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NATIONAL POLICE SERVICE

CRIME AND INCIDENT REPORT

LETTER CODE……………………………….
DATE………………………………………….. TIME………………………………………………
OFFENCE………………………………………………………………………………………………………………………………………………………………
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(A) DIVISION………………………………………………………… (B) ……………………………………………………………………………………….

(C) OB NO ……………………………………… DATE ………………………………… CR ………………………………………………………………..

(D) DATE AND TIME OF THE INCIDENT …………………………………………………………………………………………………………………

(E) PLACE (IF RURAL MAP REF) …………………………………………………………………………………………………………………………….

(F) NAME (s) TRIBE (s) AND AGE (s) OF COMPLAINANT(s) …………………………………………………………….........................
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(G) DESCRIPTION OF INCIDENT ………………………………………………………………………………………………………….....................
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(H) NAME(s) TRIBE (s) AND AGE OF ACCUSED/SUSPECTED PERSONS STATING IF IN

CUSTODY…………………………………………………………………………………………………………………………………………………………

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(I) ACTION TAKEN ……………………………………………………………………………………………………………………………………………….

(J) REF: ANY PREVIOUS REPORT ………………………………………………………………………………………………………………………….

(K) INVESTIGATING OFFICER ……………………………………………. (L) PERSON PASSING………………………………………………

(M) RECEIVING……………………………………………………………………………………………………………………………………………………..

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