1. P.S.

FIR No. Date and Time of FIR

District Year

2. S.No. Acts Sections

1

FIRST INFORMATION REPORT (Under Section 154 Cr.P.C.)

3. (a) Occurrence of offence(

(b) Information received at P.S. Date Time

(c) General Diary Reference Date and Time(Entry No.

Day Date from Date To

Time Period Time From Time To

1

4. Type of Information

5. Place of Occurrence

Beat No.

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

1. (a) Direction and distance from P.S.

(b) Address

District (State)

6. Complainant / Informant

(a) Name

(b) Father's/Husband's Name

(c) Date/Year of Birth 1977 (d) Nationality

(e) UID No.

(f) Passport No.

Place of Issue

(h) Occupation

Date of Issue

(i) Address

(g) ID Details (Ration Card, Voter ID Card, Passport, UID No., Driving License, PAN)

S. No. ID Type ID Number

1

I.I.F.-I

N.C.R.B

S. No. Propertty Category Property Type Description Value(In Rs/-)

1 50,000.00

Particulars of properties of interest 9.

8. Reasons for delay in reporting by the complainant / informant (

12. First Information contents

MH-48 AG-7598

MH-48 AG-7598

(j) Phone number Mobile

S.No. Address Type Address

1 Town/Village

Tehsil Police Station

District State

2 Town/Village

Tehsil Police Station

District State

7.Details of known / suspected / unknown accused with full particulars

S. No. Name Alias Relative's Name Present Address(

1

Accused More Than

10. Total value of property (In Rs/-) 50,000.00

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

S. No. UIDB Number

2

I.I.F.-I

N.C.R.B

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 or

(2)

(3)

Directed (Name of I.O.) Dharmraj Pundlik Marathe Rank

No. Pnmh48362 to take up the Investigation or

Refused investigation due to or

13.

(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.

R.O.A.C.

14. Signature / Thumb impressionof the complainant / informant

Signature of Officer in charge, Police Station

Name PRAVIN ASHOK KOLHE

Rank SI (Sub-Inspector)

No. 149010000362PAKM8101M

Date and time of dispatch to the court s15.

3

I.I.F.-I

N.C.R.B

Attachment to item 7 of First Information Report

S. No. Sex Date / Year Of Birth

Build Height (cms)

Complexion Identification Mark(s)

1 2 3 4 5 6 7

1 -

Deformities / Peculiarities Teeth Hair Eye ( Habit(s)

((

Dress Habit (s)

8 9 10 11 12 13

Language/Dialect Place of Others

Burn Mark Leucoderma Mole Scar Tattoo

14 15 16 17 18 19 20These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

Physical features, deformities and other details of the suspect/accused: ( If known / seen )

4

I.I.F.-I

N.C.R.B

1. P.S.

FIR No. Date and Time of FIR

District Year

2. S.No. Acts Sections

1

FIRST INFORMATION REPORT (Under Section 154 Cr.P.C.)

3. (a) Occurrence of offence(

(b) Information received at P.S. Date Time

(c) General Diary Reference Date and Time(Entry No.

Day Date from Date To

Time Period Time From Time To

1

4. Type of Information

5. Place of Occurrence

Beat No.

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

1. (a) Direction and distance from P.S.

(b) Address

District (State)

6. Complainant / Informant

(a) Name

(b) Father's/Husband's Name

(c) Date/Year of Birth 1983 (d) Nationality

(e) UID No.

(f) Passport No.

Place of Issue

(h) Occupation

Date of Issue

(i) Address

(g) ID Details (Ration Card, Voter ID Card, Passport, UID No., Driving License, PAN)

S. No. ID Type ID Number

1

I.I.F.-I

N.C.R.B

S. No. Propertty Category Property Type Description Value(In Rs/-)

1 MH

04/EW/3792

20,000.00

Particulars of properties of interest 9.

8. Reasons for delay in reporting by the complainant / informant (

(j) Phone number Mobile

S.No. Address Type Address

1 102/A, Town/Village Tehsil

Police Station District

State

2 102/A, Town/Village Tehsil

Police Station District

State

7.Details of known / suspected / unknown accused with full particulars

S. No. Name Alias Relative's Name Present Address(

1 1. Town/Village

Tehsil Police Station

District

State

Accused More Than

10. Total value of property (In Rs/-) 20,000.00

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

S. No. UIDB Number

2

I.I.F.-I

N.C.R.B

12. First Information contents

102/A

D/8, MH

04/EW/3792

MH

04/EW/3792 D/8,

MH 04/EW/3792

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 or

(2)

(3)

Directed (Name of I.O.) NANA YUVRAJ

MALCHE

Rank

No. PBMH67955 to take up the Investigation or

Refused investigation due to or

13.

(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.

R.O.A.C.

14. Signature / Thumb impressionof the complainant / informant

Signature of Officer in charge, Police Station

Name RAM EKNATH BHALSINGH

Rank I (Inspector)

No. POBN56321

3

I.I.F.-I

N.C.R.B

Date and time of dispatch to the court s15.

Attachment to item 7 of First Information Report

S. No. Sex Date / Year Of Birth

Build Height (cms)

Complexion Identification Mark(s)

1 2 3 4 5 6 7

1 -

Deformities / Peculiarities Teeth Hair Eye ( Habit(s)

((

Dress Habit (s)

8 9 10 11 12 13

Language/Dialect Place of Others

Burn Mark Leucoderma Mole Scar Tattoo

14 15 16 17 18 19 20These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

Physical features, deformities and other details of the suspect/accused: ( If known / seen )

4

I.I.F.-I

N.C.R.B

5

I.I.F.-I

N.C.R.B

1. P.S.

FIR No. Date and Time of FIR

District Year

2. S.No. Acts Sections

1

2

3

FIRST INFORMATION REPORT (Under Section 154 Cr.P.C.)

3. (a) Occurrence of offence(

(b) Information received at P.S. Date Time

(c) General Diary Reference Date and Time(Entry No.

Day Date from Date To

Time Period Time From Time To

1

4. Type of Information

5. Place of Occurrence

Beat No.

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

1. (a) Direction and distance from P.S.

(b) Address

District (State)

6. Complainant / Informant

(a) Name

(b) Father's Name

(c) Date/Year of Birth 1986 (d) Nationality

(e) UID No.

(f) Passport No.

Place of Issue

(h) Occupation

Date of Issue

(i) Address

(g) ID Details (Ration Card, Voter ID Card, Passport, UID No., Driving License, PAN)

S. No. ID Type ID Number

1

I.I.F.-I

N.C.R.B

S. No. Propertty Category Property Type Description Value(In Rs/-)

Particulars of properties of interest 9.

8. Reasons for delay in reporting by the complainant / informant (

(j) Phone number Mobile

S.No. Address Type Address

1 Town/Village Tehsil Police Station

District State

2 Town/Village Tehsil Police Station

District State

7.Details of known / suspected / unknown accused with full particulars

S. No. Name Alias Relative's Name Present Address(

1 Town/Village

Tehsil

Police Station

District State

Accused More Than

10. Total value of property (In Rs/-)

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

S. No. UIDB Number

2

I.I.F.-I

N.C.R.B

12. First Information contents

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 or

(2)

(3)

Directed (Name of I.O.) BHASKAR

NANASAHEB PUKALE

Rank

No. PBMAH70630 to take up the Investigation or

Refused investigation due to or

13.

(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.

R.O.A.C.

Signature of Officer in charge, Police Station

Name Govind Baburao Borade

3

I.I.F.-I

N.C.R.B

14. Signature / Thumb impressionof the complainant / informant

Rank I (Inspector)

No.

Date and time of dispatch to the court s15.

Attachment to item 7 of First Information Report

S. No. Sex Date / Year Of Birth

Build Height (cms)

Complexion Identification Mark(s)

1 2 3 4 5 6 7

1 -

Deformities / Peculiarities Teeth Hair Eye ( Habit(s)

((

Dress Habit (s)

8 9 10 11 12 13

Language/Dialect Place of Others

Burn Mark Leucoderma Mole Scar Tattoo

14 15 16 17 18 19 20These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

Physical features, deformities and other details of the suspect/accused: ( If known / seen )

4

I.I.F.-I

N.C.R.B

5

I.I.F.-I

N.C.R.B

1. P.S.

FIR No. Date and Time of FIR

District Year

2. S.No. Acts Sections

1

FIRST INFORMATION REPORT (Under Section 154 Cr.P.C.)

3. (a) Occurrence of offence(

(b) Information received at P.S. Date Time

(c) General Diary Reference Date and Time(Entry No.

Day Date from Date To

Time Period Time From Time To

1

4. Type of Information

5. Place of Occurrence

Beat No.

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

1. (a) Direction and distance from P.S.

(b) Address

District (State)

6. Complainant / Informant

(a) Name

(b) Father's/Husband's Name

(c) Date/Year of Birth 1977 (d) Nationality

(e) UID No.

(f) Passport No.

Place of Issue

(h) Occupation

Date of Issue

(i) Address

(g) ID Details (Ration Card, Voter ID Card, Passport, UID No., Driving License, PAN)

S. No. ID Type ID Number

1

I.I.F.-I

N.C.R.B

S. No. Propertty Category Property Type Description Value(In Rs/-)

Particulars of properties of interest 9.

8. Reasons for delay in reporting by the complainant / informant (

(j) Phone number Mobile

S.No. Address Type Address

1 Town/Village Tehsil

Police Station District State

2 Town/Village Tehsil

Police Station District State

7.Details of known / suspected / unknown accused with full particulars

S. No. Name Alias Relative's Name Present Address(

1 1. Town/Village Tehsil

Police Station

District State

Accused More Than

10. Total value of property (In Rs/-)

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

S. No. UIDB Number

2

I.I.F.-I

N.C.R.B

12. First Information contents

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 PRAVIN ASHOK KOLHE

or

(2)

(3)

Directed (Name of I.O.) Rank

No. to take up the Investigation or

Refused investigation due to or

13.

(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.

R.O.A.C.

3

I.I.F.-I

N.C.R.B

14. Signature / Thumb impressionof the complainant / informant

Signature of Officer in charge, Police Station

Name PRAVIN ASHOK KOLHE

Rank SI (Sub-Inspector)

No. 149010000362PAKM8101M

Date and time of dispatch to the court s15.

Attachment to item 7 of First Information Report

S. No. Sex Date / Year Of Birth

Build Height (cms)

Complexion Identification Mark(s)

1 2 3 4 5 6 7

1 1994 -

Deformities / Peculiarities Teeth Hair Eye ( Habit(s)

((

Dress Habit (s)

8 9 10 11 12 13

Language/Dialect Place of Others

Burn Mark Leucoderma Mole Scar Tattoo

14 15 16 17 18 19 20These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

Physical features, deformities and other details of the suspect/accused: ( If known / seen )

4

I.I.F.-I

N.C.R.B

5

I.I.F.-I

N.C.R.B

1. P.S.

FIR No. Date and Time of FIR

District Year

2. S.No. Acts Sections

1

2

FIRST INFORMATION REPORT (Under Section 154 Cr.P.C.)

3. (a) Occurrence of offence(

(b) Information received at P.S. Date Time

(c) General Diary Reference Date and Time(Entry No.

Day Date from Date To

Time Period Time From Time To

1

4. Type of Information

5. Place of Occurrence

Beat No.

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

1. (a) Direction and distance from P.S.

(b) Address

District (State)

6. Complainant / Informant

(a) Name

(b) Father's/Husband's Name

(c) Date/Year of Birth 1987 (d) Nationality

(e) UID No.

(f) Passport No.

Place of Issue

(h) Occupation

Date of Issue

(i) Address

(g) ID Details (Ration Card, Voter ID Card, Passport, UID No., Driving License, PAN)

S. No. ID Type ID Number

1

I.I.F.-I

N.C.R.B

S. No. Propertty Category Property Type Description Value(In Rs/-)

Particulars of properties of interest 9.

8. Reasons for delay in reporting by the complainant / informant (

12. First Information contents

MH 05 VS 0660

MH 15 CK 3537

MH 05 VS 0660

MH 05 VS 0660

MH 15 CK 3537

(j) Phone number Mobile

S.No. Address Type Address

1 Town/Village Tehsil

Police Station District

State

2 Town/Village Tehsil

Police Station District

State

7.Details of known / suspected / unknown accused with full particulars

S. No. Name Alias Relative's Name Present Address(

1 1. Town/Village Tehsil

Police Station

District State

Accused More Than

10. Total value of property (In Rs/-)

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

Action taken: Since the above information reveals commission of offence(s) u/s as mentioned at Item No. 2.13.

S. No. UIDB Number

2

I.I.F.-I

N.C.R.B

(1) Registered the case and took up the investigation or

(2)

(3)

Directed (Name of I.O.) SANDIP NARAYAN

NALAWADE

Rank

No. 1305 to take up the Investigation or

Refused investigation due to or

(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.

R.O.A.C.

14. Signature / Thumb impressionof the complainant / informant

Signature of Officer in charge, Police Station

Name MAHESH VIDYADHAR SHETE

Rank I (Inspector)

No. POBN74234

Date and time of dispatch to the court s15.

3

I.I.F.-I

N.C.R.B

Attachment to item 7 of First Information Report

S. No. Sex Date / Year Of Birth

Build Height (cms)

Complexion Identification Mark(s)

1 2 3 4 5 6 7

1 1991 -

Deformities / Peculiarities Teeth Hair Eye ( Habit(s)

((

Dress Habit (s)

8 9 10 11 12 13

Language/Dialect Place of Others

Burn Mark Leucoderma Mole Scar Tattoo

14 15 16 17 18 19 20These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

Physical features, deformities and other details of the suspect/accused: ( If known / seen )

4

I.I.F.-I

N.C.R.B

1. P.S.

FIR No. Date and Time of FIR

District Year

2. S.No. Acts Sections

1

2

3

FIRST INFORMATION REPORT (Under Section 154 Cr.P.C.)

3. (a) Occurrence of offence(

(b) Information received at P.S. Date Time

(c) General Diary Reference Date and Time(Entry No.

Day Date from Date To

Time Period Time From Time To

1

4. Type of Information

5. Place of Occurrence

Beat No.

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

1. (a) Direction and distance from P.S.

(b) Address

District (State)

6. Complainant / Informant

(a) Name

(b) Father's/Husband's Name

(c) Date/Year of Birth 1992 (d) Nationality

(e) UID No.

(f) Passport No.

Place of Issue

(h) Occupation

Date of Issue

(i) Address

(g) ID Details (Ration Card, Voter ID Card, Passport, UID No., Driving License, PAN)

S. No. ID Type ID Number

1

I.I.F.-I

N.C.R.B

S. No. Propertty Category Property Type Description Value(In Rs/-)

Particulars of properties of interest 9.

8. Reasons for delay in reporting by the complainant / informant (

(j) Phone number Mobile

S.No. Address Type Address

1 Town/Village

Tehsil Police Station

District State

2 Town/Village

Tehsil Police Station

District State

7.Details of known / suspected / unknown accused with full particulars

S. No. Name Alias Relative's Name Present Address(

1 1. Town/Village

Tehsil

-59,Police Station

District State

Accused More Than

10. Total value of property (In Rs/-)

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

S. No. UIDB Number

2

I.I.F.-I

N.C.R.B

12. First Information contents

MH-04 GR-8202

MH-04 GR-8202

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 or

(2)

(3)

Directed (Name of I.O.) DATTATRAY VITHOBA

PAWAR

Rank

No. pnmh47692 to take up the Investigation or

Refused investigation due to or

13.

(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.

R.O.A.C.

14. Signature / Thumb impressionof the complainant / informant

Signature of Officer in charge, Police Station

Name PRAVIN ASHOK KOLHE

Rank SI (Sub-Inspector)

No. 149010000362PAKM8101M

Date and time of dispatch to the court s15.

3

I.I.F.-I

N.C.R.B

Attachment to item 7 of First Information Report

S. No. Sex Date / Year Of Birth

Build Height (cms)

Complexion Identification Mark(s)

1 2 3 4 5 6 7

1 1982 -

Deformities / Peculiarities Teeth Hair Eye ( Habit(s)

((

Dress Habit (s)

8 9 10 11 12 13

Language/Dialect Place of Others

Burn Mark Leucoderma Mole Scar Tattoo

14 15 16 17 18 19 20These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

Physical features, deformities and other details of the suspect/accused: ( If known / seen )

4

I.I.F.-I

N.C.R.B

1. P.S.

FIR No. Date and Time of FIR

District Year

2. S.No. Acts Sections

1

2

3

4

FIRST INFORMATION REPORT (Under Section 154 Cr.P.C.)

3. (a) Occurrence of offence(

(b) Information received at P.S. Date Time

(c) General Diary Reference Date and Time(Entry No.

Day Date from Date To

Time Period Time From Time To

1

4. Type of Information

5. Place of Occurrence

Beat No.

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

1. (a) Direction and distance from P.S.

(b) Address

District (State)

6. Complainant / Informant

(a) Name

(b) Father's/Husband's Name

(c) Date/Year of Birth 1983 (d) Nationality

(e) UID No.

(f) Passport No.

Place of Issue

(h) Occupation

Date of Issue

(g) ID Details (Ration Card, Voter ID Card, Passport, UID No., Driving License, PAN)

S. No. ID Type ID Number

1

I.I.F.-I

N.C.R.B

S. No. Propertty Category Property Type Description Value(In Rs/-)

Particulars of properties of interest 9.

8. Reasons for delay in reporting by the complainant / informant (

(i) Address

(j) Phone number Mobile

S.No. Address Type Address

1 Town/Village Tehsil

Police Station District

State

2 Town/Village Tehsil

Police Station District

State

7.Details of known / suspected / unknown accused with full particulars

S. No. Name Alias Relative's Name Present Address(

1

Town/Village

Tehsil Police Station

District

State

Accused More Than

10. Total value of property (In Rs/-)

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

S. No. UIDB Number

2

I.I.F.-I

N.C.R.B

12. First Information contents

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 or

(2)

(3)

Directed (Name of I.O.) RAHUL DAGDU

KHAIRE

Rank

No. 2642 to take up the Investigation or

Refused investigation due to or

13.

(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.

R.O.A.C.

14. Signature / Thumb impressionof the complainant / informant

Signature of Officer in charge, Police Station

Name VILAS SHIVRAM SANAP

Rank I (Inspector)

No. PBMH64891

Date and time of dispatch to the court s15.

3

I.I.F.-I

N.C.R.B

Attachment to item 7 of First Information Report

S. No. Sex Date / Year Of Birth

Build Height (cms)

Complexion Identification Mark(s)

1 2 3 4 5 6 7

1 -

Deformities / Peculiarities Teeth Hair Eye ( Habit(s)

((

Dress Habit (s)

8 9 10 11 12 13

Language/Dialect Place of Others

Burn Mark Leucoderma Mole Scar Tattoo

14 15 16 17 18 19 20These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

Physical features, deformities and other details of the suspect/accused: ( If known / seen )

4

I.I.F.-I

N.C.R.B

1. P.S.

FIR No. Date and Time of FIR

District Year

2. S.No. Acts Sections

1

2

FIRST INFORMATION REPORT (Under Section 154 Cr.P.C.)

3. (a) Occurrence of offence(

(b) Information received at P.S. Date Time

(c) General Diary Reference Date and Time(Entry No.

Day Date from Date To

Time Period Time From Time To

1

4. Type of Information

5. Place of Occurrence

Beat No.

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

1. (a) Direction and distance from P.S.

(b) Address

District (State)

6. Complainant / Informant

(a) Name

(b) Father's Name

(c) Date/Year of Birth 1970 (d) Nationality

(e) UID No.

(f) Passport No.

Place of Issue

(h) Occupation

Date of Issue

(i) Address

(g) ID Details (Ration Card, Voter ID Card, Passport, UID No., Driving License, PAN)

S. No. ID Type ID Number

1

I.I.F.-I

N.C.R.B

S. No. Propertty Category Property Type Description Value(In Rs/-)

1

S8

IMEI NO

357851080668242,

357852080668240 1,38,000.00

Particulars of properties of interest 9.

8. Reasons for delay in reporting by the complainant / informant (

(j) Phone number Mobile

S.No. Address Type Address

1 Town/Village

Tehsil Police Station

District State

2 Town/Village

Tehsil Police Station

District State

7.Details of known / suspected / unknown accused with full particulars

S. No. Name Alias Relative's Name Present Address(

1 1. Town/Village

Tehsil Police Station

District

State

2 1. Town/Village

Tehsil Police Station

District

State

Accused More Than

10. Total value of property (In Rs/-) 1,38,000.00

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

S. No. UIDB Number

2

I.I.F.-I

N.C.R.B

12. First Information contents

47 1505 08

400071 8879991404

09/11/2017 10.00

13.00

1) 1,38,000 S8 69,000 IMEI NO 357851080668242,

357852080668240 35785108068104, 3578552080681045 1,38,000

09/11/2017 13.00

1,38,000 S8

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 or

(2)

(3)

Directed (Name of I.O.) VIJAY BANDU SURVE Rank

No. PSMH27088 to take up the Investigation or

Refused investigation due to or

13.

(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.

R.O.A.C.

14. Signature / Thumb impressionof the complainant / informant

Signature of Officer in charge, Police Station

Name BHASKAR NANASAHEB PUKALE

Rank I (Inspector)

No. PBMAH70630

Date and time of dispatch to the court s15.

3

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Attachment to item 7 of First Information Report

S. No. Sex Date / Year Of Birth

Build Height (cms)

Complexion Identification Mark(s)

1 2 3 4 5 6 7

1 1982

2 1987

Deformities / Peculiarities Teeth Hair Eye ( Habit(s)

((

Dress Habit (s)

8 9 10 11 12 13

Language/Dialect Place of Others

Burn Mark Leucoderma Mole Scar Tattoo

14 15 16 17 18 19 20These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

Physical features, deformities and other details of the suspect/accused: ( If known / seen )

4

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5

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