The Town Vending Committee shall issue a certificate of vending to every street vendor who has completed the age of 18 years.
By order and in the name of the Governor of Goa.
Gurudas P. Pilarnekar, Director & ex officio Addl. Secretary (M.A./U.D.).
Panaji, 18th October, 2016.
OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 28 (EXTRAORDINARY) 19TH OCTOBER, 2016 1080 FORM I [See rule 4(8)] Nomination Form for Election of Members of Town Vending Committee To, The Returning Officer, ……………………………...
Town Vending Committee ……………………………..
Sir, I, ……..................................... wife/son/daughter of Shri .............................................. , street vendor vending in the area of jurisdiction of the Town Vending Committee (Registration/Certificate of Vending No.) hereby propose the name of Shri/Smt./Ms. …………………………… wife/son/daughter of Shri ………..............…….
………..........…….. and a street vendor of the said Town Vending Committee (Registration/Certificate of Vending No. ……………...) as a candidate for the post of Member of the said committee for the election to be held on ...........................................
Name and Signature of the proposer ……………………...........….. Registration/Certificate of Vending No. ……………………..
I, .................................. wife/son/daughter of Shri ................................................ Registration/Certificate of Vending No. ................ of .................... Town Vending Committee, hereby second the above proposal.
Name and Signature of the Seconder ………...............………..Registration/Certificate of Vending No. ............................
DECLARATION BY THE CANDIDATE I, …………………. wife/son/daughter of Shri ………………., Registration/Certificate of Vending No………………. of ……………… Town Vending Committee, hereby agrees to my nomination for the election as Member of the Town Vending Committee.
I further declare that—
(i) I am not an employee of the said Town Vending Committee,
(ii) I am eligible to vote, and
(iii) I do not incur any disqualification for election as Member of the said Town Vending Committee under the provisions of the Street Vendors (Protection of Livelihood and Regulation of Street Vending) Act, 2014 (Central Act 7 of 2014) and the Goa Street Vendors (Protection of Livelihood and Regulation of Street Vending) Rules, 2016 made thereunder.
Name and Signature of the Candidate .............................................. Registration/Certificate of Vending No. ………….……….
(FOR OFFICE USE ONLY) Received the nomination format.. ................................................ (time and date).
Signature of the Returning Officer ..............................................................
Seal OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 28 (EXTRAORDINARY) 19TH OCTOBER, 2016 1081 ACKNOWLEDGEMENT Received the nomination form of………………. presented by Shri/Smt./Ms. ……………………. candidate /proposer/seconder for election at…………….. a.m./p.m. on ……………….
Signature of the Returning Officer ……………………..
Seal —————— FORM II [See rule 4(18)] Ballot Paper for Election of Member of a Town Vending Committee Ballot paper of election of Members of a Town Vending Committee representing street vendors whose elections are to be conducted Goa Street Vendors (Protection of Livelihood and Regulation of Street Vending) Rules, 2016.
The ………………… Street Vending Committee ……………………………….
…………………………. (Address).
(Counterfoil) Ballot paper for the Post of ……………………….
Date of Election ………………………………..
Sr. No. ................................ Registration/Certificate of Vending No.
No. ……………… Ballot Paper.
Please mark [x] against one of the candidates.
Sr. No. Name of the candidate Registration/Certificate of Vending No. Mark for casting vote ————— FORM III [See rule 4(19)] Letter for Appointment of Election Agent/Counting Agent I, …………… ………… son/wife/daughter of Shri ……………………… , street vendor vending in the area of jurisdiction of the Town Vending Committee (Registration/Certificate of Vending No. ……....... ) contesting for election of Member of the said committee, hereby nominate the following person as my election agent/counting agent in the election of Members of the said Town Vending Committee to be held on………………. (specify the date)— Name and Signature of the Candidate ………………….
Registration/Certificate of Vending No. ………………..
I, ……………………., son/wife/daughter of Shri .............................................. address ...................................
…………………………………………………………am willing to be the election agent/counting agent.
Signature of the Agent OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 28 (EXTRAORDINARY) 19TH OCTOBER, 2016 1082 FORM IV [See rule 15] Details in the Periodical Returns to be furnished by Town Vending Committee Details in the periodical return for quarter ending .............................. [March or June or September or December], 20.................
1. Details of certificates issued, rejected, suspended and cancelled during the quarter.
Details Applications Accepted or issued Rejected Renewed Suspended Cancelled Pending at the beginning of the quarter Newly received Total Cleared during the quarter Pending at the end of the quarter
2. Number of newly surveyed street vendors and their complete details including name of street vendor, address, place of vending, type of vending, etc.
3. Number of meetings of the Town Vending Committee held.
4. Details of newly vending area earmarked, if any, with its holding capacity.
5. Details of social audit done, if any.
6. Details of promotional measures taken for availability of credit, insurance and other welfare schemes of social security for street vendors.
7. Any other information, as directed by the State Government from time to time.
—————— FORM V [See rule 17] Appeal to the Local Authority against decision of the Town Vending Committee Appeal No. ......................... of 20......
................................ Appellant V/s ................................. Respondent OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 28 (EXTRAORDINARY) 19TH OCTOBER, 2016 1083
1. Name of Applicant:
2. Address of correspondence:
3. ID number given by local authority (if issued):
4. Number and date of issue of certificate for vending:
5. Place or location of vending:
6. Zone or ward of vending:
7. Nature of vending:
(i) Mobile
(ii) Stationary
(iii) Any other (specify)
8. Order of Town Vending Committee against which this appeal is preferred:
(i) Rejection of certificate of vending:
(ii) Suspension of certificate of vending:
(iii) Cancellation of certificate of vending:
9. Details and grounds of appeal (give full details):
10. Documents supporting appeal:
11. Declaration:
I, .......................................... the applicant, do hereby solemnly declare that what is stated above is true to the best of my knowledge and information and files this appeal within the time limit prescribed in the rules:
Place:
Date: Signature of Appellant Note: Attach all the relevant documents including order of Grievance Redressal Committee with this appeal.
If required, to give full reasoning of appeal on the separate pages to be attached with this appeal.
————— FORM VI [See rule 19] Application by the aggrieved street vendor to the Grievance Redressal Committee Application No. .........……… of 20 .........
………………...... Applicant V/s .................
………………… Respondent
1. Name of applicant:
2. Address for correspondence:
3. ID number given by local authority (if issued):
4. Number and the date of issue of certificate for vending:
5. Place or location of vending:
6. Zone or Ward of vending:
7. Nature of vending:
i. Mobile:
ii. Stationary:
iii. Any other (specify):
8. Grievance against which authority:
9. Details of grievance or dispute (give full details):
10. Documents supporting grievance or dispute:
OFFICIAL GAZETTE — GOVT. OF GOA SERIES I No. 28 (EXTRAORDINARY) 19TH OCTOBER, 2016 1084
11. Declaration:
I, ..................................................... the applicant, do hereby solemnly declare that what is stated above is true to the best of my knowledge and information and files this application within the time limit prescribed in the rules.
Place:
Date: Signature of applicant Note: Attach all the relevant documents with this application.
If required, to give full details of grievance OT dispute on the separate pages to be attached with this application.
————— FORM VII [See rule 21] Appeal by the aggrieved street vendor to the local authority against decision of the Grievance Redressal Committee Appeal No. ……………………. of 20 …..
………………………….. Appellant V/s …………………………… Respondent
1. Name of Applicant:
2. Address of correspondence:
3. ID number given by local authority (if issued):
4. Number and date of issue of certificate for vending:
5. Place or location of vending:
6. Zone or ward of vending:
7. Nature of vending:
(i) Mobile:
(ii) Stationary:
(iii) Any other (specify):
8. Grievance against which authority:
9. Details of grievance or dispute (give full details):
10. Documents supporting grievance or dispute:
11. Declaration:
I, ..................................................... the applicant, do hereby solemnly declare that what is stated above is true to the best of my knowledge and information and files this appeal within the time limit prescribed in the rules.
Place:
Date : Signature of Appellant Note: Attach all the relevant documents with this application. If required, to give full reasoning of appeal on the separate pages to be attached with this appeal.
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