Shivaji Nagar Police Station in Gurugram: FIR No. 381 For Non-Cognizable Offence

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

ȡȡȲĤͩĐȡ Ǒ¡Ȳȡȯ¡
1. District
ǔ«ȡGURUGRAM P.S.
ȡȡSHIVAJI NAGAR Year
[
FIR No.
Ĥ Ǘǐ Ȳ Date
ǑȡȲ

2. S.No. Acts
\ͬǓ Sections
ȡȡ
fȱ

Đ Ȳ
1 PREVENTION OF CRUELTY 11 (1) (k)
TO ANIMALS ACT, 1960
3. (a) Occurrence of offence

\ȡȧȡ
1 Day
ǑSunday Date from
ǑȡȲ ȯ Date To
ǑȡȲ

Time Period
\ͬPahar Time From
ȯ Time To

1 hrs 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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5. Place of Occurrence

ȡè
1. (a) Direction and distance from P.S.

ȡȡ ȯǗȣkǑȡNORTH, 0.1 Km Beat No.
Ȣ Ȳ
(s)
(b) Address
ȡKAMLA NEHRU MARKET GGM,
(c) In case, outside the limit of this Police Station, then Name of P.S.
Ǒȡȡ Ȣȡȯȡ¡¡ȰȪȡȡ
ȡȡ
District (State)
ǔȡ
ȡÏ
6. Complainant / Informant
ͧȡȡ[ Ǘȡȡ[
(a) Name
ȡVIJAYPAL
(b) Father's/Husband's Name
ͪȡǓȡȡ
(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 `Ǔ]ǕÈGURUGRAM,
HARYANA, INDIA
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2 Permanent Address `Ǔ]ǕÈGURUGRAM,

HARYANA, INDIA
(i) 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 ǐȡ Father's Name: \Ȣ
2 ͪǕȡ
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
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Ĥȯ`Ǔ]ǕÈǕǽĒȡ@ĤȯͪĤȲȡȡͧȡȢǕǽĒȡ¼]ǑȡȲ
ȪǕȯ ǗȡĤȡÜ¡Ǘ_ͩȡȲ ȡȪȪ_\ȰȡȣȪȲȯ
ɅȪȯ¡Ȱǔ Ǘȡɇ\ȯèȡ ¡ȣȡȡͧȡȢǕǽĒȡȧǕͧ ȧ
¡ȡȡȯȡȲ ȡȪȣTHE MEAT SHOP ȡȲ ȡȪȣͧȡȢȡȡ
ȡȯ¡ǽȡȶǕȡȰȧ_@ǔ ɅȫȯǐȡǕğ\Ȣͪ
ǕȡǕȡȯȡ¡¡ȡǔͧȯkǕȡȯ ȪȪȯȯȡȪ¡ȡ
ǔȲȡȯ
ȣȯǗȯÜȡ ȯǗ Ǘ ȯ¡ǕfͧɅ@¡ȡȡȯȡȢȡ
ĤȲ¡ȣȡ@ǐȡͪ ȯ`ȯȯȡȯȡ_ ɇ \Û àȲͬȡȡȯȯȡȯ¡ȡ
ǔÛ¡ȪȯȪ_ȡ_ ɇ ȡȡȯ ¡ȣͩȡ@ȯǐȪȪǕͧ INFORCEMENT
TEAM ȧ ¡ȡȡ ȯȡ¡ǓȡÞȡɅͧȡkȡͫȪȡĤȲȯǔȡ
INFERMEARY G.V.H GAUSHALA ǽǕǽĒȡɅͧȡȡȡ@] ȯǓȯ¡Ȱͩ
`ȪÈȯͨȡ\Ȱǽ ȯǕjȪ^ Ĥȡ ȯȯȯͨȡȡǗȢȡ[ȡ¡ȣȧ
ȡf@SD VIJAYPAL `Ǔ]ǕÈǔȡǕǽĒȡMOB. 9205846730 ȡ[ȡ¡ȣǕͧ
]HC ¡ȡǔȫȧȡͩȫȧ ǗȡĤȡÜ¡Ǖ_ͩȡȢÛȡȡ`Ǔ
]ǕÈǕǽĒȡɮȡȡȰȧȡȢ¡Ȱǔ ǗȡHC HC ANKIT 118, ASI
MAHENDER 245/GGM ȯKHANDSHA ROAD ¡Ǖȡ¡Ǖȱ¡ȡȲ`Ǔ]ǕÈǕǽĒȡɮȡȡ
fͧȡHC Ȫȯȧ¡ȰȪͧȡȯ ȡ ȯĤǺçȡ\ȡȡȡ11(1)(K)
ANIMAL CRUELTY ACT 1960 ȡ¡ȪȡȡȯȡȯfȯͧHC ANKIT 118/GGM Ȫ
\ͧȪ[ȡȯȯͧfȡȡȯȡȡ¡ȡ¡Ȱȡȯ\ͧȪ[\ͧȪ ȲÉȡ ȯ
ǕͬȯHC ȢɅåè¡Ǖ@èȡKHANDSHA ROAD NEAR 4/8 MARLA, SD-
SHUEB KHAN HC PP PATAUDI ROAD PS S. NAGAR GGM \ȡȡ`ȪÈȯȡȡȯ
ĤȡÜ¡Ȫȯ\ͧȪ`ÈȡȡȢ[ǔèͩȡȡFIR ȧĤǓȡȲȰȡȧ_Ȫ
ȡɮȡȡ`Í\ͬȡǐȪ_ȡȡȰǔèĚȯȧ ȯȡȯȯȢȡ¡ȣ¡Ȱ@ͧǕͧ
\ ͧȡ]ȯȡȯHC ANKIT 118/GGM ȯɮȡȡȫȡȯȢȡ¡ȣ¡Ȱ@¡\ͧȪ
HC SHUEB KHAN ȡCCTNS ACC. ȡ¡ȪȯȯȡASI RAJ KUMAR 272/GGM ȯCCTNS
ACC. ¡ȡǔȣȯ\Ȳͩͩȡȡ@
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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
Rank
Asst. SI (Assistant
ͧfͧȡȡor ( ȡ Sub-Inspector)
(2) Directed (Name of I.O.)
ȡȲ\ͬȡȣȡȡ
RAJ KUMAR
No.
Ȳto take up the Investigation
ȪȡȲ\ȯȡ Ʌȯȯȯ
ͧfǓȶǑȡȡor
ȡ
Directed (Mobile No. of I.O.)

ȡȲ\ͬȡȣȡȪȡ^Ȳ
(3) Refused investigation due to

ȡȲȯͧfor
ȯȡ^Ȳȡͩȡ
District
ǔ«ȡ
ȡ
(4) Transferred to P.S.
ȡȡ
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 of Officer in charge, Police

Station
ȡȡĤȡȣȯ¡èȡ¢
Name
ȡKrishan Kumar
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Signature / Thumb Rank

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

\ȡɅĤȯȧǑȡȲ
k
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£ȡ
ȯȡȡ
S. No. Sex Date / Year Build

ȡ Height Complexion
Ȳ Identification Mark(s)
¡ȡͬÛ¡

Đ Ȳ
ͧȲ Of Birth (cms)

ÛǓͬ

[
ȯȢ

1 2 3 4 5 6 7
1 Male 1996
Is pox pitted: Yes

2 Male 1989
Is pox pitted: Yes
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Deformities / Teeth
ȡȱ Hair
ȡ Eye
]ȱɅ Habit(s) Dress Habit (s)
Peculiarities
ͪǙǓȡȱ (]Ʌ
¡ȡȡ
ͪͧçȡfȱ
8 9 10 11 12 13
Language/Dialec Place of
ȡèȡ Others
\Û
t
ȡȡȪȣ
Burn Mark Leucoderma Mole
è ȡ Scar
ȡ Tattoo
Ǘȯ¡Ǖf

ȯ¡Ǖfȡ
ǕȪȯȡ[
¹ȯ
ȡ
Ǔȡ 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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Shivaji Nagar Police Station in Gurugram: FIR No. 381 For Non-Cognizable Offence

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Shivaji Nagar Police Station in Gurugram: FIR No. 381 For Non-Cognizable Offence

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HARYANA POLICE CITIZEN SERVICES

3. (a) Occurrence of offence

(b) Information received at P.S.

1. (a) Direction and distance from P.S.

2 Permanent Address `Ǔ]ǕÈGURUGRAM,

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

Directed (Mobile No. of I.O.)

(3) Refused investigation due to

14. Signature of Officer in charge, Police

Signature / Thumb Rank

15. Date and time of dispatch to the court

Attachment to item 7 of First Information Report

Physical features, deformities and other details of the suspect/accused: ( If known /

S. No. Sex Date / Year Build

Is pox pitted: Yes

Is pox pitted: Yes

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2 Permanent Address `Ǔ]ǕÈGURUGRAM,