5th Know Goa Programme 2012

5th Know Goa Programme 2012

5th Know Goa Programme (KGP)

November 25 to December 09, 2012

The Know Goa Programme is formulated for the benefit of Goan Diaspora Youth who are not Indian Nationals and have had no opportunity to discover their roots in Goa and in India.

The Government of Goa, Department of NRI Affairs invite applications from interested Goan Diaspora youth, mainly students and young professionals in the age group of 18 to 28 years, who have distinguished themselves in various fields and show abiding interest in India, specially in Goa.

The 5th Know Goa Programme (KGP) is scheduled from November 25 to December 09, 2012. The terms and conditions for the eligibility are as under :

Terms & Conditions and Eligibility Criteria

Goan Diaspora Youth in the age group of 18 – 28 years who are not Indian nationals and have had no opportunity to discover their roots and have abiding interest in India in general and Goa in particular, and who have distinguished themselves in various fields, are eligible to apply.

Those who have already participated in the Know India Programme organized by Government of India, Ministry of Overseas Indian Affairs or the Know Goa Programme organized by Government of Goa, Department of NRI Affairs from 2008 onwards, will not be considered for the 5th Know Goa Programme.

The Government of Goa will bear 90% of the total cost of the air ticket at lowest economy excursion fare from the original destination to Goa, and places of visit in India.

While in Goa, the participants will be accommodated at Miramar Residency in Deluxe Rooms on twin sharing basis. This is a prime property of Goa Tourism Development Corporation located at the famous Miramar Beach only 04 kms away from Panaji, the capital city of Goa. The participants will be provided breakfast, lunch and dinner. All expenses on lodging and boarding will be borne by the State Government.

Arrangements for visit of the participants to places of interest in Delhi and Agra will be made in consultation with the Government of India, Ministry of Overseas Indian Affairs.

Participants will be paid Rs. 150/- each per day as pocket expenses.

Final departure of the participants to their respective destinations will be either from Delhi or, as the case may be, from Mumbai or Bangalore.

An application form for the 5th KGP is attached.

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Department of NRI Affairs

Government of Goa

Secretariat Porvorim – Goa - 403521

 

APPLICATION FORM FOR KNOW GOA PROGRAMME (KGP)

5th KGP November 25 - December 09, 2012

 

 


 

Attach Recent Passport

Size photograph


PERSONAL PARTICULARS

  1. Name (as in Passport in BLOCK letters)

_____________ _____________ ____________

(Surname) (First Name) (Middle Name)

(ii) Gender Male/Female

(iii) Date of birth (iv) Place of birth ----------- ---------

(dd/mm/yyyy) (City) (Country)

(v) Nationality -------------------- (vi) Domicile --------------------

(Country where you live in permanently)

(vii) Marital status ------------------------

(viii) Passport Particulars

No. ------------------

Place of issue ------------ ------------------

(City) (Country)

Date of issue -------------------

(dd/mm/yyyy)

Date of Expiry -------------------

(dd/mm/yyyy)

(ix) Telephone number: Work ----------------

(With country and city code) Residence ----------------

Mobile/Cell -----------------

Fax Number ------------------

(With country and city code)

E-mail Address ------------------------------------

(x) Complete mailing address with PIN/ZIP Code

(xi) Permanent home address with PIN/ZIP Code

(xii) Name, address (if available) and your relationship with your ancestor who migrated from Goa:

  1. Name

  2. Last known address

  3. Your relationship with him/her

  4. The year when he/she migrated from Goa

(xiii) Particulars in respect of your closest relative in India:

  1. Name

  2. Present address

  3. Your relationship with him/her

  4. Contact telephone numbers with city code

EDUCATIONAL AND PROFESSIONAL PARTICULARS

1. Educational qualification

 

  1. State the name and address of the College/University

from where you completed under graduate course or

have joined it for this purpose

  1. Subjects of study

  1. Medium of instruction

2. Qualification in English language

3. Details of Occupation/employment:

Sr.No.

Organization/Office/Firm

(Name and address)

Position held

Period

From

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Contact particulars of the present employer:

Telephone number: Work ----------------

(With country and city code) Mobile/Cell -----------------

Fax Number ------------------

(With country and city code)

E-mail Address ------------------------------------

5. Personal Achievements, If any___________________________________
 

________________________________________________________________

 

OTHER DETAILS

1. Details of Community Activities, if undertaken:

2. Are you a member of any Overseas Indian/Goan

Association/Organization? If yes, give its name

And address

3. How did you come to know about the KGP?

(Through an Indian Diplomatic Mission/Goan

Overseas Association)

 

4. Have you participated in any Know India Yes/No

Programme organized by Government of India,

Ministry of Overseas Indian Affairs ?

If yes, provide details.

 

5. Have you visited India earlier? if yes, please

provide details of your last two visits including

the month and year of the visit, places visited

and the purpose for your visit

6. Please state, in not more than 100 words, why do you wish to take part in the know Goa Programme?

___________________________________________________________

_________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

DECLARATION

I, hereby, declare that all the information given in this Application Form are true and correct to the best of my information and belief.

I also declare that I will abide by the regulations of the Know Goa Programme, would offer my full cooperation in its smooth conduct, and would not leave it mid-way.

I understand that if I am found guilty of any misconduct or indiscipline during the course of the Programme, or if I leave the Programme mid-way, I could be refused any further participation in the said Programme or participation in any future Programmes and that I would not be eligible for any reimbursement of the return international airfare from my country of residence to India.

 

(Signature of the applicant)

 

Name of the applicant

 

Date:

ENDORSEMENT OF THE CONCERNED INDIAN MISSION/POST

Name of Indian Mission/Post:

Recommendations of the Head of Mission/Post

 

Signature of HOM/HOP _______________

 

Name of the HOM/HOP__________________

 

Office Seal

Date