Arrest-Cum-Inspection Memo

P.F No 768791 (Scw 233/17 C.R.L.J 3525/9)

1. P.S & Case Reference : 34568/17 Date : 10.09.2017
2. Name and Address of the Arrestee :- Krishna Daksh Vishwakarma

3A, Manokamna Enclave,

Beside DLF Building, Info City

Bhubaneshwar, Odisha,
PIN- 751024

3. Date, Time & Place of Arrest:- 10.09.2017, 11.20 A.M, KIIT Road, Bhubaneshwar
4. Name & Designation of Officer affecting arrest : Vivekanand Sharma, Police Inspector
5. Ground of the arrest : Arrested on the charge of rape and attempt to murder u/s 376 and
307 of Indian Penal Code,1860
6. Place of Detention: Info City Police Station, Police Field Ln, Bhubaneshwar, 752070
7. Description role of the arrestee:

(I) Height: 172.56cm (VI) Age: 25

(II) Complexion: Wheatish (VII) Profession: Engineer
(III) Identification Mark: prominent marks of (VIII) Education: Graduate
stitches on neck and forehead on right.
(IV) Built: Lean but strong (IX) Physical Pecularities if any: NO
(V) Face: Oval faced
Name and Address of Witness :
Reshmi Panigrahi,

Info City,Bhubaneshwar,
Odisha, PIN- 751024

8. Details of injuries notice on the body of the arrestee at the time of arrest: NO
9. Serious ailment of disease if any: Diabetes
10. Special mention if any : NO
Signature of arrestee endorsing the Signature of the officer
receipt of copy the memo making arrest