Professional Documents
Culture Documents
B
f Ȣ]Ȣ
I.I.F.-I
fȧǙ\ÛȯȨ[C
1. District
FIR No.
ĤĐ Date and Time of FIR
ĤǑȡȲ]ͨȯȡȡ
2. S.No.
\Đ Acts
\ͬǓ Sections
1 ȡȢȲ ȲǑ¡ȡCJHB CFE
2 ȡȢȲ ȲǑ¡ȡCJHB CFI
3 ȡȢȲ ȲǑ¡ȡCJHB EFC
4 ȡȢȲ ȲǑ¡ȡCJHB EEH
5 ȡȢȲ ȲǑ¡ȡCJHB CJH
1 Day
Ǒ ȯǑ Date from
ǑȡȲȡ Ǘ Date To
ǑȡȲɍ
Time Period
ȡȡȢ Time From
ȯȯȡ Ǘȡ Time To
ȯȯɍȡ
4. Type of Information
ȡǑ¡Ȣ
ȡĤȡ
5. Place of Occurrence
ȡè
(b) Address
×ȡͩȡ[ȣǑ
(c) In case, outside the limit of this Police Station, then Name of P.S.
Ȫȣ èȯÍȡȡ[ȯÍȡȡ¡ȯ\ ãȡ Ȫȣ èȯ
ȯ
ȡͪȡ
District (State)
ǔã¡ȡ
ȡÏȡȲȯ
¡ȡȡçĚ
6. Complainant / Informant
ĐȡȡȡǑ¡Ȣȯȡȡ
(a) Name
ȡ]ȡͪȡȪȢɅġȯ
Date of Issue
Ǒãȡ
Ȣȡȣȯ Place of Issue
Ǒãȡ
ȯǑȡ
(g) ID Details (Ration Card, Voter ID Card, Passport, UID No., Driving License, PAN)
jͪ
ȡȡ[ȡȡȡ[ȡ Ȫ[
Ǘ]_Ȣ ȲĜȡ^ͪȲȡ^ Ʌ Ȱȡ[
S. No.
\Đ ID Type
jğȡ
ȡĤȡ ID Number
j ȲÉȡ
1
N.C.R.B
f Ȣ]Ȣ
I.I.F.-I
fȧǙ\ÛȯȨ[C
(h) Occupation
å ȡ
(i) Address
×ȡ
S.No.
\Đ Address Type
×ȡĤȡ Address
×ȡ
1 [ȡȡ Town/Village
¡ȡͪȡȡȲȯTehsil
¡ ȢPolice Station
Ȫȣ èȯͪȡDistrict
ǔã¡ȡȡȲȯState
ȡÏ¡ȡȡçĚ
ȡ
2 èȡȢȡ Town/Village
¡ȡͪȡȡȲȯTehsil
¡ ȢPolice Station
Ȫȣ èȯͪȡDistrict
ǔã¡ȡȡȲȯState
ȡÏ¡ȡȡçĚ
ȡ
2
N.C.R.B
f Ȣ]Ȣ
I.I.F.-I
fȧǙ\ÛȯȨ[C
S. No.
\Đ Name
ȡ Alias
`[ȡ Relative's Name Present Address([ȡ
×ȡ
ȡȯȡ_ȡ
ȯȡ
1 ȡȡ ȡ¡ȯȡȡ 1. Town/Village
¡ȡȡȡ
ȡȲÀȯ ȡȲȯTehsil
¡ ȢPolice Station
Ȫȣ
èȯͪȡDistrict
ǔã¡ȡ
ȡȲȯState
ȡÏ¡ȡȡçĚȡ
2 ǑȯǕÈȢȡȪȯ 1. Town/Village
¡ȡȡǕȡ
]ȡ[ǕTehsil
¡ ȢPolice Station
Ȫȣ èȯͪȡDistrict
ǔã¡ȡ
ȡȲȯState
ȡÏ¡ȡȡçĚȡ
3 \¢ȡ[ Ȫȯ 1. Town/Village
¡ȡǑ¢ȡ
ȢȡǕȡȲȯTehsil
¡ ȢPolice
Station
Ȫȣ èȯͪȡDistrict
ǔã¡ȡȡȲȯState
ȡÏ¡ȡȡçĚȡ
4 ]ͧǕȡȲǕȲȲȢ 1. Town/Village
¡ȡȡȡȡ
ȡȲȯTehsil
¡ ȢPolice Station
Ȫȣ
èȯͪȡDistrict
ǔã¡ȡ
ȡȲȯState
ȡÏ¡ȡȡçĚȡ
5 ȡȯȡȲȡǓȯ 1. Town/Village
¡ȡͪȲȡ
ȪȡTehsil
¡ ȢPolice Station
Ȫȣ
èȯͪȡDistrict
ǔã¡ȡ
ȡȲȯState
ȡÏ¡ȡȡçĚȡ
6 ȪǓȲȡȡȲȡȯ 1. Town/Village
¡ȡȪȡǕ
ȡȲȯTehsil
¡ ȢPolice Station
Ȫȣ
èȯͪȡDistrict
ǔã¡ȡ
ȡȲȯState
ȡÏ¡ȡȡçĚȡ
2. Town/Village
¡ȡȪȡȡȡ
ȡȲȯTehsil
¡ ȢPolice Station
Ȫȣ
èȯͪȡDistrict
ǔã¡ȡ
ȡȲȯState
ȡÏ¡ȡȡçĚȡ
7 ]ĤȡɉÀȯ 1. Town/Village
¡ȡȪȡǕ
ȡȲȯTehsil
¡ ȢPolice Station
Ȫȣ
èȯͪȡDistrict
ǔã¡ȡ
ȡȲȯState
ȡÏ¡ȡȡçĚȡ
8 ȲĒȡ\Ȫ]ȡ 1. Town/Village
¡ȡͧ Ȫ
ȡȲȯTehsil
¡ ȢPolice Station
Ȫȣ
èȯͪȡDistrict
ǔã¡ȡ
ȡȲȯState
ȡÏ¡ȡȡçĚȡ
S. No.
Đ Ȳ Propertty Category
ȡ×ȡ[ Property Type
ȡ×ȡ Description Value(In Rs/-) Ǖã
ͪ
Ĥȡ
ǾÚȯ
3
N.C.R.B
f Ȣ]Ȣ
I.I.F.-I
fȧǙ\ÛȯȨ[C
11. Inquest Report / U.D. case No., if any
^ÛÈȯè\¡ȡ\èȡǙ×ǗĤĐ\ ãȡ
S. No.
\Đ UIDB Number
Ǖ]ȢȢ
ͩȡ[ȣǑȢ]ǙȡͪȡȪȢɅġȯ[Ȫȣ `Ǔȣ¢ȯȪèȯͪȡȡȲȯȪȲ
ȡȶͩȡ[ȣ¡ȪǕͩȡ[ȣȯȪȧȢȪèȯͪȡȲȯȯȯȢȡ ǕȪȣ `Ǔȣ¢
à¡ǕȯǕȧ ]¡ȯǑȪȢȡȯɅġȢ ǕÉȲğȢȡǕȲ_ȡȲ
ȡȡȲȯȫȡ] ãȡȯȡȡ Ǖ
ȡȢɬǕȣͪȡȣȡȱ_ȯȯ¡ȪȢ ǑȡȲȢȪ¡ȯȡǕȯȡȪȡȡȯȪȡȱͧ ȯȡ[ɬǕȣ
ȯȪ¡ȯȡȱ
ȡȲ
ȡȡȣȡȡ
ȯ[
ȡȣPSI
å¡ȡ\ ȯ¡Ȫȯȡ ǕȡȡȪȪȣ Ǔȣ¢ ȡ¡ȯȡȲȢ]à¡ȡ ͪȡǑ
ȡȱ_ȯȯȲȪèÖȡ
ȡ]ȯǑȡ×ȡǽ]à¡ȣͪȡǑȡȱ_ȯȯȲȪèȣ] ȡȲȡȡ
ȯ Ǖȡȡ ȡȯɅġ
Ȣ ǕÉȲğȢȡ¡ȯȡȯ¡ȡȡ] ȡȲȡ]
ȡȫȯǕȡ¡ȣȪ]ȯ×ȡȢ×ȡ
ȯȢ
ͨȡȢȡÀȯȯȡǕǓȶȯȯȡǕÉȲğȢ ȡ¡ȯȡȲ
ȢȡȢ]ǕǓȢ]ȯȡȲȡÛȡͧÀȡȡ
ȡ¡ȣȯȯɅġȢ
Ǖȡ[ȡ\ ȯȪȡȯǕȡȯ×ȡȯȢȯȯȪȣ Ǔȣ¢ĮȢ ǕȡȡȪ ȡ¡ȯ]ȯȪȣ Ǔȣ¢ ȡ¡ȯ]à¡ȣ Ȫ
ȯ
ȡ[
ȡȣȪ¡ȯȡǕȯȡȪȡȡȯȪȡȱͧ ȯ_[
ȡȣȡȲ
ȯȢȯ ȪȡȲȡȡÞȡȯȯ
ĤǓȲȡ×`ȡȡȢȪȣ ȡ¡ȡ Ǖ×ȡ
ȯȡȡͪ
ȡ×ȡȢ]ȣȡȯȡȡ ȡ¡ȯȡȡȡȲÀȯ[ȡȡȡ
ȡȲȯǑȯǕÈȢȡȪȯ[ȡȡǕȡ]ȡ[Ǖ\¢ȡ[ Ȫȯ[ȡǑ¢ȡȢȡǕȡȲȯ]ͧǕ
ȡȲǕȲȲȢ[ȡȡȡȡȡȲȯȡȯȡȡȡǓȯ[ȡͪȲȡȪȡȡǔȡȲȯ ȪǓȲȡȡȲȡȯ
[ȡͪȪȡȡȡȡȲȯ]ĤȡɉÀȯ[ȡȪȡ
ǕȡȲȯ ȲĒȡ\Ȫ]ȡ[ȡ
ͧ ȪȡȲȯ\ ȯ ȡȲͬȯȯǕȡȱÛȡ Ȳȯ
ȯ] ãȡ
ȯ ȡȲͬȯ ȯ
ǓȢ]ȯĤȡȡ
Ȣ ȢȢ]ȡ[
ȫȢÖȡ
ȡȢȡȡȢ ȡǑ]à¡ȣǓȯÖȡ ȡȤ]Ȫ¡ȪȪ\ ȯ ȡȲȢȯ×ȡȯȢȪȣ Ǔȣ¢ĮȢ ǕȡȡȪ ȡ¡ȯȡȲȢĤǓȲ`ȡ
ȪȡȡȢȣȪȡȲȡȪèȯͪȡȪȯȯǕȯȯȣǑȪȢȡ Ǖȡȡ ȡȯɅġȢ
ǕÉȲğȢȡ¡ȯȡȲȯȫȡȡȢ]ȯ] ȡȲȡͪȡǑȡȱ_ͫå¡ȡ
ȯȡǕ ȡȲȢȯȯȣȪȡȲȢȰȡɮȡ
ȢȲȢ
ǕǓ]ȯȡȲȡÛȡͧȡȡ
ȡ¡ȣȯȯɅġȢ Ǖȡ[ȡ\ ȯȪȡǑãȡȡȯȯġȢ ǕÉȲğȢȡȡȲ
ȡȱå¡ȡ
]ǕȡǕÉȲğȢȡȲ
ȯ
ȡ]ȯ ȡ[Ǔȡ[ȡȡȢ] ȡȲȡ]ȡǽȡǕÉȲğȢȲȪè] ȯȯȪȣ
[Íȡȣ]ȢȡȣȡȲ
ȢåÈȢ Ǖ¢ȡȪÈȡ]ȣ]¡ȯ]ͨȰȡɮȡ
ȢȲȢǕȲȡȯȡ]¡ȯ]ȪȢȢ
ȣçȡȲ
ȯȡ[[ȯǕͩȡ[
13. Action taken: Since the above information reveals commission of offence(s) u/s as mentioned at Item No. 2.
ȯȯȣȡȡ_ȬȡĐDÚȯǗȯȯãȡȡÛȯȣ\¡ȡȡǾ\ȡǑ Ǘ]ãȡǕȯ
No.
Ȳto take up the Investigation
ȡ Öȡ
ȯ\ͬȡǑȯor
ͩȲȡ
on point of jurisdiction
\ͬȡȡÍȡǺǔçȪȡǗ
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.
ĤĐȡȡȡȡȣȡȡ
ǗȡͪȣȪɉͪȣ\ ãȡ
ȯ×ȡȯȡÛȯȯ]ͨ
Đȡȡȡȡȣȡȣ
ȢĤȪǑȣ
R.O.A.C.
]jf Ȣ
4
N.C.R.B
f Ȣ]Ȣ
I.I.F.-I
fȧǙ\ÛȯȨ[C
14. Signature / Thumb impression Name
ȡSUBHAS SUNDASINGH RATHOD
of the complainant / informant
Đȡȡȡ
Ȣȯȡȡ
Ȣ ¡ȣ\Ȳȡ Rank
¡ǕƧȡI (Inspector)
No.
ĐPOBN45281
Ûȡȡȡȡãȡ Ȣȡȣȯs
ȲPhysical features, deformities and other details of the suspect/accused: ( If known / seen )
ȲȢ]ȪȢ
ȯ
ȡǑ¡\ ȯãȡȡǑ¡ȯãȡȡȣǐȰͧçȯåȲ]ͨ^Ȣ
S. No. Sex
ͧȲ Date / Year Of Build
jȢÍȡǕȡ
\Đ Birth (cms)
Ûȡȣ[
`Ȳ
Ȣ
Ʌ
ʜȢ
1 2 3 4 5 6 7
1 Ǖǽ 1990 -
Đ
2 Ǖǽ 1993 -
Đ
3 Ǖǽ 1997 -
Đ
4 Ǖǽ 1992 -
Đ
5 Ǖǽ 1994 -
Đ
6 Ǖǽ 1994 -
Đ
7 Ǖǽ 1994 -
Đ
8 Ǖǽ 1997 -
Đ
5
N.C.R.B
f Ȣ]Ȣ
I.I.F.-I
fȧǙ\ÛȯȨ[C
Language/Dialect Place of
ȯǑȡ Others
^
ȡȡȪȣ
Burn Mark Leucoderma Mole
Ǔ Scar
ĭ Tattoo
Ȫ
ȡãȡÍȡ
Ȫ
Ǖȡ
14 will be entered only
These fields 15if complainant/informant
16 gives any 17 18
one or more particulars 19
about the suspect/accused. 20
ĐȡȡȡǑ¡Ȣȯȡȡȯ ȲȢ]ȪȢͪȢfͩȲȡ×ȡȯ¢ȡ\ͬȢǑãȡ ÈȡȢȡÛȡȲ Ȣɉȯȣȡ_