ARREST MEMO

P.S. Distt. Date

1. Name and Parentage of the

arrestee

2. Address of the arrestee

3. F.I.R./ D.D. No.

4. Sec. of Law

5. Place of arrest

6. Date of arrest

7. Time of arrest

8. Name and rank of the officer

making arrest

9. Person of the Arrestee to be

informed with Address and
Telephone in any

Witness :-
Signature of arrestee

Signature of I.O.