2. Proof of payments made (receipts, bank statements, etc.).
3. Correspondence or notices from the lender (if any).
4. Any other supporting documents.
Relief Sought:
I kindly request your intervention to:
1. Ensure the resolution of the dispute in a lawful manner.
2. Protect my rights as a borrower under the provisions of the Goa Money Lenders and Accredited Loan
Providers Act, 2013 (Goa Act 23 of 2013). Take necessary action against the lender for any violations.
Declaration:
I hereby declare that the information provided above is true to the best of my knowledge and belief.
Yours faithfully,
[Complainant’s Name]
[Contact Number]
[Address]
[Date]
____
FORM-XIII
(See sub-rule (2) of rule 10)
To,
The Collector,
[Name of the District],
[Address],
[City], [State] - [PIN Code].
Subject: Request for Resolution of Dispute under the Goa Money Lenders and Accredited Loan Providers Act,
2013 (Goa Act 23 of 2013).
Respected Sir/Madam,
I, [Your Full Name], son/daughter of [Father's/Mother's Name], residing at [Full Address], wish to bring to
your kind attention a grievance regarding a financial transaction with a [Money Lender/Accredited Loan
Provider] under the provisions of the [Name of the Act, e.g., Money Lenders Act, Year].
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Details of the Case:
1. Name of the Money Lender/Loan Provider:
2. Nature of the Loan:
3. Date of Loan Agreement:
4. Principal Amount Borrowed:
5. Agreed Interest Rate:
6. Amount Paid (if any):
7. Securities Deposited (if any):
8. Dispute Details:
[Briefly explain the issue, e.g. fraudulent behaviour, harassment for recovery, terms violation,
etc.]
Relevant Documents Enclosed:
1. Statement Showing Detailed Accounts of Money Lending.
2. Proof of payments made (receipts, bank statements, etc.).
3. Correspondence or notices from the lender (if any).
4. Any other supporting documents.
Relief Sought:
I kindly request your intervention to:
1. Ensure the resolution of the dispute in a lawful manner.
2. Protect my rights as a borrower under the provisions of the Goa Money Lenders and Accredited Loan
Providers Act, 2013 (Goa Act 23 of 2013). Take necessary action against the lender for any violations.
Declaration:
I hereby declare that the information provided above is true to the best of my knowledge and belief.
Yours faithfully,
[Complainant’s Name]
[Contact Number]
[Address]
[Date]
____
FORM-XIV
(See sub-rule (3) of rule 10)
To,
The Administrative Tribunal,
[Name of the District],
[Address],
[City], [State] - [PIN Code].
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Subject: Appeal for Resolution of Dispute under the Goa Money Lenders and Accredited Loan Providers Act,
2013 (Goa Act 23 of 2013).
Respected Sir/Madam,
I, [Your Full Name], son/daughter of [Father's/Mother's Name], residing at [Full Address], wish to bring to
your kind attention a grievance regarding a financial transaction with a [Money Lender/Accredited Loan
Provider] under the provisions of the [Name of the Act, e.g. Money Lenders Act, Year].
Details of the Case:
1. Name of the Money Lender/Loan Provider:
2. Nature of the Loan:
3. Date of Loan Agreement:
4. Principal Amount Borrowed:
5. Agreed Interest Rate:
6. Amount Paid (if any):
7. Securities Deposited (if any):
8. Appeal Details:
Relevant Documents Enclosed:
1. Statement Showing Detailed Accounts of Money Lending.
2. Proof of payments made (receipts, bank statements, etc.).
3. Correspondence or notices from the lender (if any).
4. Any other supporting documents.
Relief Sought:
I kindly request your intervention to:
1. Ensure the resolution of the dispute in a lawful manner.
2. Protect my rights as a borrower under the provisions of the Goa Money Lenders and Accredited Loan
Providers Act, 2013 (Goa Act 23 of 2013). Take necessary action against the lender for any violations.
Declaration:
I hereby declare that the information provided above is true to the best of my knowledge and belief.
Yours faithfully,
[Complainant’s Name]
[Contact Number]
[Address]
[Date]
____
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FORM-XV
(see sub-rule (1) of rule 11)
Proforma for Submission of Annual Report
Name of Taluka: ____________________________
No. of Money Lenders in the
Taluka
List to be attached
No. of Accredited Loan
Providers in the Taluka
List to be attached
No. of Loan disbursed by
Money Lenders/ Accredited
Loan Providers
Statement showing no. of loan
disbursement
by
each
Money
Lender/ Accredited Loan provider to
be attached
The total amount of the loan
Statement showing amount disbursed
by each Money Lender/ Accredited
Loan provider to be attached
Rate of interest charged by
each
Money
Lender/
Accredited Loan Provider
Statement showing rate charged by
each Money Lender/ Accredited
Loan provider to be attached
No. of cases registered for
violation of the provisions of
the Goa Money Lenders and
Accredited Loan Provider
Act, 2013
Abstract Statement to be attached
No. of cases impounded
Amount of fine collected
Any other comments or remark:
______________________________________________________________________________________
(attached separate sheet if required).
Signature of the Registering Authority: ________________________________________
..................................................................................
◆◆◆
Department of Home
Notification
Read:
Notification No.2/11/2025-HD(G)/Section173(1)-BNSS/587 dated 24/02/2025 published in
Official Gazette Series I No.49 dated 06/03/2025.
No. 2/11/2025-HD(G)/Section 173(1)-BNSS/780
Date: 13-Mar-2025
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In exercise of powers conferred under sub-section (1) of section 173 of the Bhartiya Nagarik Suraksha
Sanhita, 2023, the Government of Goa, hereby declares that the First Information Report received under sub-
section (1) of section 173 shall be reduced to writing as per the prescribed format IIF-I (FIR) provided by the
National Crime Records Bureau appended herewith as "Annexure-A". The manner of the receipt of
information shall be reflected in the Form, as to whether it has been received orally or by electronic
communication.
This supersede the earlier Notification No.2/11/2025-HD (G)/Section 173(1)-BNSS/587 dated
24/02/2025.
By Order and in the name of the Governor of Goa
Manesh Hari Kedar, Under Secretary (Home-I)
____
Annexure ‘A’
(Part-I)
_________________________________________________________________N.C.R.B.
I.I.F.-I
FIRST INFORMATION REPORT
(Under Section 173 BNSS)
1. District….......... P.S. ...................... Year…….… FIR No. ......…… Date..............
2.(i)Act..............................................Sections .………………………………………………..
(ii)Act.............................................. Sections.......................................................................….
(iii)Act............................................. Sections ......................................................................….
(iv)Other Acts & Sections .......................................................................................................
3.(a) Occurrence of offence: Day............ Date from..…….. …… Date to......................……...
Time Period ..................... Time from..................….. Time to............................…
(b) Information received at P.S.: Date ....................... Time ...................................
(c) General Diary Reference: Entry No. ...................................... Time ..............................…
4. Type of Information : Written / Oral
5. Place of Occurrence : (a) Direction and distance from P.S. ..............................…....................
……………………………………………………………… Beat No. ………………….
(b)Address...................................................................................................................................
......................................................................................................................................................
(c) In case, outside the limit of this Police Station, then
Name of P.S. ..................................... District ....................................................................…..
6. Complainant / Informant :
(a) Name ......................................................................................................................................
(b) Father's/Husband's Name ......................................................................................................
(c) Date/Year of Birth .................... (d) Nationality ..............................................…..………
(e) Passport No. .............................. Date of Issue ..............….. Place of Issue ..................…
(f) Occupation .............................................................................................................................
(g) Address ..................................................................................................................................
7. Details of known/suspected/unknown accused with full particulars:
(Attach separate sheet, if necessary)
(1) ...........................................................................................................................................…
(2) ................................................................................................................................................
(3) ............................................................................................................................................…
8. Reasons for delay in reporting by the complainant / informant
_________________________________________________________________N.C.R.B.
I.I.F.-I
9. Particulars of properties stolen ( Attach separate sheet, if necessary )
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......................................................................................................................................................
......................................................................................................................................................
10. Total value of property stolen ...................................................................................………. 11. Inquest
Report / U.D. case No., if any ....................................................................………... 12. First Information
contents (Attach separate sheet, if required ):
13. Action taken: Since the above information reveals commission of offence(s) u/s as mentioned at Item No.
2. :
(1) Registered the case and took up the investigation or
(2) Directed (Name of I.O.) ......................…. Rank ….................……… No. ………… to take up the
Investigation or
(3) Refused investigation due to ………………………………….………………………. or (4) Transferred to
P.S. ..............................… District ...............…… on point of jurisdiction.
F.I.R. read over to the complainant / informant, admitted to be correctly recorded and a copy given to the
complainant /informant, free of cost.
R.O.A.C.
Signature of Officer in charge, Police Station
Name .…………………..............……………
Rank........................….…. No. ..................
14. Signature / Thumb impression
of the complainant / informant.
15. Date and time of dispatch to the court ………………………
_________________________________________________________________N.C.R.B.
I.I.F.-I
Attachment to item 7 of First Information Report
Physical features, deformities and other details of the suspect/accused : ( If known / seen )
Sl.
No.
Sex
Date /
Year of
Birth
Build
Height
(cms).
Complexion
Identification Mark(s)
1
2
3
4
5
6
7
Defor
mities
/
Partic
ulars
Teeth
Hair
Eyes
Habit(s)
Dress Habit(s)
8
9
10
11
12
13
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Language/
Dialect
Place of
Burn Mark
Leucoderma
Mole
Scar
Tatto
14
15
16
17
18
19
These fields will be entered only if complainant/informant gives any one or more particulars about the
suspect/accused.
..................................................................................
◆
Notification
Read:
Notification No. 2/5/2025-HD(G)/193(3)(i)-BNSS/582 dated 24/02/2025 published in Official
Gazette Series I No.49 dated 06/03/2025.
In exercise of the powers conferred under clauses (i) and (iii) of sub-section (3) and sub-Section (9) of
section 193 of the Bharatiya Nagarik Suraksha Sanhita, 2023, the Government of Goa, hereby declares that the
Police Report under Clauses (i) and (iii) of sub-section (3) and sub-section (9) of section 193 of the above said
Sanhita, 2023, shall be submitted by the Police, before the concerned Court, in the Form IIF-V (Final
Form/Report) as prescribed by the National Crime Records Bureau as appended herewith as Annexure 'A'. The
information of the progress of the investigation in view of the provision(s) of clauses (i) and (ii) of sub-section
(3) of section 193, shall be communicated to the complainant/informant/the victim in prescribed format as
appended herewith as Annexure 'B' by the Officer(s)/the In-charge(s) of Police Station(s) concerned, by way of
notice /telephone call / e-mail / through any other electronic mode.
This supersede the earlier Notification No. 2/5/2025-HD(G)/193(3)(i)-BNSS/582 dated 24/02/2025.
By Order and in the name of the Governor of Goa
Manesh Hari Kedar, Under Secretary (Home-I)
____
Annexure ‘A’
_________________________________________________________________N.C.R.B.
I.I.F.-V
FINAL FORM/ REPORT
(Under Section 193 BNSS)
IN THE COURT OF ..................................................................
1. District .......…… P.S. .......................Year.…………. FIR No........... Date ……….
2. Final Report / Charge Sheet No .............................…. 3. Date...................…………
4. (i) Act.......................................……. Sections ...........................................................
(ii)
Act
..................................................Sections
.......................................................…
(iii)
Act
..................................................Sections ........................................................… (iv) Other Acts & Sections
..........................................................................................… 5. Type of Final Form/Report: Charge Sheet / Not
charge sheeted for want of evidence / FR True, Undetected / FR True, Untraced / FR True, offence abated / FR
Unoccurred .
(tick ' ✓ ' applicable portion).
6. If FR Unoccurred: False/Mistake of Fact/Mistake of law/Non cognisable /Civil nature.
No. 2/5/2025-HD(G)/193(3)(i)-BNSS/777
Date: 13-Mar-2025
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(tick ' ✓ ' applicable portion).
7. If Charge sheet : Original / Supplementary.
(tick ' ✓ ' applicable portion).
8. Name of I.O . ....................………… Rank .....................…….. No. ..............…….
(at the time of charge sheet)
9. (a) Name of complainant / informant .........................................................................
(b) Father's / Husband's name................................................................................…..
10. Details of Properties/Articles/Documents recovered/seized during investigation and relied upon (separate
list can be attached, if necessary).
Sl.
No.
Property Description
Estimated Value
(Rs.)
P.S. Property
Register No.
From whom/
where recovered
or seized
Disposal
1
2
3
4
5
6
11. Particulars of accused persons charge-sheeted: (Use separate sheet for each accused)
Sl. No. …….
(i) Name ....................... ………. Whether verified ..................................
(ii) Father's/Husband's name ....………. (iii) Date/ Year of birth ..................… (iv) Sex ..…….. (v)
Nationality .............. (vi) Passport No. .....................…..
Date of Issue …………… Place of Issue ......................…………………… (vii) Religion .....…..
(viii) Whether SC/ST/OBC ..... (ix) Occupation .. --- :
_________________________________________________________________N.C.R.B.
I.I.F.-V
(x)
Address
..........................................................………………………………………
......................................................……. Whether verified ........................................…. (xi) Provisional criminal
No. .............................……………………………………….. (xii) Regular criminal No. (if known)
.................... (xiii) Date of arrest .....................
(xiv) Date of release on bail .……….. (xv) Date on which forwarded to court............. (xvi) Under Acts &
Sections .................................……………………………………. . (xvii) Details of bailers / sureties:
Name …………….. Father’s/Husband’s name …………………………….
Occupation ...................... Address ...............................................................……
Identification …………………………………………………………………….. (xviii) Previous convictions
with
case
references
......................................................…
.................................................................................................................................................................................
...................................................................................................
(xix) Status of the accused: Forwarded / Bailed by police / Bailed by court / Judicial custody / Absconding /
Proclaimed offender
(tick ' ✓ ' applicable portion).
12. Particulars of accused persons - not charge sheeted (suspect) : (Use separate sheet for each suspect)
Sl. No. …… (i) Name ..........………… Whether verified.............................…………
(ii) Father's/Husband's Name ...............… (iii) Date/Year of birth .............................… (iv) Sex ....... (v)
Nationality ..................... (vi) Passport No. ................................……..
Date of Issue...........……………... Place of Issue ...........................................….
(vii) Religion ........... (viii) Whether SC/ST/OBC .......… (ix) Occupation ............….
(x)
Address...............................................................................................………………
…………………………………….. Whether verified …………………………….
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(xi) Provisional criminal No. .......................……………..
(xii) Suspicion approved : Yes/No
(xiii) Status of the accused (suspect):
Bailed by police/Bailed by court/ Judicial custody/Not arrested
(tick ' ✓ ' applicable portion).
(xiv) Under Acts & Sections ..................................................................……………… (xv) Any Special
remarks
including
reasons
for
not
charge
sheeting
.............................
..........................................................................................................................................
_________________________________________________________________N.C.R.B.
I.I.F.-V
13. Particulars of witnesses to be examined:
Sl.
No.
Name
Father’s/
Husband’s Name
Date/ Year
of Birth
Occupation
Address
Type of
evidence to be
tendered
1
2
3
4
5
6
7
14. If FR is false, indicate action taken or proposed to be taken u/s 182/211 I.P.C/217/248B.N.S.......... 15.
Result of Laboratory analysis..................................................................................…. 16. Brief facts of the case
(Add
separate
sheet,
if
necessary)
............................................
.................................................................................................................................................................................
.................................................................................................................................................................................
............…
17. Refer Notice served : Yes/No Date..........................
(Acknowledgement to be placed)
18. Dispatched on ..............................……….
19. No. of enclosures ………………………
20. List of enclosures : As annexed
Forwarded by Officer in charge
Name ......................................
Rank ..................... No. .....…..
Signature of Investigating Officer submitting
Final report/Charge sheet
Name ..................…......
Rank .................No. ...............
Annexure ‘B’
Format for providing information to the informant/victim regarding progress of Investigation within a period
of 90 days or at the time of submission of final report.
To
(Details of Informant/Victim)
Sub:- Intimation regarding progress of investigation u/s 193(3)(ii) BNSS, 2023.
It is intimated that progress of investigation of the case FIR No.__ is as follows:-
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1. Details of persons arrested or bound down.
2. Details of chargesheet(s) submitted.
3. Details of results/reports pending from FSL/GEQD etc.
4. Any other relevant information.
(Signature and details of IO of the case)
..................................................................................
◆
Notification
Read:
Notification No. 2/8/2025-HD(G)/Section 174-BNSS/584 dated 24/02/2025 published in
Official Gazette Series I No.49 dated 06/03/2025.
In exercise of the powers conferred by sub-section (1) of section 174 of the Bhartiya Nagarik Suraksha
Sanhita 2023, the Government of Goa, hereby declares that the information given to an officer in charge of a
Police Station, regarding commission of a Non- Cognizable offence, within the limits of such Police Station,
shall be reduced to writing as per the prescribed format provided by the National Crime Records Bureau
appended herewith as "Annexure-A" and refer the informant to the Magistrate. The daily diary report of all
such cases to be forwarded fortnightly to the Magistrate by the officer incharge of the Police Station.
This supersede the earlier Notification No. 2/8/2025-HD(G)/Section 174-BNSS/584 dated 24/02/2025
By Order and in the name of the Governor of Goa
Manesh Hari Kedar, Under Secretary (Home-I)
Annexure ‘A’
GOA POLICE
NON-COGNIZABLE COMPLAINT
(Under Section 174 BNSS)
To,
In-charge Police Station :
1. NC Complaint No
General Diary Number Date
Time
2. Acts & Sections
Act
Sections
r/w Section
3. Name and address of the complainant
Nam
e
Alias
Name
Gender
Relation
Details
Date/
Year of
Birth
Nationality
Occupation
Address
No. 2/8/2025-HD(G)/Section 174-BNSS -779
Date: 13-Mar-2025
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4. Name and address of the accused
Nam
e
Alias
Name
Accused
Type
Relation
Details
Date/
Year
of
Birth
Nationality
Occupation
Address
5. (a) Date time and Place of occurrence
(b) Date of Information Received at P.S.
Time of Information Received at P.S.
6. Place Details
(a) Direction and distance from P.S.
(b) Address
(c) In case, outside the limit of this Police Station, then
Name of P.S. District
Other Places
7. Fact of the Case
Signature of Complainant
Received Copy of the Report
Signature of S.H.O.
..................................................................................
◆
Notification
In exercise of the powers conferred under section 48 (3) of the Bhartiya Nagarik Suraksha Sanhita
2023, the Government of Goa, hereby declares that, every Police officer or other person making any arrest
under this Sanhita shall forthwith, give the information regarding such arrest and place where the arrested
person is being held, to any of his relatives, friends or such other person as may be disclosed or nominated by
the arrested person for the purpose of giving such information, in the prescribed format as appended herewith
as "Annexure-A" to be kept in the Police Station.
By Order and in the name of the Governor of Goa
Manesh Hari Kedar, Under Secretary (Home-I)
____
No.2/7/2025-HD(G)/Section 48(3)-BNSS/583
Date: 24-Feb-2025
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ANNEXURE ‘A’
SCHEDULE-I
(Section 48(3)of Bharatiya Nagarik SurakshaSanhita, 2023
Information to be entered in the Arrest Persons Register
Sr.
N
o.
FIR
/D
D
No.
Dat
e &
Ti
me
Name
&
Addre
ss of
Person
arreste
d/
Detai-
ned
Name &
Rank of
officer
making
arrest/dete
ntion
Date
&
Time
of
Arres
t
Plac
e of
Arr-
est
Name, Address &
Tel No. to whom
information given
and relation with
the arrested
person
Date, Time and
mode of
information given
to the
relative/friend etc
of the arrested
person
Whether
Inspect-
ion
Memo
prepared
or not
Whether
Dossier
search
slip
prepared
Whether
given
address
found
correct or
not
Name &
Rank of
address
verifying
officer
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