CHECK LIST

1. Details of the case whether 138 N.I. Act, complaint

case etc.

2. Total Cheque(s) Amount Only in 138 Cases. Rs.

3. Area of bounce cheque (s)

4. Name Male/Female
Address of the complaint ,

Age :
(Whether Sr. Citizen)
Gender
Contact No.

5. Name Male/Female
Address of the complaint ,

Age :
(Whether Sr. Citizen)
Gender
Contact No.

5-a. Name Male/Female

Address of the complaint ,

Age :
(Whether Sr. Citizen)
Gender
Contact No.
5-b. Name Male/Female
Address of the complaint ,

Age :
(Whether Sr. Citizen)
Gender
Contact No.
6. Name of Police Station

7. Any other information with respect to present case.