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t" FORM COMP AAs, S e e Ruls 253 (c),25a (c) (iii),2 5 4 (8),2 5 5 Q) (iv) ART ABOUT THE MOTAP

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3. (a) Occurrence of offence (e{t|{rq fr qecr):

1. Day (F{):96-qR

P.S. (er6r):-arrri

Date and Time of rln 1r.q.R. ff fini6 oiR' '''''''''' '''''''''''': . .- -. ..t ............

;Sections (q|{l(q))

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Date From (ff{i6t t! 07tL2l2or7

District(State) (llar*

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(d) Nationality (sl${ril}: iilrd

Date of lssue (qr<1 o€ 6l

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Year {sd): 20L7

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Date To 1 ffio a-o l.O7tt2t2o77Time Period ({rTqq4la):q€{7 Time From 1vwd1:t9:+5<-$ TimeTo (wrqd:F):20:00e-d

(b! lnformation received at p.S. (EFn wf q*l qftrDate (frqio ): OTllZtzotT Time{qTq):21:20 {$(c) General Diary Reference (+tr{rrqr Entry No. (qf{ng 006 Date & Time (fiqio qt< vqeefrz/z0u 02:14 sd

4, Type of lnformation (q4;n inr qiF"rt): Oral

5. Place of Occurrence (seiFeJq):

1, (a) Direction and distance from p.S,(?n;ri * qfl aft< Rert ]Efiiq. S ffi(b) Address {q-dr): ardr*iitr -ito .crqK

(c) ln case, outside the limit of this police station, then ({iR erya gq } srFr * d):

Beat No. (*e S.):

Name of P.S,(effiI 6r iFI):

6. Complainant / tnformant lfima-ooafiqa-"*aaf ),(a, Name ({rq}r -€qqwflq{ flsb(b) Father's/Husband's Na me(q*cT /- - tril iFr;rFI) :(c) Date/Year of B3rth 1w* ftf$ I s{ ):fszo(e) UID No. ({irrf,S €"):(f , Passport No.(srscl€

Place of lssue (qr€ 6-{i tFr *r5r{ 1.

(g) ld details (Ration Card,Voter lD Card,passport,UtD No.,Driving. S.N;.(F.d:t iid ftpe (qffi q" 6r ffit - -lad Numbt ire-en Ti@rt-

.....;........ .. J

(h) Address (qet):

ress (qd[l

: lf i {dTrqqfrr:'j:

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(i) Phone number ((wn ri.): Moblte 1rlE66 9.1;7. Details of known/suspected/unknown accused with full particulars (flrd / dfrrq I srrd q&gs 6T qi fd-q-rq c{fr-d aoh}:

Accused More Than lcorc on*ff Vo * idt-o' E{ d}

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L,_ l,8. Reasori-lforiietay in reporting bythe complainantlinformant (fgrcrqronf /qd'{r6df aRTRct-Ctfl*sd6{rit'ar<q}:

9, Parti<ulars of properties of interest 1{<F*-o grffi q fqawl:

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10. Tota I value of property ( | n Rs/-)-qEcR 6-1 3"4 T-q(rt ril :

11. tnquest Report / U.D. case No., if any (Tq rr*efi ffi-d f q"d'ro<ur {i', qR +t€ d }r

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12. First lnformation contents (Jde{q iTfitf Oe4 ):q)*s€crq;-31;dqnqRe|{r.3rr{.tr.qoaq.- 332ttl.5d{ 279,337,324,34 q1.E.ff qe*nt.q}a:- 7l\2/17 4.19/45qT'iiffi''dim*i +rd i$#iii1.s.td zl tilti i 21l 20 sr (eqq q'eql +e-{6 :--- arf,r?dld$ a|{ oqe-*m ^der n gn].rl

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

(6l ,rm6rdsr61 :.!faert-tnqrr-6r**qmq<rarff5srq{rEin{isrdfl-drrsri.z{s*tctIRiSceatlt(1) Registered the case a4d took up the Shailesh Sunil Sankhe(l (lnspector)) / POBN87401 or

investigation: (tl6lvl <$ f6qr {.IT 3{R sfrt{ 6

(21 Directed (Name of l.o') (qm efffi iF-I qFI): * Rank (rR):

No.( €.): to take up the lnvestigation (+1 qra erqi qtrr { A.i at R\ ft{er f{ql rrql) or (qr)

(3) Refused investigation due to (qiq S *

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(4) Transferred to P,S.(ett;fl): Oistrict (fudr):

on point of jurisdiction (si Aarf+rR * orqq woioRa) .

F.l.R. read over to the complainant / informant,admitted to be correctly recorded a-nd I c-opy given to-thecomplainant / informant free of cost. (Rr6r{ffa-d{ t qfq-{r'6f,f 6} 9rerffi qE fl g{rg Tfr, l'rdt qd 5g qTrT Si? 96 6'rn F|g@fgr+T{drdfsn d o* l,R.O.A.C.(3{rr. eil .q .s.l

14, slgnature/Thumb impression of the complainant / informant.(l{r6l{rd-{Tt / {{-{rs-dt s F{f,I{t / 3rTt 6T FrcrF):

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Signature of Officer in charge, Police Station1e5r+i n'rrtl + Fwrers)

Name ({rq}:Shailesh Sunil Sankhe

Rank((|s): | (lnspector)

Ho.(si.): POBN87401

Form : ll

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CRIME DETAILS FORM

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2. Act anci Seciions .

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3. The Place of eccuir,ence shown bv :

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Name : ........N...............lt.t : ohts\ q

Address. .................Oq_il : elsll tptr

4. ryPE OF CRIME (Ail inctuding M.O. Crime):T€rqr c-fls (X-€rEqT sa q-qtfttrd) -.

(i) .tvlajor Head : .^..' r",q efi{ ,- gi\A\<l; g"diu{

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(iv) *Conveyances used

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(ri) "Language / Slang used :

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Motive of Crime : ....

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7. Details of pr.operties Stoien/lnvolved I Use appropnate prescribed form 1s) anci atiach ]

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