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N.C.R.

B
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I.I.F.-I
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FIRST INFORMATION REPORT


(Under Section 154 Cr.P.C.)
[


1.

District
AMRELI

P.S.
LATHI

Year
[ 

FIR No.
 

System Date and Time


k hrs

Original Date and Time


k hrs
2.

3.

S.No.


(a)
1

Acts
\

Sections

IPC 1860

10

IPC 1860

100

IPC 1860

100(7)

IPC 1860

103

IPC 1860

104

IPC 1860

105

Occurrence of offence
\ 
Day


Date from
 

Date To
 

Time Period
\ 

Time From
 

Time To
 

(b)

Information received at P.S.


_ 

Date


Time
hrs

(c)

General Diary Reference


[ 

Entry No.
 

Time
hrs

4.

Type of Information
 Written

5.

Place of Occurrence

1.

(a) Direction and distance from P.S.


k 

Beat No.
 

(b) Address

(c) In case, outside the limit of this Police Station, then Name of P.S.
 
District (State)


6.

Complainant / Informant
[[ 
(a)

Name
sdfsdfsdfsdfsdf

(b)

Father's/Husband's Name
 

(c)

Date/Year of Birth
[ 

(e)

UID No.
]_ 

(f)

Passport No.
[ 
Date of Issue
 

(g)

Occupation


(h)

Address


(d) Nationality
INDIA

Place of Issue
 

N.C.R.B
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S.No.


(i)
7.

Address Type


Address

Present Address

asdasdasdasd, LATHI, AMRELI, GUJARAT, INDIA

Permanent Address

asdasdasdasd, LATHI, AMRELI, GUJARAT, INDIA

Phone number
 

Mobile
^ 

Details of known / suspected / unknown accused with full particulars


\\[ 
S. No.
 

Name

Alias
`

Relative's Name


Present Address([


1

asdasdasd

1.
zxczxczxczxc,LATHI,AMRELI,GUJARAT,I
NDIA

8.

Reasons for delay in reporting by the complainant / informant


[[[[ 

9.

Particulars of properties of interest


 
S. No.


Propertty Category


Property Type
 Description

10.

Total value of property stolen (In Rs/-)


_
 

11.

Inquest Report / U.D. case No., if any


[LL_ 

Value(In Rs/-)


S. No.
 UIDB Number
LL
12.

First Information contents


 
asdasdasdasdasdasdasdasdasdasdasdasdasdasdadasdasdasd

13.

Action taken: Since the above information reveals commission of offence(s) u/s as mentioned at Item No. 2.

[`\` 
(1)

Registered the case and took up the investigation


[kf lasho (I (Inspector))/123
or ( 

(2)

Directed (Name of I.O.)


\ 

Rank


No.
 to take up the Investigation
\f or

(3)

Refused investigation due to


f or
^

(4)

Transferred to P.S.


District


on point of jurisdiction
 
F.I.R. read over to the complainant / informant, admitted to be correctly recorded and a copy given to the complainant
/informant, free of cost.
[[_[_kf
[
R.O.A.C.
]jf
Signature of Officer in charge, Police Station


Name
lasho1
14.
2

N.C.R.B
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Rank
I (Inspector)

Signature / Thumb impression


of the complainant / informant

[[

No.
 

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15.

Date and time of dispatch to the court


\k 

N.C.R.B
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Attachment to item 7 of First Information Report
[ 
Physical features, deformities and other details of the suspect/accused: ( If known / seen )

\fk\
 
S. No.



Sex

Date / Year Of
Build

Birth


Height
(cms)

[
1

Female

Identification Mark(s)



3

1991

Deformities / Peculiarities

f

Teeth

Hair

Eye
]
10

Habit(s)(] Dress Habit (s)


11

12

Place of


Language/Dialect


Burn Mark
 Leucoderma

[

f

14

Complexion

15

16

Mole

17

13

Others
\

Scar

18

Tattoo
f

19

20

These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

[ff[[\_f`\