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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SERIES I No. 51

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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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