You are on page 1of 4

srT{m 47,wr Fo-1rg UfeIFT+l (F. l. R.

) Iiqr-e
(t" v" qo q1 rrnr 1s4 t srsfr{)
ftf
* i nq sJ?$
*' . (Distt.) ' oiv.1 (p.s.) (yr.)
1s. (F.t.R. No.) (Date)

(rr) *eTfirfrqq (Act)..,....,.....


X

(Occurrence of offence) (Dav) (Datefrom) (Dateto)

tqqn€
(Timeperiod) (TimeFrom) (Timeto)
(€) qnr { urn {+tr tdFq........g.e.1. f f .1.

({)
(s) qnrtFr+1rGsf-qfrfq€" .q{q..........A ;.3A.#ilS
4, Wl=tI6.[T6'R (Typeof Information) Eqr{ (Written/Oral)

( rr ) qnr q1 rfrqr t qrfl ali qt qrn t qm ifiT rrc..

6. ffirqrtrqrf,r:
(q')
(€) ftrrzqfrql=rn
(r) qrT-tTfq (s)nq{fl.
(s) qgqllio

(q) tsn

"!P)

NF urY
9ro9 sr >rt &-ecar"f
(2)

"vlqfrftr
"fti.t (falu,.qmr'qri; ffiF:* rral H \Eqrc f{6
(Sexli r '.^' Elate o.€fiirttr : , (Build) ' (Complexion) (ldentification
(Date/Month/Year) mark)

1 2 4 o

'J. i" l FS? *:l|r- Si,,f -if ,1'rlrrr' ;ir-{ -)L:-.r j'i f .=n: i f ST;Ta::;T '.I,
II t ':- '; lir *,.-.r
;f'-Tfff. Jlrlr-lJ!' ",{;jiT *.\ S? tO i
l:J
'l t{.l.J{:$rs?el.} i a. "" pryg
t' t{'- $ . .: ri:'i; ']srrt"- r :,ii iit,
F'"''r ';'r:'{ i? :"i?*'fryi.
, H'.. iT1T='t ..':,
K iT.-''t ' f; r; 1i.-:l; T ;
rt+arrrrrf+oEurar *(td *efg
iDeforniities/ krd *s{r{d*
"q6-{f4f
lleculiarities) (Teeth) (Hair) (Eye) (Habits) (Dress Habits)

8 o 10 1',I 12
a.i ' -l 'r I tl i ,_..,tt *.l'-t,'l
il

r ryt,%!
!;,.o*,r \:t1-71*"i] r-1 t r

*srlqT,.,a]d T€TFT

(B[Y3:E-' "qi Hr frsna \'+d EE *dq f{6 ,"rrfir


'iitf,
(Burn Mark) (Leucoderma) (Mole) (Scar) (Tattoo)
r.f 14 is l6 17 1B

qR ,trnar*.€firmr er&,drf,ff qk ila qf,+q qtm "* laqq fr ait' q* qr e{fq;*; teffi
t{ <r rnr( gT
Tddf t $'{M 41 qrq{fr | EqEn sq+q arEeurm * F6rcrf,rs Eif,d Errf}Tffi "{i
{ErR * vfu{ ft fr f*-qr -,rrqrn
F€ | . R arrq'rq enq€ eR if f*,fr dl*qqFfi d tdflm ;ilqrif , s-fr Et$ U, i eit n
r

qGr ;.,?* srf\Tfi tKRR f6qr qrq ffi


xd:qk,-qt t+-qrr * fu-q tfir q$ eml t {+ih affifr * yui e{,-sd gr,
itqnfu.' "rrqir r

\
:e),b s+q{{'"$pY1t 0,6 p*t)rousv'y'l tzun^*
1r,ircrArA f2 r" /rercor',-t^a u, o.-t ttf rg o).'zzl\otnrts ''u'( dol8
b
/V
A7
b-
>
-z

3
"\
P
7<
c\
t'l
x
nA
/tf
:
\
t
A
F
rh
\
^\
t(\
i9
rig \.
l-\

tl''v
ol\
h\)
.a
c-

il(
.:
,(
r\i
il
{) rirc*r= lo}X12+ reQ^'u^ '
'iu
gM Slrrc;,\ @?r0rlJo, x&r
lob X 1z x ? oov^! f lb oz4€35te s,a.0M
A o63o2ot.eSltdo'#
. s.\
ti.{ccf,!{{T
t t'l rl2os t
, '!l-"^/ ^sot'nhdcry"h)-
s t+'t, v'i) rq1"9'),{ '
-

q it6r-tr M q' frtd '41tl!*t*vu'


I vt ctb es r
-q7 Cl6 9 7Vvv. qq q

fr "l r{- gT 4l> 8eo


?09 26 52tt2l qlvl)l
HlL:,1
q4 {,:*
\1Y4.44u4 toatf\Go t?l-{
tu"t
m,tr\l|-<P1q '4'ot4
td @ut|<4 0ty&
,'l*[ I *$ fi r?
$-,1

qtsr\ 0 -.{, o^ o
,?,fd q ar@a\ 'ftorutratqr

@ rqqrt art
n

C urtaq
o,r2.18
CA S
6t{\"r}\ : '..
g,"^ior n t1hu,l, .!.) q1 p y"t:nq al;'fl|
' q ,.5- 4\u-o.rr6{y t
^N

You might also like