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I

N.C.R.B (-q-;,.tft.am:.m)
I.I.F.-V ((dtqa suia urif -V)

Name (;:rri:r):
Father's/Husband's Name (ftnn/qfit cfiT ;:rri:r) :

Occupation (ufcTTH?:T):
Address (uaI):
S.No.(~.TI .) Address Type (Qrll cfiT l;fcfiR) Address(Qrll)
Identification (Q~): Date of Birth (a=1faf2):
UID Number (zq3n{et «.):
Any Other ID Proof (3P'.l' 1J1TTUT TT):
S.No.(#..) ID Type (uga1a ua 01 ,GT) ID Number (uar+ ua a.)
(xvii)Previous convictions with case references (ma h uzsf af?a,uzca z{ as1 at far):
S.No. FIR No. State District Police Description Of Details Of Conviction/
Station Case Acquittal
(#.i.) (u.q.f. (ran) (fa ) (1a) (ma a f4aw) (an1/ 3tu4a a fraUr)

(xviii)Status of the accused (~m cfiT fRrfil): NOT ARRESTED

12. Particulars of accused persons - not charge sheeted(suspect) (3ITTTQ" TT c;lTTf<>f ;,- fcn-cr rrQ(Tifi';TU)~ffiT
13. Particulars of witnesses to be examined(~ffilW ~ cf1it m Type of evidence
S.No. Name Father's/Husban Date/Year of Occupati Address
d's name birth on to be tendered
(a.u.) (n) (fa/ uf4 a1 + ) (arfaf?rad) (raar) (ua) (uqa fhu anra ara
TI1 61 UaT)

Present Address:
NILADRIPUR,
NUAGAON,
MAHEN NAYAGARH,
ORA Father: ODISHA,INDIA
KUMAR BANCHANIDHI 1971 Permanent Complainant
SATAP SATAPATHI Address:
ATHI NILADRIPUR,
NUAGAON,
NAYAGARH,
ODISHA,INDIA
Present Address
NILADRIPUR,
NUAGAON,
PRAVA NAYAGARH,
I
T Father ODISHA,INDIA
Circumstantial
2 'KUMAR GANGADHAR 1971 Permanent
Witness
MISHR MISHRA Address:
A NILADRIPUR.
NUAGAON,
NAYAGARH,
ODISHA,INDIA

\
u
4- '
-A
N.C.R.B (Q.' 34.a1)
I.A.F.-V (Q66lqa «ia unf -v)
Present Address:
NILADRIPUR,
NUAGAON,
NAYAGARH,
RABI Father: LT. ODISHA,INDIA
3 1971 Circumstantial
BHOI AINTHA BHOI Permanent
,Address: Witness
NILADRIPUR,
NUAGAON,
NAYAGARH,
ODISHA,INDIA
--------'------- .. - .. ---·--
Present Address:
BADAGOTHA,
NUAGAON,
PRAKA
NAYAGARH,
SH
KUMAR Father: SANYASI ODISHA,INDIA
4 1981 Circumstantial
BEHER BEHERA Permanent
Address: Witness
A
BADAGO THA,
NUAGAON,
NAYAGARH,
ODISHA,INDIA
Present Address:
GUTTIGIA,
SARANGADA,
SANTO KANDHAMAL,
SH ODISHA,INDIA
5 06/01/1967
KUMAR Permanent IO
SAHU Address:
GUTT1GIA,
NUAGAON,
NAYAGARH,
ODISHA,INDIA
14.lf FR is false (F.R. false), indicate action taken or proposed to be taken u/s 182/211 LP.C:
(uf 3fa fe gl ? «l in.z.a. l rrt 182/211 4 3r«fa f n{ srra enfa ana{ a fau);
15.Result of Laboratory analysis (zmhrgn a fag fag}uur a ufumn):
16. Brief facts of the case (urra a uafla uf@nu rzu):
Complainant Mahendra Satapathi(50), S/O- Banchhanidhi Satapathi of village Niladripur, PS-
Nuagaon, Dist.- Nayagarh reported that on dt. 01.04.2021 at about 7AM his neighbour Panchanan
Pradhan, S/O- Jagannath Pradhan of vill-Niladripur is forcibly constructing house in his land. On this
land he has filed a Civil Suit and injuction suit and is pending before court. On being protest, the said
Panchanan Pradhan abused him in filthy language and threatened him to kill in life. Hence he
reported the matter at PS. Basing on this report OIC, Nuagaon PS registered this case and directed
me to take up its investigation. During investigation I examined the complainant and other witneses
and reocorded their statement U/S 161 CrPC. I have visited the spot and prepared spot map to the
occurrence. As there is primafacei evidence U/S 341/294/506 IPC has been well proved, i served

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