1. P.S.
FIR No. Date and Time of FIR
District Year
2. S.No. Acts Sections
1 147
2 148
3 149
4 307
5 323
6 332
7 336
8 353
9 186
10 188
11 504
12 427
13 7
14 2
15 3
FIRST INFORMATION REPORT (Under Section 154 Cr.P.C.)
3. (a) Occurrence of offence
Day Date from Date To 1
1
N.C.R.B
(b) Information received at P.S. Date Time
(c) General Diary Reference Date and Time Entry No.
Time Period Time From Time To
4. Type of Information
5. Place of Occurrence
Beat No.
(c) In case, outside the limit of this Police Station, then Name of P.S.
1. (a) Direction and distance from P.S.
(b) Address
District (State)
6. Complainant / Informant
(a) Name
(b) Father's Name
(c) Date/Year of Birth (d) Nationality
(e) UID No.
(f) Passport No.
Place of Issue Date of Issue
(g) ID Details (Ration Card, Voter ID Card, Passport, UID No., Driving License, PAN)
2
N.C.R.B
(h) Occupation
(i) Address
(j) Phone number Mobile
S.No. Address Type Address
1
2
7. Details of known / suspected / unknown accused with full particulars
S. No. Name Alias Relative's Name Present Address(
1
2
3
4
5
Accused More Than
S. No. ID Type ID Number
3
N.C.R.B
6
7
8
9
10
11
12
13
14
15
16
4
N.C.R.B
17
18
19
20
21
22
23
24
25
26
5
N.C.R.B
27
28
29
30
31
32
33
34
35
36
37
6
N.C.R.B
38
39
40
41
42
43
44
45
46
47
48
7
N.C.R.B
49
50
51
52
53
54
55
56
57
58
59
8
N.C.R.B
60
61
62
63
64
65
66
67
68
69
70
9
N.C.R.B
71
72
73
74
75
76
77
78
79
80
81
10
N.C.R.B
S. No. Propertty Category Property Type Description Value(In
Rs/-)
Particulars of properties of interest 9.
8. Reasons for delay in reporting by the complainant / informant
12. First Information contents
IPC
UP20AG0458
82
83
10. Total value of property (In Rs/-)
11. Inquest Report / U.D. case No., if any
S. No. UIDB Number
11
N.C.R.B
12
N.C.R.B
13
N.C.R.B
14
N.C.R.B
22
34 0 0
18
35 0 0
20
36 0
0 30
37
0 0 0
40
38 0 0
18
39 0 0 0
19
40 0 0
20
41
0 0 26
42
0 0
23
43 0 0
20
44 0 0
25
45 0 0
26
46 0
0 0 18
47
0 0
24
48 0 0
15
N.C.R.B
24
49 0 0
27
50 0 0
0 24
51
0 0 23
52
0 0
23
53 0 0
28
54 0 0 0
22
55
0 0 32
56
0 0 0 45
57
0 0
19
58 0 0
22
59 0 0
18
60
0 0 30
61
0 0
30
62 0 0
18
63 0 0
19
64 0
37
16
N.C.R.B
65 0 0
0 21
66
0 0 19
67 0 0
18 68 0 0
22 69
0 0 20
70 0 0 0
18 71
0 0 22
72 0 0 0
43 73 0 0
0 0 31 74
0 0
55 75 0 0
25 76
0 0
21 77 0 0
22 78
0 0
26 79 0 0
32 100, 150
0 0
0 0
0 0
0 0
0
0 0 0
0 0
0 0
147/148/149/307/323/336/332/353/186/188/504/427 IPC 7
2/3 1984
17
N.C.R.B
16.10
0
0
0 1610
Action taken: Since the above information reveals commission of offence(s) u/s as mentioned at Item No. 2.
(1) Registered the case and took up the investigation
or (
(2)
(3)
Directed (Name of I.O.) PS Nagina
Rank
No. to take up the Investigation
or
Refused investigation due to or
13.
(4) Transferred to P.S. District
18
N.C.R.B
on point of jurisdiction
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.
R.O.A.C.
14. Signature / Thumb impressionof the complainant /
informant
Signature of Officer in charge, Police
Station
Name PS NAGINA
Rank I (Inspector)
No.
Date and time of dispatch to the court 15.
Attachment to item 7 of First Information Report
Physical features, deformities and other details of the suspect/accused: ( If known / seen )
S. No. Sex Date / Year Of Birth
Build Height (cms)
Complexion Identification Mark(s)
1 2 3 4 5 6 7
1 1999 -
19
N.C.R.B
2 1997 -
3 1998 -
4 1998 -
5 1979 -
6 2001 -
7 1999 -
8 2001 -
9 1999 -
10 1996 -
11 1997 -
12 1999 -
13 1999 -
14 1992 -
15 1994 -
20
N.C.R.B
16 1999 -
17 1984 -
18 1991 -
19 1991 -
20 2001 -
21 1989 -
22 1986 -
23 1991 -
24 1991 -
25 1995 -
26 1994 -
27 1989 -
28 1994 -
29 1999 -
21
N.C.R.B
30 1995 -
31 1994 -
32 2000 -
33 1997 -
34 2001 -
35 1999 -
36 1989 -
37 1979 -
38 2001 -
39 2000 -
40 1999 -
41 1993 -
42 1996 -
43 1999 -
22
N.C.R.B
44 1994 -
45 1993 -
46 1998 -
47 1995 -
48 1995 -
49 1992 -
50 1995 -
51 1996 -
52 1996 -
53 1991 -
54 1987 -
55 1987 -
56 1974 -
57 2000 -
23
N.C.R.B
58 1997 -
59 2001 -
60 1989 -
61 1989 -
62 2001 -
63 2000 -
64 1982 -
65 2001 -
66 2000 -
67 2001 -
68 1997 -
69 1999 -
70 2001 -
71 1997 -
24
N.C.R.B
72 1976 -
73 1988 -
74 1964 -
75 1994 -
76 1998 -
77 1997 -
78 1993 -
79 1987 -
80 1995 -
81 1994 -
82 1993 -
83 1991 -
25
N.C.R.B
Deformities / Peculiarities
Teeth Hair Eye Habit(s)
(
Dress Habit
(s)
8 9 10 11 12 13
26
N.C.R.B
27
N.C.R.B
28
N.C.R.B
29
N.C.R.B
30
N.C.R.B
Language/Dialect
Place of Others
Burn Mark Leucoderma
Mole Scar Tattoo
14 15 16 17 18 19 20
31
N.C.R.B
32
N.C.R.B
These fields will be entered only if complainant/informant gives any one or more particulars about the suspect/accused.
33
N.C.R.B