N.C.RB (qa seat)
LEA safe wer 4)
(Under Section 154 Cr.P.C)
were aera Rate
(errer 154 dx wf aga & TEM)
4. District (Fron): eRe PS. (are): sare SATE
FIR No. (9.9.9. .): 0560 Date (Reatwy:0 oerarena2
“2. SINo. (oat Acts (aitiFram)
1
3. (a)Occurrence of offence (array &t wean):
1. Day (ft: - are Date From (Peat ):08/10/2022 Date To ( fertfar am): 08/10/2022
Time Period : 15 Time From (arar@ ): 15:30 23 Time To (ema ae): | 15:30
(ere area)
(b)Information received at P.S. (2FaT wet Aaa wre BE): Date (RErtiw }:08/10/2022 Time (ena): 21:08 7%
{c}General Diary Reference (darren sizxf): Entry No. (wf&f #):058 Date (fetes ):08/10/2022 21:08
4. Type of Information («errr en wee): FARR.
5, Place of Occurrence (Hz7rew}:
1.(@) Direction and distance from P.S.(ar @ gf aft fen): efaut, 01 Fait Beat No. (fe #.):
(6) Address (wen): rearenge eoTye
* (e)In case, outside the limit of this Police Station, then (af ara itm target ah:
Name of P.S.(aT4T aT 7TH): District(State) (fire (7a):
_ & Complainant Informant (FRrerrerrerategerrrart ):
(a) Name (rey: Sort anger
{bo Father's Name (fran = 7H): err gates
(c) DaterYear of Birth (ae FF ert): (@) Nationality (efter: weet
(e) UID No. (qangat @.): . .
(f) Passport No.(araaté #.): Date of Issue (ard act &t fafa):
Place of lesue (art act an eat):
{9 Occupation (exeraray:
th Address (wa):
[sven adares ‘Type (UAT &T Wan) [Address (aa)
| Te geen hers saree aaa See
(2 peer : a alN.C.RB (qa,
crc: 7 LAF A (qeatgga ate one
Phone number (geare #.): Mobile (starger #.): *
7 paisa cparl aati oF accused with full particulars. (ae / fever / arate aftracer ar ge
faeemaiteaeiy: mae Ai
Sic. -|Name ‘Alias [Retative’s Name [Address
(ea) | era + ear (Peedtere a a) [em na
1 aia tat ier: Ba went Fe [mer stenge vererge caer |
- = e :
* aerate oe es er eantnfornn
9. Particulars of properties of interest (xtaf-era arufty a frac): e
‘SNo. (@.81) Property Type (wraft & ware) [SubType (au ware) ~_ Walue(in Resi) (7 (eH)
10-Total value of property stolen {in Ref) (het BE went ar wor
‘14.Inquest Report / U.D. case No., Hany (rg wolten Pete 1-8 sree a, ae aE):
(S.No. Goa JUIDE Number (Fane
12-Firet information contents (am Gum wz ):
Pree RE ane gen tae a, shor wo hw ic ath we Rho eterna, Perf nar
Fiore mien tome ose wer ee eg ee etter
‘5 Rar see 800). = mg at Rca ero
No. 2.
or (1)
(2) Directed (Name of LO.) (ate arftrertt wt am): VAJINDER SINGH Rank (92): SI (Sub-Inspector)
Nod 8): to take up the Investigation (wh sta ane} ure a & fire Eafe mem) oF
(3) Refused investigation due to (star & fer ): or (sore genre Prat ay
(4) Transferred to P.S{arin: District (Fem:
‘on point of jurisdiction fat Garfrere & stem geainteay ..
— et NeRB (qatar
ULF (qb sitar rf 1)
F.LR, read over to the complainant / Informant.admitted to be correctly recorded Soap contain
complainant informant free of ah wrafirdt ag ae amd, wet at BS ATT
Shee ait gee a Spmerent eevee! eed
RO.A.C.(amt. at gh)
ARENT Nepeeacion of the complainant / informant.(fareracrartt / qerranatt & wera / atts =r
7A):
45.Date and time of dispatch to the court (arerera 8 iter ot Feats afte ara):
Signature’ or in charge, Police
25 BEATER)
‘ Sakiani
Narretretateeno"
NBfey: 2 OEE