eservices.goa.gov.in : Apply Online For Domicile Certificate

Name of the Organisation : e-Services Government of Goa
Type of Facility : Apply Online Domicile Certificate
Home Page : http://www.eservices.goa.gov.in/

Online Application for obtaining Domicile Certificate :
** This Application Is Addressed To Collectorate/District Magistrate.
** The Fields marked with * are compulsory.
** 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.

Apply Online

Application Details :
1. Enter Applicant’s Name
2. Enter Mobile No
3. Enter Email Id
4. Enter Id Proof
5. Enter the id Proof Number

Personal Details :
1. Enter Applicant’s Title
2. Enter Applicant’s Name
3. Enter House No
4. Enter Taluka
5. Enter Pincode
6. Enter Father’s Title
7. Enter Father’s Name
8. Enter Birth Date
9. Enter Place of Birth

Since when the applicant resides in Goa :
1. Enter From date

Whether Domicile certificate is Obtained from any place other than Goa :
1. Enter Ration Card No
2. Enter Remarks

Details of Immovable Property or Share in the Place of Residence :
1. Enter Property Details

Details of continuous residence in Goa for last 5 years :
1. Enter Details

Note:
1. If it is found that the applicant questions set above are incorrect by benefit derived hereby be summarily cancelled.
2. Application will be required to produce proof with regard date and place of Birth.

Following documents should be uploaded :
(1)Residence Certificate from Mamlatdar.
(2)Birth Certificate.
(3)Attested Copy of Ration Card.
(4)An affidavit to the effect that domicile has been renounced in case where the applicant is born outside Goa
(5)Application should be submitted with 2 passport size photographs