1

~-;j. 1
~~t;Afd~~"'f(mu154~.~~~~) f?;f.~.~.m.-II
FIRST INFORMATION REPORT (Under Sec. 154 Cr.P.C.) S.P.E.C.-II

~-;t. Sf)ll ~.

Book No·12 51 Serial No. 15

1. f;m;n : ~: 'Ci1f : ~.~~.$f). ~:
District PS: Year FIR No. Date
Lucknow CBI, ACB, 2019 RC0062019S0012 30/07/2019
Lucknow
2. (1) fcf'1:IT1': ~:
Act Sections

IPC 120-B, 302, 307,506

(2) fcf'1:IT1': ~:
Act Sections

(3) fcf'1:IT1': ~:
Act Sections

(4) 3Fi fcf'1:IT1' v:ct ~ :

Other Acts & Sections

3. ("Cfi) ~ 311ro'Q: Criminal Conspiracy, Murder, attempt to murder

(a) Suspected Offence and criminal intimadation.

("&) f0: ~ ~
(b) Day Date Time

(11) ~ "lR ~ >1m m Cf;1 ~

(c) Information received at PS Date
30/07/2019

~ 31l:m'Q: ~ ~
Entry No. Date Time

09 30/07/2019 21.15 hrs

4. ~Cf;1~: fufuo~
Type of Information Written/Oral

Notification dated 29.07.2019 issued by Govt. of U.P. and

.5. c:g;rr Cf;1~ corresponding notification dated 30.07.2019 issued of Govt.
Place of Occurrence of India Uls 6 and 5 of DSPE Act 1946 respectively

(qi) ~"B R~TTCi ~ :

(a) Direction & Distance from PS
Approx. 90 Kms. (North- East) Approx.

~ .-;t. / Beat No.

 2

C~) 1:fill:
(b) Address

(TT) ~ 3FI' ~ ~~if%m ~-

(c) In case, outside the limit of this Police Station, then

~ ~ CfiT1"111 ~
District
Name of PS

6. 3TI~ / ~.q1ICfidT :
Complainant I Informant

( <.f1 ) 1"111
Shri Mahesh Singh
(a) Name

( (9) full / -qfu CfiT1"111

(b) Father's I Husband's Name
Late Mangal Singh

( TT) \If.+l fuf~ ('<1) ~:

(d) Nationality
(c) Date of Birth
Indian

("6) ~-;:f : ~~ ~mCfiT~ .

(e) Passport No Date of Issue Place of Issue

(~) Cllq~llI Private person

(f) Profession

(~) 1:fill-
(g) Address Rio Village- Bhakhi, Makhi, District - Unnao, U.P.

7. ~ / ~ / ~ / ~CfiT~fc:fcRuT:
Details of known I suspected I unknown accused with full particulars
(GJR 3lICfl(4Cfi m m 3ffilT ~ -q;;n ~~)
(Attached separate sheet, if necessary)

(1) Sengar
(2) I. Shri Kuldeep SingA RIo Unnao (U.P.)
(3) 2. Shri Manoj Singh Sengar, RIo Unnao, U.P.

Contd. (Accused Sr. No. 03 to lion separate sheet attached)

 -2A-

3. Shri Vinod Mishra, Rio Unnao, U.P.

4. Shri Hari Pal Singh, Rio Unnao, U.P.
5. Shri Navin Singh, Rio Unnao, U.P.
6. Shri Komal Singh, Rio Unnao, U.P.
7. Shri Arun Singh, Rio Unnao, U.P.
8. Shri Gyanendra Singh, Rio Unnao, U.P.
9. Shri Rinku Singh, Rio Unnao, U.P.
10. Advocate Awadhesh Singh, Rio Unnao, U.P.
11. 15-20 Unknown others
 3

8. an~ / ~~11<fi(1f &ro~ ~ ~ ~ ~ ~ "<fiRUT:

Reasons for delay in reporting by the complainant I informant

9. ~ / ~ ~ ~ 'T'f fcfcRur : (~3f1q~4<fi m m 31WT ~ 1Rl ~ ~)

Particulars of properties Stolen (Attach separate sheet, if necessary)

10. ~/~~~~~:
Total value of property stolen

11. lfrf/~~~~:
Inquest Report I U.D. case No. if any

12. ~~ ~ fcfcRur :- (<:fR 311C1~4<fi m m 31WT ~ 1FfT ~~)

First Information contents (Attach separate sheet, if required)

Attached in separate sheet.

 -3..;\-

FIR has been registered on the basis of consent given by Govt. of UP uls 6 of Delhi
Special Police Establishment Act 1946 (Act No. 25 of 1946) vide Home (Police) Section-
4 No.01 CBINI-P-4-2019-6 (44) B/2019 dated 29 July 2019 for handing over
investigation of FIR No. 0305/2019 dated 29.07.2019 under section 302/307/506/120-B
of IPC of PS Gurubaxganj, District Raebareli (U.P.) and corresponding notification F.
228/16/2019/AVD-1/ dated 30.07.2019 by Govt. of India under section 5 of Delhi Special
Police Establishment Act 1946 (Act No. 25 of 1946 according consent for conducting
investigation by CBI.

A copy of FIR of the case crime No. 0305/2019, uls 302,307,506, 120-B, of IPC
of PS Gurubaxganj, District Raebareli (U.P.) is part of this FIR which is enclosed
herewith.

Hence, in pursuance of the aforesaid consent dated 29.07.2019 and notification

dated 30.07.2019, a Regular Case is registered in CBI, ACB, Lucknow for investigation
of case crime No. 0305/2019 under section 120-B, 302, 307, 506 of IPC registered at
PS Gurubaxganj, District Raebareli (U.P.). The investigation of this case is entrusted to
Shri Ram Singh, Additional, Superintendent of Police, CBI, ACB, Lucknow for
investigation.

Encl: As above. ~\J~

1~)~l t~
(RAGHAVENDRA VATSA, IPS)
SP & HEAD OF BRANCH
CBI, ACB, LUCKNOW

~~~--- -
 4

13. Cf;14cm;')~ Cfit ~ : ~ ~ fcfcRur ~ 2 -q dfct1f&(1 mu( a:n) ~ ~ m "Cl"ffi 3ffiT'!:l

q;) d~lfGd <ROT~
Action taken: Since the above information reveals commission of offence(s) u/s as mentioned at
Item No.2

(1) lWR"fT~ fcf;Grr l"f'rr ~ \lftq >rR"f"S3TI 31~

Registered the case and took up the investigation or

Regular case is registered and taken up for investigation

( 2) ~ (\lftq an'!:lCfilU
'fiT1l11) tfl -;f. \lftq ~ fWn l"f'rr
Directed (Name of 10) Rank No. Took up for
investigati'1' es

Shri Ram Singh, Additional Superintendent Of Police, CSI, ACS, Lucknow.

(3) CfiRUT~ \lftq ~ ~ 31~
Refused investigation due to or

(4) ~ ~ q;) ~11i(1R(1 fcf;Grr l"f'rr mr !$ryf~ ~ 3TI'!:lR1R

Transferred to PS District on point of jurisdiction

31f~ / ~-q11Cf;f1f q;) "5J.~ ~ ~ / ~ wwn l"f'rr, ~ tm-~ an~ mr

~ fcf;Grr I ~ ~ m
an~ / ~-q11Cf;f1f q;) f.:J:~"SlGA Cfit ~ I
FIR read over to the complainanUinformant, admitted to be correctly recorded and a copy given to
the complainanUinformant, free of cost.

~<Rww:rrq~~mw:rrl
R.O.A.C.
A copy of the FIR is being sent to the complainant free of cost.
14. ~ / f{-€I'1ICfl"l1f-a; ~ ~ ~ -a; ~a.rr
SignatureIThumbimpression Signature of Officer in-charge
of the complainant/informant Police Station ~ 1\ P . \ ...4 ~ ~ Vo-b->---
~/Name ~....,-- g'C>l~"1
(l:fG) I Rank (RAGHAVEND VATSA,I]5"s)
SP & HEAD 0 RANCH
CBt, ACB, LUCKNOW

15. '4ll1R111 q;) ~ 'fiT~ ~ ~

Date and time of despatch to the court

~\I~
(RAGHAVENDRA VATSA, ;?sr lT )\11
SP & HEAD OF BRANCH
("5J\f1Uan~ ~~~)
Signature of recording Officer with date
ConfidentiallRegistere,d
Endst.~ __ /RCo062019S0012 Dated:-30/07/2019

Forwardedto>

1. The Special Judicial Magistrate (Pollution) CBI, lucknow.

2. The Joint Director (lZ), CBI, lucknow.

(i) Classification of offence :-SCD

(ii) Status of accused :- Pvt. Persons

(iii) Orders for registration passed by :- DCBI, HO, New Delhi.

3. The Secretary, CVC, Satarkta Bhawan, G.P.O. Complex, Block - A, INA,

New Delhi - 110023.

4. The Chief Secretary, Govt. of U.P., lucknow.

5. The Principal Secretary(Home), Govt. of U.P. , lucknow.

6. Shri Mahesh Singh S/o late Mangal Singh, R/o- Makhi, Unnao, UP.

7. Shri Ram Singh, Addl. Supdt. of Police, CBI, ACB, lucknow.

~\J~tL
l~I7-\~1\
(RAGHAVENDRA VATSA, IPS)
SP & HEAD OF BRANCH
CBI, ACB, LUCKNOW
 5

~~ ~ ft:1TIi q)J 3l1W1 7 -wmt

Attachment to item 7 of First Information Report

~"l' ~ <.fl1 !(IItlRCfi fq:t1tl1("lIci:,

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

~.~. *fffrT *~ <.fl1 * !(IRl RCfi"Tf"o-l *~~. *quf *~~

SI. (Sex) Cl"Tfu9 / Cf!f (Built) l=it. 1)' (Complexion) (Identification
No. Date/Year (Height) Mark/s)
of Birth (in Cms)
1 2 3 4 , 5 6 7

.-
.,.
~~a;TURlT ~ ~ 31R9 ~ ~
(Deformities/ (Teeth) (Hair) (Eye) (Habits) (Dress HabiVs)
peculiarities)
8 9 10 11 12 13

.
'IWIT / ~ ~ / Place of
~q)Jf.:mR m~ ftR1 ~~ ~
(LanguagelDialect (Burn Mark) (Leucoderma) (Mole) (Scar) (Tattoo)
14 15 16 17 18 1'9
.

aTI~ / *iil1ICfi'di, mu ~"l' / aTI~ t- ~ 1)' ~ 7.fI aTI'tfCfi" ~ ~ ~ 1R it ~ ~ <.fl1

~I
These fields will be entered only if complainanVinformant gives anyone or more particulars about the
suspect/accused,
OIC/GIP/RB NO-213-CBII04 dt. -6-04-000
 o d

. .... ~ ...••...••... 1n

t»,
Th I

GOYl.of india. PreSs J

ayapuri, Rillg Ro d
ew Delhi - 11006 .
 I.I.F.-I (~ ;;rT'i/" q;p:f -I)

FIRST INFORMATION REPORT

(UnderSection 154Cr.P.C.)
~ l!m ~q;rr fttiTt
(urn 154 C!5 qfinm ~ ~~)

1. District (~): ~ P.S. (~):~ rt;;r Year (cnt): 2019

FIR No. ('~.~.ft. 0305 Date & Time of FIR (U'.~.ft.c!it ft;rtcnffi1:nJ)29/07/2019 12:45~

2. 'S.No. (in.i.) ActsT~) - Sections (um(-Q»

1 m~tf 1860 302
----~2---+m~~~~~'~18~6~0----------------------------+,3~0~7--------------------l

3 im~tf 1860 '506~:=j

4 1m ~ ~_1860 120-8 I

3. (a)Occurrence of offence (anrnU c!it ~):

1. Day (~): ~ Date From (fu;rtcnt1 28/07/2019 Date To (fu;rtcn (fCfi ):28/07/2019
Time Period (m:J<T 3lCifi)'):~ 1 Time From (m:J<T t1 )DO:OO ~ Time To (m:J<T (iC/'i):00:00
~
(b) Information received at P.S. (~ ~ ~q;::rr U'TR
~ ):
Date (fu;rtcn):29/07/2019 Time (m:J<T): 12:45~
(c) General Diary Reference «h"1ISlill 'Hc;,f):
Entry No. (~'H.):025 Date & Time (fu;rtcn~ m:J<T): 29/07/2019 12:45~

4. Type of Information (~q;::rr C/'i1WcfiIT): ~

5. Place of Occurrence (,Elr-rrfm;{):
1. (a) Direction and distance from P.S.(~ t1 ¢ ~ ~m ):~ - ¥, 20 fcI»fi Beat No. (GfTc: 'H.):
(b) Address (trnT): 3fc;ll~'
(c) In case, outside the limit of this Police Station, then (~ ~ ~ ~ ~ ~ m):
Name of P.S.(m'iT C/'i1;mr): District(State) (~ (~)):

6. Complainant I Informant (fi)<bI~(1<b('1f~~):

(a) Name ('1TI1): ~~ f%
(b) Father's Name (flrnJ em;mr) : ~o~f%
(c) Date/Yearof Birth (~~ I qtf): 1999 (d) Nationality (utT«<rr): \IT<<l'
(e) UID No. (<t.arrffi' 'H.):
(f) Passport No.(lffill:ITt 'H.): Date of Issue (\iITft m c!it ftrfu):
Place of Issue (\iITft m cnr"f~ ):

(9) Id details (Ration Card,Voter 10 Card,Passport,UID No.,Driving License,PAN)

,~.~Jsn.'H.) _I~Type_(~1:f'I C/'i1~) Id Number (~~~)
L.._ .1__ _ _
(h)Address (trnT):
.) Address Type (trnT C/'i1WcfiIT) Address (Q"('11)
IS.No.(sn.'H I
1 ~tmT ~ 1~'3"iflCl',~ lR~r.\lT«l'
~
2 ~tmT ~ ,l1'Tlit,3"iflCl'.~ lR~r,\lT«l' ___
I
...J
--
 _________ .--c-_N:..:.:.=C=.R~.B'-'('CR.#t.3ITU
I.I.F.-I (~ ;;rT'q q;nf -I)

(i) Occupation (c::aCj~I~):

(j) Phone number (~~ tl'.): Mobile (.mr~ tl'.):91-93S0678068
7. Details of known/suspected/unknown accused with full particulars
(mo I -e'ftru / ~ ~m $
COT If-t FcrcWJr quf~):

.----------- -----,-------- -,-----

Accused More Than (~amTrft
i S.No.(SIi.Name (;:m:r)
! -e'.l I
'Q"q)iT arfUq; ~
-- --
AIias ("3"tr-il1l) - .. -
m
'-
-e'<&m):
- .-.--
Relative's Name
I (ft~ff~ Cfi1 ;;n:r)
PresentA-ddress(mlllR trn1)
.... -

1 ~~WIT 1. ~u ~ ,3WC/,3ffi:~~T.m«l'

3
~~WIT

PcRR;flrllJT --r I 11.

1. ~u~
~u ~
,3WC/.3ffi:~~,m«l'

,3WC/.3ffi:~~r,m«l'
!,
-
4 ~f% ! 1. ~u ~ ,3WC/.3ffi:~~r. m«l'
~--.-.--
5 ~~ , 1. ~ ~ .3WCI.3ffi:~~T,m«l'

6 ~~ 1. ~u ~ ,3WCI,3ffi:~~T.m«l'

7 ~f% 1. ~~ ,3WCI,3ffi:~~r,m«l'
-
8 ~~ 1. ~u %t-:~-.~ qf~r,m-ffl"

9 ftw~ 1. ~u~ .3WC/,3ffi:~~r,m«l'

10 ~arcro~Tf% 1. ~u ~ ,3WCI,3ffi:~~r,m«l'
-- f---- ----.-- ...
----.--- --' -,-,~ •. ----- .. -----.---.------ --~----------.~-
.. ._---_ .._--_._----_._---_. - --. ---------~
11 15-20 ar.:<:r ;;fm 1. ~ ~ ,3WC/.3ffi:~~.m«l'
.-
8. Reasons for delay in reporting by the complainant/informant (~q:jI~(1q:j(1f / ~'CHIq:jdf &m fTtilt ~ tT- ct
~ in <fiRlIT);
9. Particulars of properties of interest (-e'~ ~ COT fcrcn-ur):
.. -- -'r~'--'-"--' --' _-_-0- __"'--,' .,------'-,

:S.NO.-(Slitro.perty-C-ateg~;Y-f-utitTI---
]pr~perty r-ype (~IDe-scriptiO~ -(Pcrcitur) IValue(ln Rs/-) (l!.iYll' I
I -e' .) _ ~ufT) I<nT WOR) I(~Jl» ,
10.Total value of property (In Rs/.)-~ <nT ~ l!.iYll'(~ ll'):

11.lnquest Report I U.D. case No., if any (llr<! ~qr fTtilt I <1-.tT.~ -e'., m?;: cnWi;T
~S.No.Jln. titt.~
J~IDj(~~ri!~!

2
 N.C.R.B (!B.~.3rrvft)
I.I.F.-I (~ urT'ii t:Ollf -I)

~ em: <>iT ~ ~ vmrfi 3TTtT ~ rom em afR ~ em ~ ASP Wi c;m;r crm em

q:m aficnm 6 ~ ~
fcl"~ ~ rmtt m~ 3r;Fi firQ ~ e-
~ lRCIT err ~ ~
em: Q1m 3TTtT ffilT ~ ~ <'fI1T m~ fq;
~~?fm ~ 6" I 3Mt ~ ~ ~;jfq mfi firQ em ~if ~ ~ st ill ~ mt rom ~ afR ~ URtt
t.fi qq em: e- ~ ~ cnm ~ ill ~ ffilT 3TTtT MTrTr em ~ ~ lRCIT ~
~ mft ~ ~
$~ 3llCJiZ ~ ~ ~
3PR 3TTtT ffilT ~ ~
firQ;:rcfR firQ ~ f?rl!lT~ ~
~

~411~('1 lm!fT 2WlT ~

rrrtt
~
*~ ~
m$ mlR ~ ~?fm ~
if ~ tw.ft ?fm 3RT trltm $ ~
firQ m
~~ em: ?J clt
?fm~ffl.m 3ml6"1~~~ c:nUm~~6"~
4iT fmm:rco 6 afR
~ :~ em ~
3rl~TtITtf
6"
*~
~~fco~M1TT~W1cID~

S!furr;; ;;it ~
I~ rom em ;frq;ft
3r<OITOT ~ ~ if
<nr.fi ~ ~
<Illci<c;f) ~
~ iYI1TT 3TTtT MTrTr ~ ~
,);;r ftm nm ~ ~
6~ em: <>iT ~
~41111('1 G@f em
*
$ mt~ ~ em ~ ~ ~ ~~ ~ ~ ~ m~ t:rftcm" em ~ ffilT m ~fcntft;:rr~
mt.~ if ~ 4ircIT ~ aft{ ~
~ 28.07.19 em ~ tw.ft lJ&lT ~ mc;ft ~ ~ tq tftft:rr ~ ~
Adv ~ ~ <IOQilM1 ~ fit;R an ~ 2! ~
~ ~ fq; q:m cnBT 6" ~ ~ ancfit ~ tiruH
em: ~ 6 afR ~ ~ ~ em Wi'fu ~ t ~ 6 1~ nrom ~ tn: ~ tw.ft ~ ~ ~ err em mt 41111"1Irll
coT <lllGl~<4) ~ an ~3lT ~ <lllGlhfl if 4iTt ~ em: ~ afR 3fTQ'~ coT ~ ~ ~ ~ coT ~ 31RT
afR <J1 MlIT ~
<t.mr ~ ~
i:Wft "fRT ~ 3f1RT mu <nrn ~ if ~ 4i"{CIT~ Rfcn.:r ~ "11'1411~ ~
~~ $ anc;fm:fr coT t e- ~
afR W2T *~ ~ $ w~
3m!" I fcl"~ $ anc;fm:fr ~ ~ tw.ft
*
firQ Adv ~ ~ ~ f% ~ ~ mt m-m em ~ cnmT ~ ~ em ~ em;ftm; ~ 1Tlit
lJ&lT ~ ~

If<U1l1R" 31cWTf
e-
tT 19f{ mcrr fvh:rn ~ trriT lJ&IT ~ ~ ~ em ~ ~ nt om ~
*~ ~ ~ I ~ mm UCr1T ~ coT ~
~ ADV ~ ~ ~
¥ if ~ grm an ~ 6 ~ ~ ~ ~ 3tri1m 1Tlit
tf.v *
om ~ $ anc;fm:fr if 6 I aft{ ~ m em f.Tm; if 19f{ ~ nt 6 ~ ~aIT
*~
~ 4iT ~u
mt
~
rom <liT wr I:JP ~2T ~ I 3f('1": SJftm;r ;;ft ~ mnt ~ ~ 41IM I~ em ~ fmm ~ t:rftcm"
coT ;:zmT fm;r ~ %R c;<IT ~ 1 IDcif Qtmtif\" $ firQ, $ ~ slo ~o ~ f% f.fcmfi 'I1fflt 2WlT mm
~~f.r03T0 $~ M 9350678068 mtIT61 WMcft;;~~ 29.07.19 41IOQf(ijll 3fUt~~
4iTUTTR <lllGllc41 I trit<n 334/ARl2019 f?;- 29.7.19 ~ 3flRTTfu:rQtmtif\" 3tU;;ft ~ 29.7.19 ~
3fUt~ ~ 4iTU1TR <lll~~JlI '11c:-~ em ;:rcJj(ij"~O<IiTO Wi ~ &m ~~ q ~~ ~ CWT qm<ft rmt
~I
13. Action taken: Since the above information reveals commission of offence(s) u/s as mentioned at Item
(<1iT Tnfi 4il<f~ : Ti.Fro ~ "11'141 I n~lTffi ~ 6 Fro 3flmU m 4iT ~ liG "ff. 2 ~ ~ urn ~ ~
(1) Registered the case and took up the investigation: RAKESH KUMAR SINGH(I (Inspector)) 1982310122 or

(2) Directed (Name of 1.0.) (~'ii arfiIcnrft 4iT ";fl"ll): Rank (tTC."):
No.( to take up the Investigation (enT \;ff~ 3l"lf.t tm1 ~ ~;l ~ fi;t"Q'f.R;~ftm TTm)
(3) Refused investigation due to (~~ ~ ~):

or (~ <fm1lT ~ Pcom
(4) Transferred to P.S. District
on point of jurisdiction (enT .,~ ~ 4iITOT

F.I.R. read over to the complainant Iinformant,admitted to be correctly recorded and a copy given to the
complainant I informant free of cost. (~41I<l('1Ch(1f I ~~ enT ID~ qq; CfR ~~ mft, ~ ~ l1RT 3TR 8t
R.O.A.C.{arJ"{".3lT ."Q' .~.)

3
 N.C.R.B ("Q3.tfi.aJTufi)
!.I.F.-I (~;;rfq l:fil1:f -I)

14. Signaturerrhumb impression of the complainant I

informant.(~CflI<OlC1CflHf Ilt'Cl"'lICflHf ~ ~~ 1.ai1J.3 qrr
f.r.\!TR):

15. Date and time of dispatch to the court (~it qlfUT <fIT
ft;ri"Cfl afrr mnT):

Signature of Officer in charge, Police Station

(2TRT wmft ~ ~~)
Name (;nl1): RAKESH KUMAR SINGH
Rank(tR;): I (Inspector)
No.(ti.): 982310122

4
 N.C.R.B C5f!.~.aIT\.ifi)
I.I.F.-I (~ ;;rT'q q;1lf -I)

Attachment to item 7 of First Information Report ("Q"~ ~~ fttiTt ~ llG 7 'ij'PI1JCf):

Physical features, deformities and other details of the suspecUaccused: ( If known I seen)
('ij'~u I ~ffi cfiT mtTft<n fct~hrnnf, RI<[iRp~ialh: 3F<l ~: (~mo I~ rmT))

- s.No.(ifi.tt.) , 'Sex (~) I' DatefYear of Build I Height(cms.) Complexion (trr) Identification Mark(s) (~
_ 1 __ .Birth (~~ (~). (~r«.lft.)~. ~)
1 2 3 4 5 6 7

_, _,1Jfl'1_
-T. _1Jfl'1
--
2 1
3
l'--~--
4 j1Jfl'1
--,
5 _L __
~_ ~ L
- ---I - ----- I

6 _ ar-;mr .L_

7
-) ~·-l r------
L-._____ _ ._,..
_
-
r--- I r------
,
------------
8 _ L_~
, - I
9 __ 1_1Jfl'1 L
I _

10 _ I ~_l _ 1 _

;-
_ _.
11 ar-;mr J

Deformities! Peculiarities ;Teeth (cJo) Hair (qrc;f) i Eyes (arr~) 'Habit(s) (ancjf)i Dress Habit(s) (~)
j (fc)llfHai!8~) s+--w-t--11-- I -+---1-2-

r-- - -- - 1----! --r--- -,--I I 13

____ --L. ~I - ----+1-----+1---------'

________ --,Ir---- ~-- +____ : ;
I, I I

I
-----+I-----+----~--
;
--------j--------- - --- --- --- ----
I

_1 _
-- -,
Language'
IDialect
(mlfI/;;fuft )
Burn Mark
(~SQ"
leucoderma
em I (~cnWrf(~
Mole (~I
Place Of (em HTR)
Scar ('EITcf) Tattoo
em)
(ry?; SQ" I
.
Others (3F<l)

, f.f~TR ) ~)}! :

t-- - 14 I 15 16 17 18 I 19 20
l., I _

5
____________________________ -'-"N..:...:.C~.R • .!U"(f!.tft.am.ifi)
!.I. F.-I (~ ~~ q;n:f -I)

L-._ -- --I I I I J
L-==- -r I I I 1---- -_--- . _~- -- --~ ---I

I-~~=--=---I -..----.--. --·1

c=-- -
----c==r= -'=
1
1

1
T
~
--1.1 __

-1
c=_1
--'-'

L
__ ----JI:
1 ~=_~- _
T - ----
__ -L..-. __

--
J

~ ----=:J I I [ ~ __ -~-=_ ___-= ___ _J

I '1 I I I ]
[::--_-=---=J I I I ~ __ -- ---~=_- __-=-~~_- -J

-C_ I 1__ ___ =oJ . - - - - -1

l -~_ I 1=
These fields will be entered only if complainant/informant
r== gives anyone
.J.
or more particulars
--=_--- -
about the
suspect/accused.
(~ ~"j (f,ft G'i PcnQ'~1t ~ QJ Cfll <Hi <1m f I ~~ '11 Cfl\'1 f "#ftru I~ ~ iffi 1l <tiT{ ~ zrr ~ 3l'fi)q; \II HCflI fI ~ ~ I)