Scl'duieXLVII-;FormNo.
118
-
'P.M.ForrnNo.26
. . . .I z o o
FIRST
INFORI\.IATION
REPORT
4235?5
(P.tvl.Rule143)
(Under 154er. p. C )
Section
$ Strikeoulwhicltis notappticabte
1. 'Distdct
....p.S.
( | i i )' A c t - . ...........'sections....
(iv)'OtherActs
and-sections
3. (a) StationDiaryReference: EntryNo. ...... ..Time ....G+*,
(b) *Occurrence
or Offence: 'Day. .
. . . ...Date ..Time
(c) fnformation
received Date.
at the Potice-station
: S. D.E. |Jo.
fromp. S.
(d) 9ateof desparch
4. Typeol Informalion
: 'Written/Oral
5. Placeof Occurrence
:
(a) Directionand Distancefromp. S.
(b) *Address
'..r':. .BeatNo. .,............:,..
(c)lncas'eoutSide|imitofthisPolice-station,thenthenameofP.s.'.."'.
Distrid....... .., !.s.1.
(f) PassportNo...... . . . . . . D a t e olfs s u e . . . P l a c e ot st s u e
(g) Occupation ...S.C./S.T.
7. nl',^,'^',?.cused
Detailsof known'silspolted/unl (attachseparatesheet,if necessary)
8. Reasons
fordelayin reporting
by theComplainanVlnformant.
9. of prcpertiesstolenfinvol'/cC
Pailicutars (attachseparatesheet,il required).
3
'Apprclxinrale
10 v a l u r . ' o ll . i r o p e r l i essl o ! i ; r i i ! n v o l v e d
. . . ^-. ., .
1'l .inc;ue'st
Iieport/LJ
[) casleNo , if any,
12 f : . . 1t l C o n l e n t s( a l t l c hs e p a r a t se h e c l r i1 1r e q u i r e d ;
''13, Actiontaken:,Since the abovereportrevealscomrni$ionof offence(s) u/s (asmentioned at iiem No.2,)
registepdth"ecaseaqdrelused investigation/and tookup the frvestigation/directed:land ..,.
h a s a l r e a d y t a k e n u p A 6 t a k e u p A h e i n v e s t i g a t i o M r a n s"{' n
e "r r- e
, ,d. .t.o. -P. .. S
^ t,..,,. o . . , . a . .
on pointof jurisdiction. I
F. l. R. readover to the Complainanl/lntolmanl,
admittedto be correctlyrecordedand a copy givento rhe
Complainantllntor,mait
lree of cosi.
Signatureol the Officer-in-charge,
Pdtice-station
with
'Naitie.
'Rank.
PersnalNunber,if any
Date