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Resident Certificate Declaration Form Goa PDF Free Download
Resident Certificate Declaration Form Goa
I, the undersigned,
Indian National, Single/Married/Widow/Widower/Divorcee, major in
age/ years, resident of
in
Taluka, District, State of Goa do
hereby solemnly affirm and state/declare as under:
- I say that I am a permanent resident of the above-mentioned address.
- I say that my name is recorded on a ration card bearing No. and I also possess an EPIC/ Voting card bearing No.
- I say that since my birth i.e. from the year to till date I am continuously residing at the above-mentioned address
with my family.
OR
I say that I was residing from (year) to (year) and thereafter I shifted from that place and residing at (year) to date with my family.
since – - I say that I have taken my education in (Name of the State/Place) and in (Name of the State/Place), however, I have not surrendered my residential status in Goa.
- I say that I am a permanent resident of the State of Goa for more than 15 years.
- I say that I am executing this declaration in order to produce the same in the office of the Mamlatdar of Taluka, Goa, in order to apply for Residence Certificate which is required to produce before Competent Authority.
| Language | English |
| No. of Pages | 1 |
| PDF Size | 0.07 MB |
| Category | Government |
| Source/Credits | – |
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Resident Certificate Declaration Form Goa PDF Free Download