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FIR No. (.KR. T.): 0269 Date and Time of FIR (7.7R. 6T ATT 3tT HAT): 24/10/2021 22:04 hrs
IPC 1860 4
General Diary Reference (TTstATHT HTN): Entry No. (yfafe H.): 027 Date and Time (TT R
(c)
H): 24/10/2021 21:56
hrs
hR): Written
. Type of 1nformation ( Th
1.
(a) Direetion and distance from P.S. (21T Gi HTT GaM): NORTH-WEST, 1.5 Km(s) Beat No.(atE T.):
(o) ln ease, outside the limit ofthis Police Station, then Name ofP.S.(Tg NFI KIAT TET 271T AIT
0LICE
District (State) ( T (zITT):
(b)
Father's Name (T9GI TH): Amit
G CRA
(C) Date/Year of Birth (TTH AN/ ad): 2001 (d) Nat+onality (zTograrc): INDIA
() Address (9T):
Kumar
H z A 5 RT):
8. in reporting by the complainant/ informant (RTYaHAI/ FAAAI GaRT ruTE &tt
Reasons tor delay
STATATIO
Inquest Report/ U.D. No., if any (7g HAtAT RYTË / q$i.ATUT H.,
11.
CE S
case
To the SHO DLF phase 3 Gurgaon Ayushi, d/o amit rlo sec 4,gurgaon, sayan aipòor TeT5 &YTE T sayam
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Action taken: Since the above intormation revealscommission of ofencets) u/s as mentioned at ltem No. 2.
13.
Repistered the ease and took up the investigation ( 9 U GT JAT T TT f T fdT JTAT): o r (T)
(1)
F.LR. read over to the complainant / informant, admitted to be correctly recorded and a copy given to the complainant
/informant,iree ofcost.(ATTaTTTAÍ * T f a T yan r , T q gs HAT 3tt v
R.O.A.C. (TT.3T.T.FI.)
OLIC
SAT
ATIO
/Signature of Officer in charge, Police Station (TT
i G - THTTFFTRTT)
Name (TH): Manoj Kumar
14. Signature / Thumb impression
of the complainant/ informant
Rank ( ) : I (Inspector)
15. Date and time of dispatch to the court (HGTAT A tyor tAT AR FHT):
Haryana Police (ETaTuT JfAa)
(.1.))
Male 1997
Is Proxitted: Yes
Male 1993
Is Proxitted: Yes
10 STAT 12
(T6ATaT)
13
...
Language/Dialect
OLF-N
Place of ( FYTA)
Others ( a )
(3T9T/Ton)
Leucoderma Mole (HF) Scar (T) Tattoo ( V T)
Burn Mark (Td
yed))
17 18 19 20
15 16
14