Haryana Police Citizen Services: 1. P.S. Fir No. Date District Year

HARYANA POLICE CITIZEN SERVICES
¡ǐȡȡǕͧ ȡǐ ȯȡ
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C.)
Ĥ ǗȡǐȪ[

ȡȡȲĤͩĐȡ Ǒ¡Ȳȡȯ¡
1. District
ǔ«ȡCHARKHI DADRI P.S.
ȡȡDADRI SADAR Year
[
FIR No.
Ĥ Ǘǐ Ȳ Date
ǑȡȲ

2. S.No. Acts
\ͬǓ Sections
ȡȡ
fȱ

Đ Ȳ
1 ARMS ACT, 1959 25
2 IPC 1860 166A
3 IPC 1860 323
4 IPC 1860 379B
5 IPC 1860 384
6 IPC 1860 506
3. (a) Occurrence of offence

\ȡȧȡ
1 Day
ǑSaturday Date from
ǑȡȲ ȯ Date To
ǑȡȲ
Time Period
\ͬPahar 1 Time From
ȯhrs Time To
hrs
(b) Information received at P.S.

ȡȡ¡ȡȲ Date
ǑȡȲ Time

ǗȡĤȡÜ¡Ǖ_ hrs
(c) General Diary Reference Entry No.
Ĥͪǔç Ȳ Time

Ȫȡȡ Ȳ[

hrs
4. Type of Information
ǗȡȡĤȡWritten
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Ĥ ǗȡǐȪ[

5. Place of Occurrence

ȡè
1. (a) Direction and distance from P.S.
ȡȡ ȯǗȣkǑȡWEST, 13 Km(s) Beat No.
Ȣ Ȳ
(b) Address
ȡǒ¡ȣĐȯȪ
(c) In case, outside the limit of this Police Station, then Name of P.S.
Ǒȡȡ Ȣȡȯȡ¡¡ȰȪȡȡȡȡ
District (State)
ǔȡ
ȡÏ
6. Complainant / Informant
ͧȡȡ[ Ǘȡȡ[
(a) Name
ȡ ȪǗ
(b) Father's Name
ͪȡȡȡȪȡ
(c) Date/Year of Birth
ÛǓͬ[ (d) Nationality
ȡçĚȣȡINDIA

(e) UID No.
Ǘ]_Ȣ Ȳ
(f) Passport No.
ȡ Ȫ[ Ȳ
Date of Issue
ȡȣȯȧǓͬ Place of Issue
ȡȣȯȡèȡ
(g) Occupation
å ȡ
(h) Address

ȡ
S.No. Address Type

ȡȡ Address
ȡ

Đ Ȳ
Ĥȡ
1 Present Address ȡǐȡROHTAK SADAR, ROHTAK,
HARYANA, INDIA
2 Permanent Address ȡǐȡROHTAK SADAR, ROHTAK,
HARYANA, INDIA
(i)
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Ĥ ǗȡǐȪ[

Phone number
Ǘȡ Ȳ Mobile
Ȫȡ^ Ȳ
7. Details of known / suspected / unknown accused with full particulars

£ȡ ȲǑÊ\£ȡ
\ͧǕÈȡǗȯͪ Ǒ¡[
S. No. Name
ȡ Alias
`ȡ Relative's Name
ǐæȯȡȡȡ

Đ Ȳ
1 ȯÛġ`[ǑãǗ
2 ASI Ǖȣ
3 ȪȢ\Û
8. Reasons for delay in reporting by the complainant / informant

ͧȡȡ[ Ǘȡȡ[ɮȡȡ
ǐȪ[ȯȣ ȯ[ȡȯȯȡ
9. Particulars of properties of interest

ȲǔÛ àǔ×ȡ
ͪ
S. No. Property Type
àǔ×ȯSub Type
`Ĥȡ Value(In Rs/-)
Ǘã
ǽ

Đ Ȳ
Ĥȡ Ʌ
10. Total value of property stolen (In Rs/-)

Ȫȣ¡Ǖ_ àǔ×ȡǕǗã
ǽɅ
11. Inquest Report / U.D. case No., if any

Ǚ×Ǖ Ȣ¢ȡǐȪ[ǗLȢLĤ ȲǑȪ_¡Ȫ
S. No. UIDB Number

ǗLȢLĤ Ȳ

Đ Ȳ
12. First Information contents

Ĥ ǗȡØ
\ȡȡ Ȣȯf ȡ¡Ȣȡȣ ȪǗ`Ĩ ȡǕğȪȡǓȡ Ȣȡǐȡ
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¡ ȢǔȡȪ¡@ǕèȢ ȡȯÛġ`[ǑãǗȡ ȢȡȲǓȡȡ¡ Ȣǔȡ
Ȣȡȣff ]_ǕȣȪȢ\ÛåǔÈȡȡȡȡǕ@ȪȢ
^èȡ ȡȯȡȡfȢ]_Ȣ ȢfÖ]à [fÈ@Ǖͧ
ȡȡȢȡȣĮȢȡȢ ͪǓȯ¡Ȱͩ¡ͩǕèȢ ȪǗǕğȪȡ
ȡ Ȣȡǐȡ¡ ȢǔȡȪ¡ȡ¡ȯȡȡ¡ȰkǕèȢ ȯȯ ȯĜȡ_¡Ȱ
ȢǕğȡÛ¡ȡȡǓȡ Ȣ ȡȡ
ȢȡȡȡȪȢ¡ȡȡȪ¡ Ȣ ȡȡǔȡ
ȡȢȧȡȣàf] ȢȪȡȡ¡Ȱ@¡ͩ`ȪÈȡȣ
ǕèȢ ȯȡͧȢȯ`ȪÈȪȢàȯȡÚ ȯȣȣȢ@`ÈȡȣȪ Ǖ¡
ȯͧǔÈĐȯǒ¡ȣȪǕèȢ ȯȯ^ÛȡɅȡȡ
`ȪÈȪȢȡȡȪ¡ͬȡǑȡǕèȢ Ȫȡȣ ȯ`ȡǑȡkȡȣȯ ȡ
ǽ èȡȣȯȡȡǕèȢ ȯȤȯȯk`ȯÈȧȢ
ȣȢͩ¡ ȯͪȪͩȡȪȡ ȯȡȯȯ@¡ͩǕèȢ ȯ` ȢÈ
àȪͩȡkǕͧ ȫȯȢ]_@Ǔȡ Ǖ¡Ǖͧ ȯȡȣȪ`ȪÈȪȢ
ȯÛġȯ ȯȡͧȡ@¡ͩ\Ǖͧ ɅȰȡȪȢàff ]_
ǕȣǕèȢ ȫȯȡȡȡ¡ȡ¡Ȱ@ǕèȢ ȪȪȯȡ¡ȡ¡Ȱ
ͩȡȡɅ]ȡȡ@ǕèȢ ȯͪȡȪȢǕͧ \ͬȡǐȪ ȯͧȯȧȫͧ
ȧȯͩ\ͬȡȣȡͧȯ@¡ͩǕèȢ ȯȡȣɅȢȢf Ȣȡȡ¡Ȱ
ǔ ȯȡȡ¡ȰͩȡȣȡȪȤȯȯȡȪȢȯÛġȯȡȲǓȡȡ_¡Ȱ@¡ͩ
\ff ]_ǕȣǕèȢ ȯȡͧȢȪȡȡȯȡ¡ȡ¡Ȱk` ȯ
ȡȡɅǕȡ¡ȡ¡Ȱk\¡Ǖȡ[ȯȧfɅȰ ȯȧȡȲ¡ȡ¡Ȱ@¡
ͩǗ ȣȪȢȯÛġ`[ǑãǗȡȹ ȯȢ ȡȡ¡Ȱ@ȡȣǑȲȡ ȯ
ȡȡɅȣ¡Ȱ@ǔ ǕèȢ ȯ`ȪÈȪȢȡȯͨȡfȡè ȡȡ
ɅǑȲȡȪȣȢǔ ȡȡȣàȢ¡Ȱfȡè ȢfͪÛȪ
ȢȡȣɅǑȲȡȪȣȢǔ ȡà¡Ȱ@ȯͩǕèȢ ȧ`
ȡèȪ]Ȫ_ȡ[ȡ¡ȣȡ¡Ǖ_¡Ȱ^ ͧfǽ^èȡ ȡȰȡ¡Ǖ_¡ȰkǑ
ĤǓǑȰȡ¡ȪȢȡ¡ȣ¡Ȱ@¡ͩȪȢȯȯȡȡfȢ
]_Ȣ ȢfÖ]à [fÈȯ¡Ǖ[ͩȡ¡Ȱ^ ͧf`Ȫ`ȪÈȡȡjȯ
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¡ȯ ȡȣȡȢ[^Û ȡ`ͬ¡Ȱ@¡ͩ`ȪÈȪȢȡȯȡȲ
ǒ¡ȣȡǔȡȢȡȣɅ\ȡͩȡ¡ȰȪȡȡ ȡȣȯ¢ȯğȡͬȡɅ¡Ȱ^ ͧȯ
\ȡȡȪ^èȡ ȡ¡ȡ Ǖȯȡ\Éȡȡ ȡ¡Ȱ@¡ͩ^èȡ ȡ`ͬ
ǕãȧȪ[ȧ èȡȣ_¡Ȱ@ͧ¡ȡȡ^èȡ ȡ¡ȡȯȯȡ ȯǓȯ¡Ȱͩ
ȪȢȪȯȡȡfȢ]_Ȣ ȢfÖ]à [fÈȯ¡
¡èȡÞȡȯǕȡǒȡǗ ȡȣȡȯȡ¡ǕÈ ȡǑȡȡȡȯ@ȡȧ
\ǓǙȡ¡ȪȢ@èȡȢȡȣ@ ȪǗĤȡȸǕèȢ ȪǗǕğȪȡǓȡ Ȣȡǐȡ
¡ ȢǔȡȪ¡@ǑȲȡ\ȡȡ^èȡ ȡ¡ȡȡȡɅĤȡÜ¡Ȫȯ
ǕȡǑȲȡȡȡfȢ]_Ȣ ȢfÖ
]à [fÈȡȡ ȡȣ[ǔèͩȡȡͧǕͧ \ ^èȡ ȡ
]ȡȢȡ[ȡ¡ȣ¡ȯǗASI ȪȯÛġͧ ¡Ȳ20/DDR ͧ ȡ¡ȣ ȯÛġȯȡȡ
ȫȡȡèȡ¡Ȫȡ¡ǗȲǕȡ¡ȡȧèȰǐȪ[ǐȡE-MAIL \ ȡȡȡȧ
ȯȡɅȯȢȡ¡ȣ¡Ȱ@FIR ASI ȪȯÛġͧ ¡Ȳ20/DDR ȧ¡ȡȣȯ[¡Ȱ@
13. Action taken: Since the above information reveals commission of offence(s) u/s as
mentioned at Item No. 2.

ȧȢȡ[ȡ¡ȣǗȲͩ`ȪÈȡȡȣ ȯȡȡ¡Ȱͩ\ȡȯȡȣȡ
ȲɅ`ãȯȡȡȯ¡¡Ȱ
(1) Registered the case and took up the investigation
Ĥ[ͩȡȡkȡȲȯ
ͧfͧȡȡor ( ȡ
(2) Directed (Name of I.O.)
ȡȲ\ͬȡȣȡȡ Rank
Asst. SI (Assistant
joginder Sub-Inspector)
No.
Ȳ652bwn to take up the Investigation
ȪȡȲ\ȯȡ Ʌȯȯȯ
ͧfǓȶǑȡȡor
ȡ
(3) Refused investigation due to
ȡȲȯͧfor
ȯȡ^Ȳȡͩȡ
ȡ
(4)
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Ĥ ǗȡǐȪ[

Transferred to P.S.
ȡȡ District
ǔ«ȡ
on point of jurisdiction
Ȫ¢ȯğȡͬȡȯ
ȡ¡èȡȲǐ
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.
ͧȡȡ[
Ǘȡȡ[ȪĤȡͧȧ± Ǖȡ_Ȣ ¡ȣ[¡Ǖ_ȡȡkfȨȢǓǕã
ͧȡȡ[ȪȣȢ
R.O.A.C.
]jf Ȣ
14. Signature / Thumb Signature of Officer in charge, Police

impression Station
ȡȡĤȡȣȯ¡èȡ¢
of the complainant /
informant
ͧȡȡ[ Name
ȡSURENDER SINGH
Ǘȡȡ[ȯ¡èȡ¢\ȲǗȯ Rank
I (Inspector)
ȡǓȡ
No.
Ȳ
15. Date and time of dispatch to the court

\ȡɅĤȯȧǑȡȲ
k
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Ĥ ǗȡǐȪ[

Attachment to item 7 of First Information Report

Ĥ ǗȡǐȪ[ȯ ȲÊ
Physical features, deformities and other details of the suspect/accused: ( If known / seen )

ȲǑÊ\ͧǕÈȧȡȣǐͪȯȡfȱͪǙǓȡȱk\Ûͪ
Ǒ£ȡȯȡȡ
S. No. Sex
ͧȲ Date / Year Of Build
ȡ Height Complexion
Ȳ Identification Mark(s)
¡ȡͬÛ¡

Đ Ȳ Birth
ÛǓͬ (cms)

[

ȯȢ
1 2 3 4 5 6 7
1 Male
Is Proxitted: Yes
2 Male
Is Proxitted: Yes
3 Male
Is Proxitted: Yes
Deformities / Peculiarities Teeth

ȡȱ Hair
ȡ Eye
]ȱɅ Habit(s)(]Ʌ Dress Habit (s)

ͪǙǓȡȱͪͧçȡfȱ
¡ȡȡ
8 9 10 11 12 13
Language/Dialect Place of
ȡèȡ Others
\Û

ȡȡȪȣ
Burn Mark
ȯ Leucoderma Mole
è ȡ Scar
ȡ Tattoo
Ǘȯ¡Ǖfȡ

ǕȪȯȡ[
¹ȯ
¡ǕfȡǓȡ
Þȯ
14 15 16 17 18 19 20
These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.

¡¢ȯğȢ[ͩfȡfȲȯǑͧȡȡ[ Ǘȡȡ[ ȲǑÊ\ͧǕÈȯȡȯɅȪ_fȡ` ȯ\ͬȡȡȣȯȡ¡Ȱ
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Ĥ ǗȡǐȪ[

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HARYANA POLICE CITIZEN SERVICES

3. (a) Occurrence of offence

(b) Information received at P.S.

S.No. Address Type

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

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

9. Particulars of properties of interest

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

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

S. No. UIDB Number

12. First Information contents

14. Signature / Thumb Signature of Officer in charge, Police

15. Date and time of dispatch to the court

Attachment to item 7 of First Information Report

Deformities / Peculiarities Teeth

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