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 Annexture- "A"
SEIZURE REPORT OF NARCOTIC DRUGS, PSYCHOTROPIC SUBSTANCES,
CONTROLLED SUBSTANCES (To be forwarded within 48 hours of the seizure to DG, NCB)

1- Detail of Seizing Agency

Seizure Date
Name Of Authority State Police: , RAJASTHAN
State RAJASTHAN
District Tonk
Police Station
Case Reference No
Is Joint Operation Yes /  No
Seizure/Destruction Seizure / Destruction 
2- PLACE OF SEIZER
State RAJASTHAN
District Tonk
Name of Town/Tehsil (if not in List)
Police Station
Latitude fn'kk v{kka'k
Longitude ns'kkUrj
3 - Detail of Seizure
Mode of Seizure Claimed  Unclaimed

Type of Case Busting of Laboratory/Courier/Destruction of illicit Cultivation/

Internet Pharmacy/ Other/Parcel

-Location of Seizure Premises

Flat/Plot/Shop No
Street Address
Locality
Post Office

Railway Station/Train
Name of Station
Name of Train
Number of Train
Origin Station of Drug
Destination Station of Drug
Passenger/Parcel
 Airport/Aircraft
Airport name
Type of Airport natianal/ international
Flight No
Flight Type ( OnlyTick) passenser, Baggage, Cargo, courier
From Where
Seaport/Ship/Boat
Name of Seaport
Name of the Carrier/Liner
Name of Ship/Vessel/Boa
Rotation No
Bill of Loading No.
Port of Origin of Consignment
Port of Destination of Consignment
Port of Discharge of Consignment

-Road/Vehicle
Place of interception
National/State Highway Name/No
Name of the
Transport Company
Vehicle Owner
Vehicle Make hero, bajaj other
Vehicle Model
Vehicle Model
Regn. no. of the
Vehicle
Vehicle Type privet / commercial
Place of origin
Place of loading
Place of destination

Courier/Parcel
Name of Courier Agency
Address
Pin Code
Unique ID/Airway bill no.
Name of Sender
Name of Receiver
 Others Details In
minimum100 word

Seized Drugs tIrh eknd inkFkZ dk fooj.k

S.N Drug Seized Qty Unit Method of Marking on Action
D;k idMk Packing Packing
kg/gram

PRICE OF SEIZED DRUGS

Method of Concealment (Write in English only)

Person from whom drug(s) was sourced

Person Country State District Name of Police Action
Name Station

Person to whom drug(s) was destine

Person Country State District Name of Police Suspected Action
Name Station Route
(a) (b) (c) (d) (e) (f)

 Is any other Arms/Ammunition seized”

Yes  No
 Suspected Transit route
Yes  No

4- Detail of Contravention of Legal Provision

Act Section Sub-Section
NCB Act 3/ NDPS ACT 1985/
PiT NDPS Act / Other

5- Composite Seizure Detail :-

Arms and Ammunition/Explosives
Arms Type No of Arms Amm. Type No. of Amm. Action

FICN
 Denominatio No. Total Face Value Action
n

Currency
Country Denominatio No. Total Face Value Action
n

Goods
Goods Name No. Total Market Value Remarks Action

6 Persons involved-

(izR;sd eqyfte dk vyx ls izk:i Hkjdj Hksts)

Offender/Accomplice
Name
Alias 1
Alias 2
Sex
Father’s Name
Mother’s Name
Name of spouse (wife)
Date of Birth
Age
Nationality india
Pan No.
DL No.
Adhaar No
Voter ID
Profession Detail
Profession
Mobile No
Identification Mark
Arrested Yes/ No
Whether
Manufacture/Supplier
Is any previous case
 Previous Case No. (if Involved)
Previous Conviction (if Any)
Height(in cm.)
Complex
Colour of eyes
Role
7- Officers Participated
Officer Name
Designation
Role Played

8- Upload Videos Upload Images

9- Final Submit

Case Brief :
(Text Box of 400 Characters)

sho
ps:
date: