• This Application Is Addressed To Mamlatdar of the concerned Taluka.
  • 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.
  • Online Application for obtaining Residence Certificate

    Applicant's Name*: Mobile No:
    Maiden Name: Id Proof:
    Email Id: Enter the id Proof Number*:
    Personal Details
    Title*:
    Applicant's Name*: Profession/Occupation*:
    **Name should be as per Birth Certificate
    Date of Birth: Place of Birth
    Age*: (in years) Marital Status*:
    Relationship fo the Appplicant with the head of the Household in which he/she resides
    Relation Name*: Type of Relation*:
    Present Address Details
    House No*: Ward/Road/Locality*:
    Taluka*: Village*:
    Pin No*:
    Period of Residence*:
    Remark:
    Currently Residing:
    Residing From Date*: Residing To Date*:
    Prior Address Details incase the applicant was not continously at the above Address
    Address : Period of Residence :
    Remark:
    Employed/UnEmployed Details
    Status: Place of employment/study for last 6 months:
    Details of Immovable Property or Share in the Place of Residence
    Property Details *:
    Purpose Of Certificate*:
    Remarks:
    Total Years of Residence:*
    Application Applied to the  Office
    Taluka*: Village*:
    Election/Voters Details
    Constituency Number: Part No:
    Serial No: Electoral Roll Year:
    Other Details
    Ration Card No: House No:
    Type the characters you see in the Picture:
    Enter the letter shown in the textbox below

         
     
  • Note:1. If it is found that the applicant questions set above are incorrect by benefit derived hereby be summarily cancelled.
  • 2. Attested Copy of the following documents should be uploaded (1)Birth Cerificate. (2)Educational Certificate such as School Leaving Certificate ,Bonafide Certificate or any other document from Government authority showing proof of residence.(3)Ration Card.
  • 3.If the Residence Certificate is to be produced before the Portuguese Consulate, an additional documents are to be produced such as an affidavit, marriage certificate and a copy of Indian Passport.