Organization : Revenue Department, Goa
Facility : Apply For Domicile Certificate
Home Page : http://www.collectornorth.goa.gov.in/home.aspx
Apply here : http://www.collectornorth.goa.gov.in/appln/UIL/DomCert_af.aspx?__Key=
Apply For Domicile Certificate :
** This Application Is Addressed To Collectorate/District Magistrate.
** The Fields marked with * are compulsory.
Related : Revenue Department Online Application For Obtaining Income Certificate For Mediclaim North Goa : www.statusin.in/1300.html
** Incase relevant documents are not uploaded,the application will be subjected to cancellation.
** The Reference No. generated after submitting the application online should be maintained for tracking the status of the application.
Online Application for obtaining Domicile Certificate :
** Applicant’s Name
** Mobile No
** Email Id
** Id Proof
** Enter the id Proof Number
Personal Details :
** Applicant’s Title
** Applicant’s Name
** House No
** Ward/Road/Locality
** Taluka
** Village Pincode
** Father’s Title
** Father’s Name
** House No
** Ward/Road/Locality* :
Since when the applicant resides in Goa :
From date* : Pick a date (DD-MMM-YYYY)
Whether Domicile certificate is Obtained from any place other than Goa :
** Ration Card No.* :
** Details of Immovable Property or Share in the Place of Residence
Property Details :
** Details of continuous residence in Goa for last 5 years.
Residence Details :
Details whether he/she is owner/partner of Business/Firm.
Details :
Application Applied to the Office
Note :
** If it is found that the applicant questions set above are incorrect by benefit derived hereby be summarily cancelled.
** Application will be required to produce proof with regard date and place of Birth.
Following documents should be uploaded :
** Residence Certificate from Mamlatdar.
** Birth Certificate.
** Attested Copy of Ration Card.
** An affidavit to the effect that domicile has been renounced in case where the applicant is born outside Goa
** Application should be submitted with 2 passport size photographs