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3TH 47 H0-118 HEM-B

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SATO FO T T0-26 (fan-143) HTRZTI

ref4t-(F.I.R.) 17693
(T0 0 O1 T 154 37it-)

1
famqrarisa KPIÍZUK*aianzz, wref tioLzu.fa14ne3 23
(Distt.) (S.Div.) (P.s.) (Yr.) (F.I.R.No.) (Date)
2. ()afaftH (Act).. . . (Section) .341.323.3.24.
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(n)fafaH (Act) .
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(iv) 3fefpan yo a r (Other Acts and Section). ****** **********

3 ()3yRTE ueI (Act).{aTE..."R ."aA:3:23,"aP a 7 . .


(Occurrence of Offence) (Day) (Date From) (Date to)
H4ATaf (VER) . . LTE
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(Time Period) Time From) (Time tob)
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y H r (Type of Information) afra/4tftra (Written/Oral)


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T1, 1 F B r A atr 3 4 sf uRardi/RT a AT a TI (Action taken Since


the above report reveals Commission of offence (s) u/s as mentioned at item No. 2 registered the case

and took up the investigation/ directed" Rank to take up the investigation)

TT HT i E ' o 3 23-

T4 (Name) K VNt
T14 (Designation)..

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