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[QUOTE=ijt.dolora@gmail.com;288718][B][U][B][U]Name of the Organisation [/U][/B][/U][/B]: e-Services Government of Goa
[B][U][B][U]Type of Facility [/U][/B][/U][/B]: Apply Online Divergence Certificate
[B][U][B][U]Home Page [/U][/B][/U][/B]:  [URL]http://www.eservices.goa.gov.in/[/URL]

[B][U]Online Application for obtaining Divergence Certificate [/U][/B]:
** This Application Is Addressed To Mamlatdar of 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.

[B][URL="http://www.collectornorth.goa.gov.in/appln/UIL/DivCert_af.aspx?__Key="]Apply Online[/URL][/B]

[B][U][B][U]Applicant Details [/U][/B][/U][/B]:
1. Enter  Applicant's Name
2. Enter  Mobile No
3. Enter  Email Id
4. Enter  Id Proof 
5. Enter  the Id Proof Number

[B][U]Personal Details [/U][/B]:
1. Enter  Applicant's Name
2. Enter  Diversion Name (As per Birth Certificate)
3. Enter  Diversion Name (As per Other Documents)
4. Enter  Father's Name
5. Enter  House No
6. Enter  Ward/Road/Locality
7. Enter  Taluka
8. Enter  Village
9. Enter  Pin code
10. Enter  Birth Date
11. Enter  Place of Birth
12. Enter  Marital Status
13. Enter  Profession/Occupation
14. Enter  Purpose
15. Enter  Remarks

[B][U]Note[/U][/B]:
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 and such proof as may.

[B][U]Following documents should be uploaded [/U][/B]: 
(1)Produce documentary evidence wherein the divergence of names have occured. 
(2)Birth Certificate.
(3)An affidavit in the prescribed form given above.[/QUOTE]

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