Application forms for the District of North Goa are as follows.
Forms
Filter Form category wise
| Title | Date | Description | Address | View / Download |
|---|---|---|---|---|
| APPLICATION forms and details for PERMAMENT HOSPITALS CEA | 15/05/2024 | Documents Required: (1) Covering letter (2) Form V application form(3) Form VI form of Evidence(4) Payment receipt with breakup of charges. (5) Annexure I- list of legal requirements (6) Annexure II- Scope of service. (7) Annexure III- Human resource. (8) Annexure IV- Declaration for non-applicable items and maintenance of standards on letterhead. (9) Annexure V-applicable to outsourced lab services. | View (4 MB) | |
| APPLICATION forms and details for PERMAMENT CLINICS CEA | 15/05/2024 | Documents Required: (1) Covering letter (2) Form V application form(3) Form VI form of Evidence(4) Payment receipt with breakup of charges. (5) Annexure I- list of legal requirements (6) Annexure II- Scope of service. (7) Annexure III- Human resource. (8) Annexure IV- Declaration for non-applicable items and maintenance of standards on letterhead. (9) Annexure V-applicable to outsourced lab services. | View (4 MB) | |
| Domicile Certificate | 27/09/2022 | Documents Required 1. Birth Certificate. [Self attested] 2. Residence Certificate (preceding 5 years). [Self attested] 3. Educational qualification Certificate. [Self attested] 4. Identity proof e.g. Voter's card, PAN card, Driving License, Passport copy, Aadhaar card, etc. (Any one) [Self attested] 5. Affidavit on Rs. 50/- stamp paper. | View (60 KB) | |
| Nativity Certificate | 09/08/2022 | Documents Required: 1)Two passport size photographs. 2) Valid foreign passport of applicant. 3) Birth and marriage certificate of the applicant. 4) Birth and marriage certificate of the applicant's parents/ancestors. 5) Details of the ancestor's property in north. Contact Details: magbr-coln.goa@nic.in , coln.goa@nic.in | View (756 KB) | |
| Application for New Registration/Renewal of PC-PNDT (Form A) | 19/05/2022 | Form of application for Registration or Renewal of Registration of a Genetic Counselling Centre/ Genetic Laboratory/ Genetic Clinic/ Ultra Sound Clinic/ Imaging Centre | View (2 MB) | |
| Application for Certificate of Provisional Registration of Clinical Establishment & Docs. required | 18/05/2022 | View (556 KB) | ||
| Divergence Certificate | 25/05/2020 | View (39 KB) | ||
| Sanad for Conversion of Land | 25/05/2020 | View (3 MB) | ||
| Income Certificate | 25/05/2020 | Documents Required 1. Birth Certificate. [Self attested] 2. School Leaving Certificate. [Self attested] 3. Voter's card. [Self attested] 4. Doctor's Certificate. [Self attested] 5. Marriage Certificate (in case of married woman). [Self attested] 6. Ration card copy. [Self attested] 7. Original Income certificate from C.C.P. / Village Panchayat / Municipality. 8. Self Declaration stating the no. of family members, part no. sr. no., constituency no. and name on the electoral roll published in the current year. | View (45 KB) | |
| Caste Certificate-SC/ST | 21/05/2020 | View (335 KB) |