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HARYANA POLICE CITIZEN SERVICES

¡ǐš™ȡŽȡ”Ǖͧ› “ȡ‚ǐš€ ȯȡ
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C.)
Ĥ˜ Ǘ…“ȡǐš”ȪŠ[

’ȡšȡ‘ȲŒĤͩЙȡ Ǒ¡Ȳȡ€ȯ¡

1. District
ǔ«›ȡ JIND P.S.
ȡ“ȡ SAFIDON Year
Ÿ[ 

FIR No.
Ĥ Ǘǐš Ȳ  Date
Ǒ‘“ȡȲ€ 


2. S.No. Acts
\ͬ’Ǔ“™˜ Sections
’ȡšȡ


Đ Ȳ
1 IPC 1860 294
2 IPC 1860 34
3 IPC 1860 506
4 IPC 1860 509

3. (a) Occurrence of offence


\”šȡ’€ȧƒŠ“ȡ 

1 Day
Ǒ‘“ Intervening Days Date from
Ǒ‘“ȡȲ€ ȯ  Date To
Ǒ‘“ȡȲ€€ 
 

Time Period
 ˜™\ͬ’  Time From
 ˜™ ȯ  Time To
 ˜™€ 
hrs hrs

(b) Information received at P.S.


ȡ“ȡ‡¡ȡȲ Date
Ǒ‘“ȡȲ€  Time
 ˜™ 
 Ǘ…“ȡĤȡ܏¡Ǖ_   hrs
(c) General Diary Reference Entry No.
Ĥͪǔ犠Ȳ  Time
 ˜™ 

šȪ‡“ȡ˜…ȡ Ȳ‘—[ 
 
hrs

4. Type of Information
 Ǘ…“ȡ€ȡĤ€ȡš Written

System IP
]_”Ȣ  24/04/2023 22:12:18 1/7
HARYANA POLICE CITIZEN SERVICES
¡ǐš™ȡŽȡ”Ǖͧ› “ȡ‚ǐš€ ȯȡ
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C.)
Ĥ˜ Ǘ…“ȡǐš”ȪŠ[

’ȡšȡ‘ȲŒĤͩЙȡ Ǒ¡Ȳȡ€ȯ¡

5. Place of Occurrence

ƒŠ“ȡ萛 

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


ȡ“ȡ ȯ‘ǗšȣkšǑ‘žȡ NORTH, 7 Km(s) Beat No.
–ȢŠ Ȳ 

(b) Address
”ȡ Ǔ“˜“ȡ–ȡ‘

(c) In case, outside the limit of this Police Station, then Name of P.S.
™Ǒ‘ȡ“ȡ Ȣ˜ȡ€ȯ–ȡ¡š¡ȰȪȡ“ȡ
€ȡ“ȡ˜ 

District (State)
ǔ‡›ȡ
šȡϙ 

6. Complainant / Informant
ͧž€ȡ™€ȡ[ Ǘ…“ȡ€ȡ[ 
(a) Name
“ȡ˜ šȣ“ȡ
(b) Father's Name
ͪ”ȡ€ȡ“ȡ˜ –›‡Ȣ
(c) Date/Year of Birth
‡Û˜ǓͬŸ[  (d) Nationality
šȡçĚȣ™ȡ INDIA

(e) UID No.
™Ǘ]_ŒȢ Ȳ 
(f) Passport No.
”ȡ ”ȪŠ[ Ȳ 

Date of Issue
‡ȡšȣ€š“ȯ€ȧǓͬ  Place of Issue
‡ȡšȣ€š“ȯ€ȡèȡ“ 

(g) Occupation
噝 ȡ™ 
(h) Address

”ȡ 
S.No. Address Type
”ȡ€ȡ Address
”ȡ

Đ Ȳ
Ĥ€ȡš
1 Present Address ͫŒŒȡŒȡSAFIDON, JIND, HARYANA, INDIA
2 Permanent Address ͫŒŒȡŒȡSAFIDON, JIND, HARYANA, INDIA

System IP
]_”Ȣ  24/04/2023 22:12:18 2/7
HARYANA POLICE CITIZEN SERVICES
¡ǐš™ȡŽȡ”Ǖͧ› “ȡ‚ǐš€ ȯȡ
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C.)
Ĥ˜ Ǘ…“ȡǐš”ȪŠ[

’ȡšȡ‘ȲŒĤͩЙȡ Ǒ¡Ȳȡ€ȯ¡

(i) Phone number


‘Ǘš—ȡŸ Ȳ  Mobile
˜Ȫ–ȡ^› Ȳ 


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


£ȡ ȲǑ‘Ê’\£ȡ
\ͧ—™Ǖȏ€ȡ”ǗšȯͪšŽ Ǒ¡Ž[“ 

S. No. Name
“ȡ˜ Alias
`”“ȡ˜ Relative's Name
ǐšæȯ‘ȡš€ȡ“ȡ˜

Đ Ȳ 
1 ˜èȡ“ͧ Ȳ¡ Father's Name: ܙȡšȡͧ Ȳ¡
2 —Ǖ”ȯÛġ Father's Name: ˜ȡ“ͧ Ȳ¡

8. Reasons for delay in reporting by the complainant / informant


ͧž€ȡ™€ȡ[ Ǘ…“ȡ€ȡ[ɮȡšȡ
ǐš”ȪŠ[‘ȯšȣ ȯ‘‡[€šȡ“ȯ€ȯ€ȡšŽ 

9. Particulars of properties of interest


 Ȳ–ǔے à”ǔ׏€ȡ
ͪšŽ 
S. No. Property Type
 à”ǔ׏€ȯSub Type
`”Ĥ€ȡš Value(In Rs/-)
˜Ǘã™
ǽ

Đ Ȳ
Ĥ€ȡš ˜Ʌ

10. Total value of property stolen (In Rs/-)


…Ȫšȣ¡Ǖ_ à”ǔ׏€ȡ€Ǖ›˜Ǘã™
ǽ˜Ʌ 

11. Inquest Report / U.D. case No., if any


˜ǙיǕ ˜Ȣ¢ȡǐš”ȪŠ[™ǗLŒȢLĤ€šŽ Ȳ™Ǒ‘€Ȫ_¡Ȫ 

S. No. UIDB Number


™ǗLŒȢLĤ€šŽ Ȳ

Đ Ȳ

System IP
]_”Ȣ  24/04/2023 22:12:18 3/7
HARYANA POLICE CITIZEN SERVICES
¡ǐš™ȡŽȡ”Ǖͧ› “ȡ‚ǐš€ ȯȡ
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C.)
Ĥ˜ Ǘ…“ȡǐš”ȪŠ[

’ȡšȡ‘ȲŒĤͩЙȡ Ǒ¡Ȳȡ€ȯ¡

12. First Information contents


Ĥ˜ Ǘ…“ȡØ™ 

 ȯȡ˜ȯf Bf…BjB ȡ¡–ȡ“ȡ ‘š •ȧ‘Ȫ@ͪŸ™ĮȢ˜ȡ“‡Ȣ‚ȡ›ȣ‚›ȫ…€š“ȯ‚Û‘ȣ
‚ȡͧ›™ȡȲ‘ȯ“ȯ¡ȯǗ€ȡ“Ǘ“Ȣ€ȡ™[ȡ¡ȣ€š“ȯ–ȡšȯ@Ǔ“ȯ‘“¡Ȱͩ€˜ɇšȣ“ȡ”ǔד–›‡Ȣ`•[––›Ǖȡ Ȣ
ͫŒŒȡŒȡ€ȧǓ“ȡ Ȣ¡ǗȲ@˜ȯšȯȢ“–Í…ȯ¡Ȱ@ǔ‡“˜ȯ‘Ȫ›Œ€ȯȡf€›°€ȧϙȪǓȡ`Ĩ ȡ›¡Ȱ@
˜Ȱ˜ȯšȣ›°€ȧϙȪǓȡ˜ȯšȣ‘ȯšȡ“Ȣ˜Ǖ€ȯž`•[˜ȡ•ȧ”ǔד Ȫ“Ǘȡ ȢͫŒŒȡŒȡ€šȣ–Ǒ‘“
”¡›ȯ¡ȡȲ ȢĦȡۅ“¡š‚ȡȲǓ“à“ȡ–ȡ‘€ȧ”ŠŒȢ”š›€ͫŒ™ȡȲ…Ǖ‚š¡ȯȯ@¡˜Ȣ“Ȫ¡ȡȲ ȯ€šȣ–
–‡ȯžȡ˜€ȯ ˜™›€ͫŒ™ȡȲ…Ǖ‚€š…›“ȯ›‚ȯȪ˜èȡ“ͧ Ȳ¡”Ǖğܙȡšȡͧ ¡ȡ ȢǓ“à“ȡ–ȡ‘
` €ȡ—Ȣ‡ȡ—Ǖ”ȯÛġ”Ǖğ˜ȡ“ͧ Ȳ¡ȡ ȢǓ“à“ȡ–ȡ‘˜ȫ€ȡ”š]‚™ȯ@˜ȫ€ȡ”š‚ȡȲǓ“à“ȡ–ȡ‘€ȯ
—Ȣ€_å™ǔȏ˜ȫ€ȡ”šŒȯȯ˜ȫ€ȡ”š˜èȡ“ͧ Ȳ¡“ȯ¡˜ȯ‚Û‘ȣ\æ›ȣ›‚ȡͧ›™ȡȲ‘ȣkš
‚Û‘ȣ‚ȡͧ›™ȡȲ‘ȯ€š˜ȯšȣ€ȡ•ȧ–ȯ^χȢ€ȧ@˜èȡ“ͧ Ȳ¡€ȯ€¡“ȯ”š` €ȯ—Ȣ‡ȡ—Ǖ”ȯÛġ“ȯ^ 
‚Û‘ȣ‚ȡ›ȣ‚›ȫ…€ȧͪͫŒ™Ȫ–“ȡ_kš\ۏ˜Ʌ˜èȡ“ͧ ¡“ȯ˜Ǖˆȯ€ȡ•ȧ’˜€ȡ™ȡkš€¡ȡͩ€
™Ǒ‘˜ȯšȯɮȡšȡ‚ȡ›ȣ‚›ȫ…–ȡšȯ€Ȫ_”Ǖͧ› €ȡ™[ȡ¡ȣ€ȧȪ˜ɇ‡ȡ“ ȯ˜ȡš‘Ǖ‚ȡȲ@ǔ‡ €ȯ€ȡšŽ
˜Ȱ“ȯ\–€”Ǖͧ› €ȡ™[ȡ¡ȣ“¡ȣ€ȧȢ@˜èȡ“ͧ Ȳ¡€ȯ—Ȣ‡ȯ—Ǖ”ȯÛġ“ȯ–“ȡ_‚_ͪͫŒ™Ȫ€Ȫ
\”“ȯ‡ȡ“€ȡš›Ȫ‚Ȫ€ȯ”ȡ —ȯ‡Ǒ‘™ȡ@ͩ•š˜ȯšȯƒšȡ›ȯ––›Ǘ“ȯ™¡ͪͫŒ™Ȫͩ€ Ȣ˜Ȫ–ȡ_›˜ȯ‘ȯȢ
ǔ‡ €ȯ–ȡ‘˜ȯšȯƒšȡ›ȯ“ȯ˜Ǖˆȯ”Ǖͧ› €ȡ™[ȡ¡ȣ€š“ȯ€ȯͧ›f€¡ȡ@^ Ĥ€ȡš˜èȡ“ͧ ¡“ȯ¡˜ȡšȯ
 ȡ‚Û‘ȣ‚ȡ›ȣ‚›ȫ…€š€ȯ¡˜ȡšȣ–¡Ǖ–ȯ_χȢ€ȧ¡Ȱ@˜Ȱͧž€ȡ™€ȯ ȡ˜èȡ“ͧ Ȳ¡€ȯ
ɮȡšȡ¡˜ȯ‘ȣ‚_‚Û‘ȣ‚ȡͧ›™Ȫ€ȧͪͫŒ™Ȫ”Ȱ“Œȡ_˜ɅŒ›ȡ€š]”€Ȫ”ȯž€šš¡ȣ¡ǗȲ@™¡
ͪͫŒ™Ȫ˜ȯšȯ”Ǔ€Ȫ‚ȡȲ€ȯͩ€ Ȣ Ï‡“”ǕǽŸ“ȯ‘ȣ¡Ȱ@^“€ȯͨ›ȡ•€ȡ“Ǘ“Ȣ€ȡ™[ȡ¡ȣ€ȧ‡ȡȯ@
Ĥȡȸ™ȡž“ȡǑ‘“ȡȲ€SD šȣ“ȡ”ǔד–›‡Ȣ`•[––›Ǖȡ ȢͫŒŒȡŒȡ˜Ȫ«ȡ^›“
€ȡ™[ȡ¡ȣ”Ǖͧ› Ȭ]‡˜“ASI ¡ȡ‡Ȣšȡ“ȡ¡Ǖȱͩ€ǐš“ȡ`”šȪȏ“ȯ˜“ASI €Ȫ
¡ȡǔ‡šȡ“ȡ`”šȪȏ‘šȡ菘™”Ȱ“Ĝȡ_˜™B CERTIFICATEEVIDENCE ACT €ȯ”ȯž€ȧ
@‡Ȫ‘šȡ菀ȯ˜‡–Ǖ“ ȯͪͫŒ™Ȫ•ǕŠȯ‡€Ȫ‘ȯ“ȯ`”šȡۏ’ȡšȡIPC €ȡš‡‘
¡Ȫ“ȡ”ȡ™ȡ‡ȡȡ¡Ȱͧ›¡ȡ‡ȡ”ǐšȡ‘`”šȪȏ”š˜Ǖ“ȲǑ‘U/S 294,506,509,34 IPC
PS  ‘š •ȧ‘Ȫ‘‡[šǔ‡€š€ȯ˜™L/C ˜Ȣ“Ȣ˜™˜Ǖ‘_™ȡšȣ“ȡ€ȯšȡ“ȡ˜ȫ€ȡƒŠ“ȡ萛
€ȡ¡Ȫȡ¡Ǖȱ@SD ASI NAVJEET SINGH 222 PS SDR SAFIDON DT 20.04.2023 AT 08.00 PM

13.

System IP
]_”Ȣ  24/04/2023 22:12:18 4/7
HARYANA POLICE CITIZEN SERVICES
¡ǐš™ȡŽȡ”Ǖͧ› “ȡ‚ǐš€ ȯȡ
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C.)
Ĥ˜ Ǘ…“ȡǐš”ȪŠ[

’ȡšȡ‘ȲŒĤͩЙȡ Ǒ¡Ȳȡ€ȯ¡

Action taken: Since the above information reveals commission of offence(s) u/s as
mentioned at Item No. 2.

€ȧ‚™Ȣ€ȡ™[ȡ¡ȣ…ǗȲͩ€`”šȪȏ‡ȡ“€ȡšȣ ȯ”ȡ…›ȡ¡Ȱͩ€\”šȡ’€š“ȯ€ȡšȣ€ȡ
˜‘ Ȳ˜Ʌ`ã›ȯ’ȡšȡ€ȯ¡¡Ȱ 
(1) Registered the case and took up the investigation
Ĥ€šŽ‘‡[ͩ€™ȡ‚™ȡkš‡ȡȲ…€ȯ
Rank
”‘ Asst. SI (Assistant
ͧ›fͧ›™ȡ‚™ȡ or ( ™ȡ  Sub-Inspector)
(2) Directed (Name of I.O.)
‡ȡȲ…\ͬ’€ȡšȣ€ȡ“ȡ˜ 
Navjeet Singh

No.
 Ȳ to take up the Investigation
€Ȫ‡ȡȲ…\”“ȯ”ȡ ˜Ʌ›ȯ“ȯ€ȯ
ͧ›fǓ“‘ȶžǑ‘™ȡ‚™ȡ or
™ȡ

Directed (Mobile No. of I.O.)


‡ȡȲ…\ͬ’€ȡšȣ€ȡ˜Ȫ–ȡ^›“Ȳ–š 

(3) Refused investigation due to


‡ȡȲ…€ȯͧ›f or
€ȯ€ȡšŽ^Ȳ€ȡšͩ€™ȡ
District
ǔ«›ȡ 
™ȡ
(4) Transferred to P.S.
ȡ“ȡ 

on point of jurisdiction
€Ȫ¢ȯğȡͬ’€ȡš€ȯ
€ȡšŽ¡èȡȲǐš 
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.
ͧž€ȡ™€ȡ[
 Ǘ…“ȡ€ȡ[€ȪĤȡͧ˜€ȧ”±€š Ǖ“ȡ_‚™Ȣ ¡ȣ‘‡[¡Ǖ_˜ȡ“ȡkšf€€Ȩ”ȢǓ“žǕã€
ͧž€ȡ™€ȡ[€Ȫ‘ȣ‚™Ȣ

R.O.A.C.
]šjf Ȣ

14. Signature of Officer in charge, Police


Station
ȡ“ȡĤ—ȡšȣ€ȯ¡èȡ¢š

Name
“ȡ˜ Sunil kumar

System IP
]_”Ȣ  24/04/2023 22:12:18 5/7
HARYANA POLICE CITIZEN SERVICES
¡ǐš™ȡŽȡ”Ǖͧ› “ȡ‚ǐš€ ȯȡ
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C.)
Ĥ˜ Ǘ…“ȡǐš”ȪŠ[

’ȡšȡ‘ȲŒĤͩЙȡ Ǒ¡Ȳȡ€ȯ¡

Signature / Thumb Rank


”‘ I (Inspector)
impression
of the complainant / No.
 Ȳ Insp
informant
ͧž€ȡ™€ȡ[
 Ǘ…“ȡ€ȡ[€ȯ¡èȡ¢š\Ȳ‚Ǘ‹ȯ
€ȡǓ“žȡ“

15. Date and time of dispatch to the court


\‘ȡ›˜ɅĤȯŸŽ€ȧǑ‘“ȡȲ€

kš ˜™ 

Attachment to item 7 of First Information Report


Ĥ˜ Ǘ…“ȡǐš”ȪŠ[€ȯ˜‘
 Ȳ›Ê“€ 

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


seen )

 ȲǑ‘Ê’\ͧ—™Ǖȏ€ȧžȡšȣǐš€ͪžȯŸȡfȱͪ€ǙǓ™ȡȱkš\ۙͪšŽ
™Ǒ‘£ȡ
‘ȯȡ‚™ȡ 

S. No. Sex Date / Year Build


–“ȡŠ Height Complexion
šȲ‚ Identification Mark(s)
”¡…ȡ“ͬ…Û¡

Đ Ȳ
ͧ›Ȳ‚ Of Birth (cms)

‡Û˜Ǔͬ
€‘
Ÿ[
 ȯ˜Ȣ

1 2 3 4 5 6 7
1 Male

Is pox pitted: Yes


2 Male

Is pox pitted: Yes

System IP
]_”Ȣ  24/04/2023 22:12:18 6/7
HARYANA POLICE CITIZEN SERVICES
¡ǐš™ȡŽȡ”Ǖͧ› “ȡ‚ǐš€ ȯȡ
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C.)
Ĥ˜ Ǘ…“ȡǐš”ȪŠ[

’ȡšȡ‘ȲŒĤͩЙȡ Ǒ¡Ȳȡ€ȯ¡

Deformities / Teeth
‘ȡȱ Hair
–ȡ› Eye
]ȱɅ Habit(s) Dress Habit (s)
Peculiarities
ͪ€ǙǓ™ȡȱ (]‘Ʌ
”¡“ȡȡ
ͪͧžçŠȡfȱ
8 9 10 11 12 13

Language/Dialec Place of
€ȡèȡ“ Others
\ۙ
t
—ȡŸȡ–Ȫ›ȣ
Burn Mark Leucoderma Mole
˜è ȡ Scar
ƒȡ Tattoo
‚Ǘ‘ȯ¡Ǖf

‡›ȯ¡Ǖf€ȡ
›Ǖ€Ȫ‘ȯ˜ȡ[
 ¹ȯ‘
€ȡ
Ǔ“žȡ“ ’Þ–ȯ
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.

™¡¢ȯğ—Ȣ‘‡[ͩ€f‡ȡfȲ‚ȯ™Ǒ‘ͧž€ȡ™€ȡ[ Ǘ…“ȡ€ȡ[ ȲǑ‘Ê’\ͧ—™Ǖȏ€ȯ–ȡšȯ˜Ʌ€Ȫ_f€™ȡ`  ȯ\ͬ’€
‡ȡ“€ȡšȣ‘ȯȡ¡Ȱ

System IP
]_”Ȣ  24/04/2023 22:12:18 7/7

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