N.C.R.

B
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I.I.F.-I
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FIRST INFORMATION REPORT

(Under Section 154 Cr.P.C.)
[


1.

District
AMRELI

P.S.
LATHI

Year
[

FIR No.


System Date and Time

khrs

Original Date and Time

khrs
2.

3.

S.No.


(a)
1

Acts
\

Sections

IPC 1860

10

IPC 1860

100

IPC 1860

100(7)

IPC 1860

103

IPC 1860

104

IPC 1860

105

Occurrence of offence
\
Day


Date from


Date To


Time Period
\

Time From


Time To


(b)

Information received at P.S.

_

Date


Time
hrs

(c)

General Diary Reference

[

Entry No.


Time
hrs

4.

Type of Information
Written

5.

Place of Occurrence

1.

(a) Direction and distance from P.S.

k

Beat No.


(b) Address

(c) In case, outside the limit of this Police Station, then Name of P.S.

District (State)


6.

Complainant / Informant
[[
(a)

Name
sdfsdfsdfsdfsdf

(b)

Father's/Husband's Name


(c)

Date/Year of Birth
[

(e)

UID No.
]_

(f)

Passport No.
[
Date of Issue


(g)

Occupation


(h)

Address


(d) Nationality
INDIA

Place of Issue


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S.No.


(i)
7.

Address Type


Address


Present Address

asdasdasdasd, LATHI, AMRELI, GUJARAT, INDIA

Permanent Address

asdasdasdasd, LATHI, AMRELI, GUJARAT, INDIA

Phone number


Mobile
^

Details of known / suspected / unknown accused with full particulars

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S. No.


Name


Alias
`

Relative's Name


Present Address([


1

asdasdasd

1.
zxczxczxczxc,LATHI,AMRELI,GUJARAT,I
NDIA

8.

Reasons for delay in reporting by the complainant / informant

[[[[

9.

Particulars of properties of interest


S. No.


Propertty Category



Property Type
 Description

10.

Total value of property stolen (In Rs/-)

_


11.

Inquest Report / U.D. case No., if any

[LL_

Value(In Rs/-)


S. No.
 UIDB Number
LL
12.

First Information contents


asdasdasdasdasdasdasdasdasdasdasdasdasdasdadasdasdasd

13.

Action taken: Since the above information reveals commission of offence(s) u/s as mentioned at Item No. 2.

[`\`
(1)

Registered the case and took up the investigation

[kflasho (I (Inspector))/123
or ( 

(2)

Directed (Name of I.O.)

\

Rank


No.
to take up the Investigation
\for

(3)

Refused investigation due to

for
^

(4)

Transferred to P.S.


District


on point of jurisdiction

F.I.R. read over to the complainant / informant, admitted to be correctly recorded and a copy given to the complainant
/informant, free of cost.
[[_[_kf
[
R.O.A.C.
]jf
Signature of Officer in charge, Police Station


Name
lasho1
14.
2

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Rank
I (Inspector)

Signature / Thumb impression

of the complainant / informant

[[

No.


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15.

Date and time of dispatch to the court

\k

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Attachment to item 7 of First Information Report
[
Physical features, deformities and other details of the suspect/accused: ( If known / seen )

\fk\

S. No.



Sex


Date / Year Of
Build

Birth


Height
(cms)

[
1

Female

Identification Mark(s)



3

1991

Deformities / Peculiarities

f

Teeth


Hair


Eye
]
10

Habit(s)(] Dress Habit (s)


11

12

Place of


Language/Dialect


Burn Mark
 Leucoderma

[

f

14

Complexion


15

16

Mole


17

13

Others
\

Scar


18

Tattoo
f

19

20

These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

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