Information Sheet

*Required

Call by*

Police Station*

Info given to Control Room*

dd/mm/yyyy --:-- -Example: 03/05/2013 11:30 AM

FIR Date and Time*

dd/mm/yyyy --:-- -Example: 03/05/2013 11:30 AM

CR No*

Sec IPC*

Sec POCSO

Vic Name*

Vic Age*

Vic Religion*
Hindu

Muslim
Christian
Other:

Vic Occupation*
Student
Job
Housewife
Other:

Acc Name*

Acc Age*

Acc Religion*
Hindu
Muslim
Christian
Other:

Acc Occupation*
Student
Job
Business
Other:

No. of Acc*

Acc reln to Vic*

Arrested*

Yes
No
Other:

Offence Date and Time*

dd/mm/yyyy --:-- -Example: 03/05/2013 11:30 AM

Offence Place*

Details in Short*

Complaint Name, Address, Contact*

IO Name and Contact*

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