[:

4.

5.

," - -'fha*pxr xs* fj. *t*.$rs { pit* n*o*

. . ..

tI

: 0-n{ , t,! lt { airtl Pq

12. FIR Contents (Attach-separate sheets, if required) t ,fho Oriryti"*l.l#A'r' t'lcn' {**Plaic'l rrtrhit h +* $*bA

h ?tQ *l r"!|*n '^;a't*r l*g

8 Reasons for delay in reporting by the Complainant / lnformation

9. Padiculars of properties stolen / involved (Attach separate sheet' if necessary)

:t!!F.-qli!+.!|i!',:#

10. Total value of properties stolen / involved ""'#*'!':l.ltl;lri*

11. lnquest Report / U.D Case No'' if any """""rrp'k

.13. Action taken : since the above report revears commission of offence(s) as mentioned at item No. 2', registered the case and took

jurisdiction. FrR read over to the complainu lnformant, admitted to be correctly recorded and a copy given to the complainant i

A ,otnformant free of cost. (ffifooYf "

t / 1'athre.l*o io a{ li^*l^{c*p

tai x'i. signature of the officer-in-charge, Police station

'14. Signature / Thumb imPiession

of the Complainant/ lnformant Name, ,.....$t-1.*t&*.1...ffifi..{f ...........,,......'

f.r15, Date & Time of despatch to the court :

Rank : No...'.+..{..q1ft ' l' 2''' !' i"'"' t' - " " " -' :': ; ! " " " "

Complainant / lnformant :

(a) Name ry&' $fqt Uk':;;,

(0 OccuPation...

(s) nooress .. ....... -\{i tl..'. "dS h r'cm" "" " ft e'

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

(Attach separate sheet, if necessary) :

.....*rl.*"*l*.;.\AI