Form A
Form A
[ See rule 15(2)]
Form of Nomination to be filed for Contesting the Election of the Goa State Agricultural Marketing Board by the Candidate
Form of Nomination to be filed for Contesting the Election of the Goa State Agricultural Marketing Board by the Candidate
(To be filled by the proposer)
(1)
Name of the Constituency
:
(2)
Full name of Candidate
:
(3)
Father's/husband's name
:
(4)
Age
:
(5)
Sex
:
(6)
Community
:
(7)
Occupation and address
:
(8)
Full name of Proposer
:
(9)
Serial Number of the proposer in the list of voters
:
(10)
Signature of the Proposer
:
Declaration by the Candidate
Declaration by the Candidate
Signature of Candidate
Declaration as to choice of symbol
Declaration as to choice of symbol
(1)
(2)
(3)
Signature of Candidate
Serial No. of Nomination paper
Signature of the Returning Officer
Decision of the Returning Officer accepting or rejecting the nomination paper
Decision of the Returning Officer accepting or rejecting the nomination paper
Signature of the Election/Returning Officer
Receipt for Nomination paper and notice of scrutiny
Receipt for Nomination paper and notice of scrutiny
(To be handed over to the persons presenting the nomination paper)
Signature of the Returning Officer
Form B
Form B
[ See rule 24(1)]
List of Contesting Candidates
List of Contesting Candidates
Serial No.
Name of the Candidate
Address of candidate
Symbol allotted to the candidate
(1)
(2)
(3)
(4)
Etc.
Signature of the Returning Officer
Form C
Form C
[ See rule 26(1)]
[Appointment of Polling Agent]
[Appointment of Polling Agent]
Signature of Candidate
Signature of Polling Agent
Declaration of Polling Agent to be signed before Presiding Officer
Declaration of Polling Agent to be signed before Presiding Officer
Date: Signed before me.
Signature of Polling Agent
Date:
Presiding Officer
Form D
Form D
[ See rule 32(1)]
Form of Voting/Ballot Paper
Form of Voting/Ballot Paper
Foil
Voting paper No.
Voting
paper
Serial No.
Candidate's Name
Candidate's Symbol
Voters mark
Voter's
No. on the list of voters
(1) (2) (3) (4) (5)
(1) You have .................................. vote(s).
(2) Each vote is to be shown by cross mark "X".
(3) You are not to give more than one vote to any one candidate.
Form E
Form E
[ See rule 38 (2)]
Tendered Votes List
Tendered Votes List
Serial No. of the entry
Name of the voter
Serial No. of the Voter in the list of voters
Address of the voter
Serial No. of tendered ballot paper
Serial No. of ballot paper issued to the person
who has already voted
Signature or thumb impression of the voter
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Signature of the Presiding Officer
Form F
Form F
[ See rule 41]
Ballot Paper Account
Ballot Paper Account
Serial No.
Total No.
(1)
Number of ballot papers received by the Presiding Officer at
the Polling Station or if the Polling Station has more than one
booth at each booth
(2)
Number of ballot papers issued to voters
(3)
Number of unused ballot papers returned
(4)
Number of ballot papers cancelled
(5)
Number of tendered ballot papers used
(6)
Number of ballot papers in ballot boxes
Signature of the Presiding Officer
Note: If a Polling station has more than one polling booth, separate account in this form shall be attached to this account in respect of each such polling booth.
Form G
Form G
[ See rule 48 (3) and 51]
Result Sheet
Result Sheet
Polling Station
Number of valid votes casted in favour
Number of
Number of Votes
Remarks
Serial No.
Name
A
B
C
D
Etc.
Valid
Rejected Votes
Total Votes
Tendered votes for Polling Station
Returning Officer
Form H
Form H
[ See rule 53]
Form of Return of Election
Form of Return of Election
Serial No.
Name of Candidate
Number of valid votes given for the candidate
(1)
(2)
(3)
(4)
Etc.
Total number of valid votes.....................
Total number of invalid votes......................
Total number of tendered votes.....................
Signature of Returning Officer
Form I
Form I
[ See rule 67(1)]
Application for Registration as Contract Farming Sponsor
Application for Registration as Contract Farming Sponsor
(I) Solvency certificate.
(II) Bank Guarantee.
(III) Details of Registration Documents of Company/Partnership Firm/Non-Governmental Organizations/Co-operative Society/Governmental Organization etc. and names and addresses of directors and partners etc.
(IV) Details of agricultural produce coming under the contract.
(V) Copy of challan by which fees of rupees five hundred per year per district has been paid in Government Treasury.
(VI) Income tax returns.
Signature of the Applicant
Form J
Form J
[ See rule 67(2)]
Register of Contract Farming Sponsor
Register of Contract Farming Sponsor
Serial No.
Name and Address of Applicant
Date of Receipt of Application
Registration fee (Rs.)
District(s) for which Registration is granted
Period for which Registration is granted
No. and Date of issue of Registration
Signature
Remarks
Form K
Form K
[ See rule 67(2)]
Certificate
Registration of Contract Farming Sponsor
Registration of Contract Farming Sponsor
The Applicant
Sub.:- Registration as Contract farming sponsor in the District(s)/Whole State.
Registration as Contract farming sponsor in the District(s)/Whole State.
(1) The Registration holder shall comply with the provision of the Act, Rules and instructions issued in this behalf.
(2) The Registration holder shall comply with the terms and conditions given in the contract.
Form L
Form L
[ See rule 68]
Agreement for Contract Farming
Agreement for Contract Farming
Village
Survey No.
Area in Hectare
Taluka
District
State
(1) The Party of the First Part agrees to cultivate, produce and deliver to the Party of the Second Part and the Party of the Second Part agrees to buy from the Party of the First Part the agricultural produce more particularly described in the Schedule hereinafter mentioned.
(2) The agricultural produce mentioned in the Schedule shall be supplied by the Party of the First Part to the Party of the Second Part within the period of ....................... months/years from the date of execution of this Agreement.
(3) It is expressly agreed between the parties hereto that this Agreement shall remain in force for a period of ..................... months/years and after the expiration of said period, this agreement shall automatically come to an end.
(4) The Party of the First Part agrees to cultivate, produce and supply quantity mentioned in the Schedule hereto annexed to the Party of the Second Part.
(5) The Party of the First Part agrees to supply the quantity contracted according to quality specifications stipulated in Schedule. However, if the agricultural produce is not as per the agreed quality standards, the Party of the Second Part may refuse to take the delivery of such agricultural produce.
(6) In the event of Party of the Second Part refuses/fails to take the delivery of the agricultural produce for his own reasons then the Party of the First Part shall be free to sell the same in the market and if the price received is lower than the contracted price, the Party of the Second Part shall pay the said difference in price to the Party of the First Part within a period of ........................... days.
(7) The Party of the first part agrees to adopt instructions/practices in respect of Land preparation, fertilization, pest management, irrigation, harvesting and any other, as suggested by the Party of the Second Part from time to time and cultivate and produce the items as per specification mentioned in the Schedule hereto. The Party to the Second Part agrees to impart training/skill up gradation to the Party of the First part, provide written materials in local language indicating methods and practices required to produce the commodity as per contracted quality and norm and provide quality extension service through trained and qualified personnel and other services as provided in clause (9) to enable the Party of the First Part to carry out production of agricultural produce efficiently and as specified in the Schedule hereto.
(8) It is expressly agreed by and between the parties hereto that buying will be as per the following terms and buying slips will be issued immediately after the purchase.
Date
Delivery Point
Cost of Delivery
(a) in the open market (bulk buyer viz. exporter/processor/manufacturer/etc.), and if he gets a price less than the price contracted, he will pay to the Party of the Second Part for his investment proportionately less.
(b) in the market yard and if the price obtain is less than the contracted price then he will return proportionately less to the party of the Second part for his investment. It is further agreed that the quality maintenance in transit will be the responsibility of the Party of the Second Part and the Party of the First Part shall not be responsible or liable for the same.
(9) The Party of the Second Part shall pay to the Party of the First Part the price/rate mentioned in Schedule when his crop has been harvested and delivered to the Party of the Second Part after deducting all outstanding advances given to the Party of the First Part by the Party of the Second Part. The payment shall be made in the following manner:-
Date
Mode of payment
Place of payment
(10) The Party of the Second Part shall provide necessary information and facilitate insurance to the Party of the First Part of the agricultural produce mentioned in Schedule hereto, for the period of __________against the risk of loss due to acts of God, destruction's of specified assets, loan default, production and income loss and all other acts or events beyond the control of the parties, such as, very low production caused by the serious outbreak of a disease, epidemic or by abnormal weather condition, floods, drought, hailstorm, cyclone, earthquake, fire or other catastrophes, war, acts of Government, action existing on or after the effective date of this agreement which prevent totally or partially the fulfilment of the obligation of the Party. Upon request, the Party of the First Part invoking such acts shall provide to the other Party confirmation of the existence of facts. Such evidence shall consist of a statement of certificate of the appropriate Government Department. Alternatively, subject to the mutual agreement between the two Parties, the Party of the First Part may fill his quota of the agricultural produce through other sources and the loss suffered by him thereby due to price difference, shall be shared equally between the Parties, after taking into account the amount recovered from the insurance company. The insurance premium shall be shared equally by both the Parties.
(11) The Party of the Second Part hereby agrees to provide following services to the Party of the First Part during the period of cultivation and post harvest management, particulars of which services are as follows:
(1)
(2)
(3)
(12) The Party of the Second Part or it's representatives agrees to have regular interactions with the farmers forum set up/named by the Party of the First Part during the period of contract.
(13) The Party of the Second Part or it's representative at their costs shall have the right to enter the premises/field of the party of the First Part to monitor farming practices adopted and the quality of the produce from time to time.
(14) The Party of the Second Part confirms that he has registered himself with the Sponsor Registering Authority ....................................... on ......................... and shall pay the fees in accordance with the law prevailing in this regard to the Sponsor Registered Authority which has jurisdiction to regulate the marketing of agriculture produce which is cultivated on the land described .................................
(15) The Party of the Second Part will have no rights whatsoever as to the title, ownership, possession of the land/property of the Party of the First Part nor will it in any way alienate the party of the First Part from the land property particularly mortgage, lease, sub-lease or transfer the land property of the Party of the First Part in any way to any other person/institution.
(16) The Party of the Second Part shall submit true copy of this Agreement signed by both the parties, within a period of 15 days from the date of execution hereof, to the ............................. authority prescribed for the purpose.
(17) In the event of breach of the terms and conditions of this Agreement by either party, the aggrieved party may send a notice to the other party to rectify the breach. If breach is not rectified within a period of fifteen days from the date of receipt of notice, the aggrieved party may terminate this Agreement.
(18) Exact the provision as contained under clause (17) Termination/Cancellation of the Agreement will be with consent of both the parties. Such termination/cancellation deed will be communicated to the registering authority within 15 days of such termination/cancellation.
(19) In the event of dispute or difference arising between the parties hereto or as to the rights and obligations under this Agreement or as to any claim, monetary or otherwise of one party against the other or as to the interpretation and effect of any terms and conditions of this Agreement, such dispute or difference shall be referred to Dispute Settlement Authority appointed under rule 69 of the Goa Agricultural Produce Marketing (Development and Regulation) Rules, 2010.
(20) In case of change of address of any party to this Agreement, it should be intimated to the other party and also to the Agreement Registering Authority.
(21) Each party hereto will act in good faith diligently and honestly with the other in the performance of his responsibilities under this Agreement and nothing will be done to jeopardize the interest of the other.
Schedule
Grade, Specification, Quantity and Price Chart
Grade, Specification, Quantity and Price Chart
Grade
Specification
Quantity
Price/Rate
Grade 1 or
A
Size, Colour, Aroma etc.
Grade 2 or
B
1...........................................
2...........................................
1...........................................
2...........................................
Form M
Form M
[ See rule 71(1) and 71(7)]
Form of Application for Registration/Renewal of Registration of Market Functionaries
Form of Application for Registration/Renewal of Registration of Market Functionaries
(i) Copy of receipt in support of having paid the requisite fee of Rs........................................
(ii) Copy of Registration of partnership/private/public limited company etc.
(iii) Copy of memorandum of association/Bye-laws.
(iv) Last annual audited balance sheet.
(v) Copy of the Registration granted for the previous period.
(vi) Bank guarantee/security bond for Rs. .................................
Undertaking
Undertaking
Yours faithfully,
Signature of applicant
Form N
Form N
[ See rule 71(5)]
Application for Obtaining Registration for Operating More than One Market Area as a Trader
Application for Obtaining Registration for Operating More than One Market Area as a Trader
Date:
(1) ....................................................
(2) ....................................................
(3) ....................................................
(4) ....................................................
(i) Solvency Certificate.
(ii) Bank Guarantee.
(iii) Income Tax return of last 3 years.
(iv) Copy of Registration already granted, if any.
Declaration
Declaration
Signature of Applicant
1.
Name :
Address :
Signature :
2.
Name :
Address :
Form O
Form O
[ See rule 71(5)]
Registration for Operating in More Than One Market Area As A Trader
Registration for Operating in More Than One Market Area As A Trader
(Secretary)
The Goa State Agricultural Marketing Board
Renewal
of Registration
Date of Renewal
Period for which Renewal
Signature of Director and date
(Secretary)
The Goa State Agricultural Marketing Board
Form P
Form P
[ See rule 86]
Form of Register Showing the Market Fee and Other Charges Collected by the Marketing Board
Form of Register Showing the Market Fee and Other Charges Collected by the Marketing Board
Serial No.
Date
Total arrivals in tones
Value of the agricultural produce sold
Market fee assessed in Rs.
Market fee collected (Rs).
Licence fee collected
Charges collected from sources
Total
Form Q
Form Q
[ See rule 90]
Application for Grant of Licence for Private Market and Consumer/Farmer Market
Application for Grant of Licence for Private Market and Consumer/Farmer Market
Date:
Yours faithfully,
(Signature of Applicant)
(i) Certificate of Incorporation or Registration in respect of Company, Co-operative Society, Trust, Corporation, Partnership, etc.
(ii) Memorandum of Association or Articles of Association.
(iii) Names and Address and Telephone Number of all the Directors and Owners and Partners, etc.
(iv) Details of infrastructure created with the break up of the cost of the land in following table (proof in support of cost should also be enclosed):
SI. No.
Type of Infrastructure
Estimated cost (Rs.)
1.
2.
3.
(v) Treasury Challan in support of having paid the licence fee.
(vi) Operational and working guidelines as to how Private Market shall be conducted or operated.
(vii) Undertaking or Affidavit that applicant shall abide by all the provisions of the Act and Rules made thereunder and in case of violation he shall be liable for action including cancellation of licence.
(viii) A Bank Guarantee as provided in Rule................................................... and ...................................................
(ix) Income tax return.
(x) Layout plan of the proposed market.
Signature of the Applicant
Form R
Form R
[ See rule 91(2) and rule 92(3)]
Register of Licence Holders for Direct Marketing of Agricultural Produce and Establishing Private Markets and Consumer/Farmer Markets
Register of Licence Holders for Direct Marketing of Agricultural Produce and Establishing Private Markets and Consumer/Farmer Markets
Serial No.
Name and Address of the Applicant
Date of receipt of Application for licence
Type of Licence and Date of issuance
Market area(s)
Licence Fee Rs. (Challan No.)
Licence No. and Date
Validity of Licence
Remarks and Signature
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
Form S
Form S
[ See rule 91(5) and rule 92(3)]
Licence for Direct Marketing of Agricultural Produce, Establishing Private Market and Consumer/Farmer Market
Licence for Direct Marketing of Agricultural Produce, Establishing Private Market and Consumer/Farmer Market
(1) The licensee shall abide by the provisions of the said Act and the Rules and the conditions of Agreement entered into by the licence on ............................. with the State Marketing Officer.
(2) This Licence is not transferable.
(3) This Licence may be suspended or cancelled in accordance with the provisions of the said Act and the Rules made thereunder and if the Licence holder commits any Act or abstains from carrying out his normal business in the market with the intension of willfully obstructing, suspending or stopping the marketing of agricultural produce in the market area, the Licence may be suspended or cancelled.
(4) In the event of suspension or cancellation of this Licence, it shall be surrendered to the State Marketing Officer.
(5) The Licensee shall not adulterate or cause any declared agricultural produce to be adulterated.
(6) The Licensee shall help the State Marketing Officer in preventing evasion of market fees.
(7) The Licensee after grant of Licence by the State Marketing Officer shall within a period of fifteen days inform about the authorized representative of the Licensee who shall be responsible on his behalf.
(8) The Licensee shall maintain books, registers and records in the manner, required by State Marketing Officer and shall make them available for inspection to the State Marketing Officer or person authorized by him.
(9) The Licensee shall furnish information and return to the State Marketing Officer as may be required by him from time to time.
(a) Agriculture produce shall be sold by way of open auction in Private Markets.
(b) Direct Marketing Licence holder will put up the notice of price of commodity ................................. at which he will purchase on a particular or date.
(c) Private market or direct purchaser shall not purchase or allow to purchase any agricultural produce below minimum support price announced by the Government for the particular commodities.
(10) The Licensee shall, if the declared agricultural produce is sold through his agency or by him, pay to the seller the price of the agricultural produce so sold on the same day.
(11) The Licensee shall not solicit or receive any fees or recover any charges other than those which he is entitled to receive or recover in accordance with the provisions of the Act and the Rules made by the concerned market, approved by the State Marketing Officer.
(12) The Licensee shall not make or recover any trade allowance.
(13) Licensee shall provide for authorized weights and measures.
(14) The Licensee shall pay to the licensed weighman or measure and hamals only at the rates approved by the State Marketing Officer and shall not employ them for any household or private work.
(15) The Licensee shall inform the State Marketing Officer of any change in the constitution of the Licensee.
(16) The Licensee shall refer all his disputes in relation to the marketing of the notified agricultural produce in the manner provided under the Goa Agricultural Produce Marketing (Development and Regulation) Rules, 2010.
State Marketing Officer
Renewal
of Licence
Date of Renewal
Period for which Renewal
Signature of State Marketing Officer
Form T
Form T
[ See rule 93(1)]
Application Form for The Renewal of Licence Under Section 54
Application Form for The Renewal of Licence Under Section 54
(1) Particulars of the private/consumer market, yard/other marketing infrastructure for which the Licence has been issued .............................................................................................................................................................
(2) Name of the applicant (with full particulars of the place of market yard) .........................................................
(3) Number of Licence ................................................................................................................................................
(4) Date on which the licence expires .......................................................................................................................
(5) Period for which renewal is required ...................................................................................................................
(6) Fee paid Rs. ...........................................................................................................................................................
(7) Penalty paid, if any, Rs. .........................................................................................................................................
(8) Has the applicant (s) or where the applicant is a firm, has any member thereof singly or in collaboration with any body else, been,-
(a) granted any Licence in any other market area and his Licence has been suspended or cancelled. If so, when, where, for what period and for what reasons; ........................................ or
(b) convicted of any offence involving moral turpitude. If so the date of conviction; .................................or
(c) declared as an undischarged insolvent ......................................................................................................
(d) defaulter of not paying the dues to the Marketing Board...........................................................................
(1) I am enclosing demand draft No. ................. dated ................. amounting to Rs. ........................ on account of renewal fee.
(2) The particulars given above are true and correct to the best of my knowledge and belief.
Signature of the applicant
Form No.
Form No.
Purchaser
(See rule No.)
Market Board
Office Copy
Form of Bill
Form of Bill
Sr. No. ….......................................
Date:
…..........................................
Particulars of Weighment/
measurement & Counting
Commission Agent/Trader
Form U
Form U
( See rule 98)
The Goa State Agricultural Marketing Board, Margao-Goa
The Goa State Agricultural Marketing Board, Margao-Goa
Budget Estimates for the Year ....................................
Revenues
Amount (In Rupees)
Expenditure
Amount (In Rupees)
"A" Fees
"E" Office Bearers and Meeting Exp.
"B" Others
"F" Establishment
"C" Income from Investment
"G" Administration
"D" Government Loan
"H" Principal and Sub-Market yards Maintenance
"I" Capital Expenditure for Infrastructure
Development
TOTAL.......Rs.
TOTAL.......Rs.
Section 109 • The Goa Agricultural Produce Marketing (Development and Regulation) Rules, 2010
109. Repeal and saving.
the-goa-agricultural-produce-marketing-development-and-regulation-rules-2010-sec-109.json
•
Section 109
{
"act_title": "The Goa Agricultural Produce Marketing (Development and Regulation) Rules, 2010",
"act_slug": "the-goa-agricultural-produce-marketing-development-and-regulation-rules-2010",
"section_label": "Section",
"section": {
"number": "109",
"title": "109. Repeal and saving.",
"chapter": null,
"content": "Form A\nForm A\n[ See rule 15(2)]\nForm of Nomination to be filed for Contesting the Election of the Goa State Agricultural Marketing Board by the Candidate\nForm of Nomination to be filed for Contesting the Election of the Goa State Agricultural Marketing Board by the Candidate\n(To be filled by the proposer)\n(1)\nName of the Constituency\n:\n(2)\nFull name of Candidate\n:\n(3)\nFather's/husband's name\n:\n(4)\nAge\n:\n(5)\nSex\n:\n(6)\nCommunity\n:\n(7)\nOccupation and address\n:\n(8)\nFull name of Proposer\n:\n(9)\nSerial Number of the proposer in the list of voters\n:\n(10)\nSignature of the Proposer\n:\nDeclaration by the Candidate\nDeclaration by the Candidate\nSignature of Candidate\nDeclaration as to choice of symbol\nDeclaration as to choice of symbol\n(1)\n(2)\n(3)\nSignature of Candidate\nSerial No. of Nomination paper\nSignature of the Returning Officer\nDecision of the Returning Officer accepting or rejecting the nomination paper\nDecision of the Returning Officer accepting or rejecting the nomination paper\nSignature of the Election/Returning Officer\nReceipt for Nomination paper and notice of scrutiny\nReceipt for Nomination paper and notice of scrutiny\n(To be handed over to the persons presenting the nomination paper)\nSignature of the Returning Officer\nForm B\nForm B\n[ See rule 24(1)]\nList of Contesting Candidates\nList of Contesting Candidates\nSerial No.\nName of the Candidate\nAddress of candidate\nSymbol allotted to the candidate\n(1)\n(2)\n(3)\n(4)\nEtc.\nSignature of the Returning Officer\nForm C\nForm C\n[ See rule 26(1)]\n[Appointment of Polling Agent]\n[Appointment of Polling Agent]\nSignature of Candidate\nSignature of Polling Agent\nDeclaration of Polling Agent to be signed before Presiding Officer\nDeclaration of Polling Agent to be signed before Presiding Officer\nDate: Signed before me.\nSignature of Polling Agent\nDate:\nPresiding Officer\nForm D\nForm D\n[ See rule 32(1)]\nForm of Voting/Ballot Paper\nForm of Voting/Ballot Paper\nFoil\nVoting paper No.\nVoting\n\t\t\t\tpaper\nSerial No.\nCandidate's Name\nCandidate's Symbol\nVoters mark\nVoter's\n\t\t\t\tNo. on the list of voters\n(1) (2) (3) (4) (5)\n(1) You have .................................. vote(s).\n(2) Each vote is to be shown by cross mark \"X\".\n(3) You are not to give more than one vote to any one candidate.\nForm E\nForm E\n[ See rule 38 (2)]\nTendered Votes List\nTendered Votes List\nSerial No. of the entry\nName of the voter\nSerial No. of the Voter in the list of voters\nAddress of the voter\nSerial No. of tendered ballot paper\nSerial No. of ballot paper issued to the person\n\t\t\t\twho has already voted\nSignature or thumb impression of the voter\n(1)\n(2)\n(3)\n(4)\n(5)\n(6)\n(7)\nSignature of the Presiding Officer\nForm F\nForm F\n[ See rule 41]\nBallot Paper Account\nBallot Paper Account\nSerial No.\nTotal No.\n(1)\nNumber of ballot papers received by the Presiding Officer at\n\t\t\t\t\tthe Polling Station or if the Polling Station has more than one\n\t\t\t\t\tbooth at each booth\n(2)\nNumber of ballot papers issued to voters\n(3)\nNumber of unused ballot papers returned\n(4)\nNumber of ballot papers cancelled\n(5)\nNumber of tendered ballot papers used\n(6)\nNumber of ballot papers in ballot boxes\nSignature of the Presiding Officer\nNote: If a Polling station has more than one polling booth, separate account in this form shall be attached to this account in respect of each such polling booth.\nForm G\nForm G\n[ See rule 48 (3) and 51]\nResult Sheet\nResult Sheet\nPolling Station\nNumber of valid votes casted in favour\nNumber of\nNumber of Votes\nRemarks\nSerial No.\nName\nA\nB\nC\nD\nEtc.\nValid\nRejected Votes\nTotal Votes\nTendered votes for Polling Station\nReturning Officer\nForm H\nForm H\n[ See rule 53]\nForm of Return of Election\nForm of Return of Election\nSerial No.\nName of Candidate\nNumber of valid votes given for the candidate\n(1)\n(2)\n(3)\n(4)\nEtc.\nTotal number of valid votes.....................\nTotal number of invalid votes......................\nTotal number of tendered votes.....................\nSignature of Returning Officer\nForm I\nForm I\n[ See rule 67(1)]\nApplication for Registration as Contract Farming Sponsor\nApplication for Registration as Contract Farming Sponsor\n(I) Solvency certificate.\n(II) Bank Guarantee.\n(III) Details of Registration Documents of Company/Partnership Firm/Non-Governmental Organizations/Co-operative Society/Governmental Organization etc. and names and addresses of directors and partners etc.\n(IV) Details of agricultural produce coming under the contract.\n(V) Copy of challan by which fees of rupees five hundred per year per district has been paid in Government Treasury.\n(VI) Income tax returns.\nSignature of the Applicant\nForm J\nForm J\n[ See rule 67(2)]\nRegister of Contract Farming Sponsor\nRegister of Contract Farming Sponsor\nSerial No.\nName and Address of Applicant\nDate of Receipt of Application\nRegistration fee (Rs.)\nDistrict(s) for which Registration is granted\nPeriod for which Registration is granted\nNo. and Date of issue of Registration\nSignature\nRemarks\nForm K\nForm K\n[ See rule 67(2)]\nCertificate\nRegistration of Contract Farming Sponsor\nRegistration of Contract Farming Sponsor\nThe Applicant\nSub.:- Registration as Contract farming sponsor in the District(s)/Whole State.\nRegistration as Contract farming sponsor in the District(s)/Whole State.\n(1) The Registration holder shall comply with the provision of the Act, Rules and instructions issued in this behalf.\n(2) The Registration holder shall comply with the terms and conditions given in the contract.\nForm L\nForm L\n[ See rule 68]\nAgreement for Contract Farming\nAgreement for Contract Farming\nVillage\nSurvey No.\nArea in Hectare\nTaluka\nDistrict\nState\n(1) The Party of the First Part agrees to cultivate, produce and deliver to the Party of the Second Part and the Party of the Second Part agrees to buy from the Party of the First Part the agricultural produce more particularly described in the Schedule hereinafter mentioned.\n(2) The agricultural produce mentioned in the Schedule shall be supplied by the Party of the First Part to the Party of the Second Part within the period of ....................... months/years from the date of execution of this Agreement.\n(3) It is expressly agreed between the parties hereto that this Agreement shall remain in force for a period of ..................... months/years and after the expiration of said period, this agreement shall automatically come to an end.\n(4) The Party of the First Part agrees to cultivate, produce and supply quantity mentioned in the Schedule hereto annexed to the Party of the Second Part.\n(5) The Party of the First Part agrees to supply the quantity contracted according to quality specifications stipulated in Schedule. However, if the agricultural produce is not as per the agreed quality standards, the Party of the Second Part may refuse to take the delivery of such agricultural produce.\n(6) In the event of Party of the Second Part refuses/fails to take the delivery of the agricultural produce for his own reasons then the Party of the First Part shall be free to sell the same in the market and if the price received is lower than the contracted price, the Party of the Second Part shall pay the said difference in price to the Party of the First Part within a period of ........................... days.\n(7) The Party of the first part agrees to adopt instructions/practices in respect of Land preparation, fertilization, pest management, irrigation, harvesting and any other, as suggested by the Party of the Second Part from time to time and cultivate and produce the items as per specification mentioned in the Schedule hereto. The Party to the Second Part agrees to impart training/skill up gradation to the Party of the First part, provide written materials in local language indicating methods and practices required to produce the commodity as per contracted quality and norm and provide quality extension service through trained and qualified personnel and other services as provided in clause (9) to enable the Party of the First Part to carry out production of agricultural produce efficiently and as specified in the Schedule hereto.\n(8) It is expressly agreed by and between the parties hereto that buying will be as per the following terms and buying slips will be issued immediately after the purchase.\nDate\nDelivery Point\nCost of Delivery\n(a) in the open market (bulk buyer viz. exporter/processor/manufacturer/etc.), and if he gets a price less than the price contracted, he will pay to the Party of the Second Part for his investment proportionately less.\n(b) in the market yard and if the price obtain is less than the contracted price then he will return proportionately less to the party of the Second part for his investment. It is further agreed that the quality maintenance in transit will be the responsibility of the Party of the Second Part and the Party of the First Part shall not be responsible or liable for the same.\n(9) The Party of the Second Part shall pay to the Party of the First Part the price/rate mentioned in Schedule when his crop has been harvested and delivered to the Party of the Second Part after deducting all outstanding advances given to the Party of the First Part by the Party of the Second Part. The payment shall be made in the following manner:-\nDate\nMode of payment\nPlace of payment\n(10) The Party of the Second Part shall provide necessary information and facilitate insurance to the Party of the First Part of the agricultural produce mentioned in Schedule hereto, for the period of __________against the risk of loss due to acts of God, destruction's of specified assets, loan default, production and income loss and all other acts or events beyond the control of the parties, such as, very low production caused by the serious outbreak of a disease, epidemic or by abnormal weather condition, floods, drought, hailstorm, cyclone, earthquake, fire or other catastrophes, war, acts of Government, action existing on or after the effective date of this agreement which prevent totally or partially the fulfilment of the obligation of the Party. Upon request, the Party of the First Part invoking such acts shall provide to the other Party confirmation of the existence of facts. Such evidence shall consist of a statement of certificate of the appropriate Government Department. Alternatively, subject to the mutual agreement between the two Parties, the Party of the First Part may fill his quota of the agricultural produce through other sources and the loss suffered by him thereby due to price difference, shall be shared equally between the Parties, after taking into account the amount recovered from the insurance company. The insurance premium shall be shared equally by both the Parties.\n(11) The Party of the Second Part hereby agrees to provide following services to the Party of the First Part during the period of cultivation and post harvest management, particulars of which services are as follows:\n(1)\n(2)\n(3)\n(12) The Party of the Second Part or it's representatives agrees to have regular interactions with the farmers forum set up/named by the Party of the First Part during the period of contract.\n(13) The Party of the Second Part or it's representative at their costs shall have the right to enter the premises/field of the party of the First Part to monitor farming practices adopted and the quality of the produce from time to time.\n(14) The Party of the Second Part confirms that he has registered himself with the Sponsor Registering Authority ....................................... on ......................... and shall pay the fees in accordance with the law prevailing in this regard to the Sponsor Registered Authority which has jurisdiction to regulate the marketing of agriculture produce which is cultivated on the land described .................................\n(15) The Party of the Second Part will have no rights whatsoever as to the title, ownership, possession of the land/property of the Party of the First Part nor will it in any way alienate the party of the First Part from the land property particularly mortgage, lease, sub-lease or transfer the land property of the Party of the First Part in any way to any other person/institution.\n(16) The Party of the Second Part shall submit true copy of this Agreement signed by both the parties, within a period of 15 days from the date of execution hereof, to the ............................. authority prescribed for the purpose.\n(17) In the event of breach of the terms and conditions of this Agreement by either party, the aggrieved party may send a notice to the other party to rectify the breach. If breach is not rectified within a period of fifteen days from the date of receipt of notice, the aggrieved party may terminate this Agreement.\n(18) Exact the provision as contained under clause (17) Termination/Cancellation of the Agreement will be with consent of both the parties. Such termination/cancellation deed will be communicated to the registering authority within 15 days of such termination/cancellation.\n(19) In the event of dispute or difference arising between the parties hereto or as to the rights and obligations under this Agreement or as to any claim, monetary or otherwise of one party against the other or as to the interpretation and effect of any terms and conditions of this Agreement, such dispute or difference shall be referred to Dispute Settlement Authority appointed under rule 69 of the Goa Agricultural Produce Marketing (Development and Regulation) Rules, 2010.\n(20) In case of change of address of any party to this Agreement, it should be intimated to the other party and also to the Agreement Registering Authority.\n(21) Each party hereto will act in good faith diligently and honestly with the other in the performance of his responsibilities under this Agreement and nothing will be done to jeopardize the interest of the other.\nSchedule\nGrade, Specification, Quantity and Price Chart\nGrade, Specification, Quantity and Price Chart\nGrade\nSpecification\nQuantity\nPrice/Rate\nGrade 1 or\n\t\t\t\t\tA\nSize, Colour, Aroma etc.\nGrade 2 or\n\t\t\t\t\tB\n1...........................................\n2...........................................\n1...........................................\n2...........................................\nForm M\nForm M\n[ See rule 71(1) and 71(7)]\nForm of Application for Registration/Renewal of Registration of Market Functionaries\nForm of Application for Registration/Renewal of Registration of Market Functionaries\n(i) Copy of receipt in support of having paid the requisite fee of Rs........................................\n(ii) Copy of Registration of partnership/private/public limited company etc.\n(iii) Copy of memorandum of association/Bye-laws.\n(iv) Last annual audited balance sheet.\n(v) Copy of the Registration granted for the previous period.\n(vi) Bank guarantee/security bond for Rs. .................................\nUndertaking\nUndertaking\nYours faithfully,\nSignature of applicant\nForm N\nForm N\n[ See rule 71(5)]\nApplication for Obtaining Registration for Operating More than One Market Area as a Trader\nApplication for Obtaining Registration for Operating More than One Market Area as a Trader\nDate:\n(1) ....................................................\n(2) ....................................................\n(3) ....................................................\n(4) ....................................................\n(i) Solvency Certificate.\n(ii) Bank Guarantee.\n(iii) Income Tax return of last 3 years.\n(iv) Copy of Registration already granted, if any.\nDeclaration\nDeclaration\nSignature of Applicant\n1.\nName :\nAddress :\nSignature :\n2.\nName :\nAddress :\nForm O\nForm O\n[ See rule 71(5)]\nRegistration for Operating in More Than One Market Area As A Trader\nRegistration for Operating in More Than One Market Area As A Trader\n(Secretary)\nThe Goa State Agricultural Marketing Board\nRenewal\n\t\t\t\tof Registration\nDate of Renewal\nPeriod for which Renewal\nSignature of Director and date\n(Secretary)\nThe Goa State Agricultural Marketing Board\nForm P\nForm P\n[ See rule 86]\nForm of Register Showing the Market Fee and Other Charges Collected by the Marketing Board\nForm of Register Showing the Market Fee and Other Charges Collected by the Marketing Board\nSerial No.\nDate\nTotal arrivals in tones\nValue of the agricultural produce sold\nMarket fee assessed in Rs.\nMarket fee collected (Rs).\nLicence fee collected\nCharges collected from sources\nTotal\nForm Q\nForm Q\n[ See rule 90]\nApplication for Grant of Licence for Private Market and Consumer/Farmer Market\nApplication for Grant of Licence for Private Market and Consumer/Farmer Market\nDate:\nYours faithfully,\n(Signature of Applicant)\n(i) Certificate of Incorporation or Registration in respect of Company, Co-operative Society, Trust, Corporation, Partnership, etc.\n(ii) Memorandum of Association or Articles of Association.\n(iii) Names and Address and Telephone Number of all the Directors and Owners and Partners, etc.\n(iv) Details of infrastructure created with the break up of the cost of the land in following table (proof in support of cost should also be enclosed):\nSI. No.\nType of Infrastructure\nEstimated cost (Rs.)\n1.\n2.\n3.\n(v) Treasury Challan in support of having paid the licence fee.\n(vi) Operational and working guidelines as to how Private Market shall be conducted or operated.\n(vii) Undertaking or Affidavit that applicant shall abide by all the provisions of the Act and Rules made thereunder and in case of violation he shall be liable for action including cancellation of licence.\n(viii) A Bank Guarantee as provided in Rule................................................... and ...................................................\n(ix) Income tax return.\n(x) Layout plan of the proposed market.\nSignature of the Applicant\nForm R\nForm R\n[ See rule 91(2) and rule 92(3)]\nRegister of Licence Holders for Direct Marketing of Agricultural Produce and Establishing Private Markets and Consumer/Farmer Markets\nRegister of Licence Holders for Direct Marketing of Agricultural Produce and Establishing Private Markets and Consumer/Farmer Markets\nSerial No.\nName and Address of the Applicant\nDate of receipt of Application for licence\nType of Licence and Date of issuance\nMarket area(s)\nLicence Fee Rs. (Challan No.)\nLicence No. and Date\nValidity of Licence\nRemarks and Signature\n(1)\n(2)\n(3)\n(4)\n(5)\n(6)\n(7)\n(8)\nForm S\nForm S\n[ See rule 91(5) and rule 92(3)]\nLicence for Direct Marketing of Agricultural Produce, Establishing Private Market and Consumer/Farmer Market\nLicence for Direct Marketing of Agricultural Produce, Establishing Private Market and Consumer/Farmer Market\n(1) The licensee shall abide by the provisions of the said Act and the Rules and the conditions of Agreement entered into by the licence on ............................. with the State Marketing Officer.\n(2) This Licence is not transferable.\n(3) This Licence may be suspended or cancelled in accordance with the provisions of the said Act and the Rules made thereunder and if the Licence holder commits any Act or abstains from carrying out his normal business in the market with the intension of willfully obstructing, suspending or stopping the marketing of agricultural produce in the market area, the Licence may be suspended or cancelled.\n(4) In the event of suspension or cancellation of this Licence, it shall be surrendered to the State Marketing Officer.\n(5) The Licensee shall not adulterate or cause any declared agricultural produce to be adulterated.\n(6) The Licensee shall help the State Marketing Officer in preventing evasion of market fees.\n(7) The Licensee after grant of Licence by the State Marketing Officer shall within a period of fifteen days inform about the authorized representative of the Licensee who shall be responsible on his behalf.\n(8) The Licensee shall maintain books, registers and records in the manner, required by State Marketing Officer and shall make them available for inspection to the State Marketing Officer or person authorized by him.\n(9) The Licensee shall furnish information and return to the State Marketing Officer as may be required by him from time to time.\n(a) Agriculture produce shall be sold by way of open auction in Private Markets.\n(b) Direct Marketing Licence holder will put up the notice of price of commodity ................................. at which he will purchase on a particular or date.\n(c) Private market or direct purchaser shall not purchase or allow to purchase any agricultural produce below minimum support price announced by the Government for the particular commodities.\n(10) The Licensee shall, if the declared agricultural produce is sold through his agency or by him, pay to the seller the price of the agricultural produce so sold on the same day.\n(11) The Licensee shall not solicit or receive any fees or recover any charges other than those which he is entitled to receive or recover in accordance with the provisions of the Act and the Rules made by the concerned market, approved by the State Marketing Officer.\n(12) The Licensee shall not make or recover any trade allowance.\n(13) Licensee shall provide for authorized weights and measures.\n(14) The Licensee shall pay to the licensed weighman or measure and hamals only at the rates approved by the State Marketing Officer and shall not employ them for any household or private work.\n(15) The Licensee shall inform the State Marketing Officer of any change in the constitution of the Licensee.\n(16) The Licensee shall refer all his disputes in relation to the marketing of the notified agricultural produce in the manner provided under the Goa Agricultural Produce Marketing (Development and Regulation) Rules, 2010.\nState Marketing Officer\nRenewal\n\t\t\t\tof Licence\nDate of Renewal\nPeriod for which Renewal\nSignature of State Marketing Officer\nForm T\nForm T\n[ See rule 93(1)]\nApplication Form for The Renewal of Licence Under Section 54\nApplication Form for The Renewal of Licence Under Section 54\n(1) Particulars of the private/consumer market, yard/other marketing infrastructure for which the Licence has been issued .............................................................................................................................................................\n(2) Name of the applicant (with full particulars of the place of market yard) .........................................................\n(3) Number of Licence ................................................................................................................................................\n(4) Date on which the licence expires .......................................................................................................................\n(5) Period for which renewal is required ...................................................................................................................\n(6) Fee paid Rs. ...........................................................................................................................................................\n(7) Penalty paid, if any, Rs. .........................................................................................................................................\n(8) Has the applicant (s) or where the applicant is a firm, has any member thereof singly or in collaboration with any body else, been,-\n(a) granted any Licence in any other market area and his Licence has been suspended or cancelled. If so, when, where, for what period and for what reasons; ........................................ or\n(b) convicted of any offence involving moral turpitude. If so the date of conviction; .................................or\n(c) declared as an undischarged insolvent ......................................................................................................\n(d) defaulter of not paying the dues to the Marketing Board...........................................................................\n(1) I am enclosing demand draft No. ................. dated ................. amounting to Rs. ........................ on account of renewal fee.\n(2) The particulars given above are true and correct to the best of my knowledge and belief.\nSignature of the applicant\nForm No.\nForm No.\nPurchaser\n(See rule No.)\nMarket Board\nOffice Copy\nForm of Bill\nForm of Bill\nSr. No. ….......................................\nDate:\n\t\t\t\t…..........................................\nParticulars of Weighment/\nmeasurement & Counting\nCommission Agent/Trader\nForm U\nForm U\n( See rule 98)\nThe Goa State Agricultural Marketing Board, Margao-Goa\nThe Goa State Agricultural Marketing Board, Margao-Goa\nBudget Estimates for the Year ....................................\nRevenues\nAmount (In Rupees)\nExpenditure\nAmount (In Rupees)\n\"A\" Fees\n\"E\" Office Bearers and Meeting Exp.\n\"B\" Others\n\"F\" Establishment\n\"C\" Income from Investment\n\"G\" Administration\n\"D\" Government Loan\n\"H\" Principal and Sub-Market yards Maintenance\n\"I\" Capital Expenditure for Infrastructure\n\t\t\t\t\tDevelopment\nTOTAL.......Rs.\nTOTAL.......Rs.",
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