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FINGER PRINT RECORD SLIP DUPLICATE SLIP SENT

DISTRICT SERIAL No. MALE IDENTIFIED


BUREAU No. FEMALE UNIDENTIFIED . F.P.B. 2. F.P.B.
FULL NAME : 3. N.C.R.B.
First Alias DATE OF BIRTH/APP. AGGE OFFENDER
Second Alias HEIGHT CRIMINAL
Father's/Husband's Name (with aliases) BUILD
ADDRESSs ID-MARKS DEFORMITY
No. OF COPIES MADE
CONVICTION (S)
P.S
SI.
No
NAME UNDER
which Convicted
DIST. & COURT|
with Case No.
Date of
Conviction
Sertion Sentence
Jail and
Adm. No.
lcase No./| Identifying
Officer
FIR. Date|
wwww
Signature of the prosecuting Officer in Verification of the fact that the eonviclions in the F.P.
Sip have been verifierd from police. jail or juudicial records and ihey are corrert in their details.
District
PROSECUTING OFFICER
Date:
SLIP
XVI(O)-78-PE FINGER PRINT RECORD
CLASSIFICATION No. PROVISIONAL CRML. No.
REGULAR CRML NO.

03 15 26
04
RIGHT HAND

THUMB INDEX MIDDLE RING LITTLE

27 30 31 34 35 38 39 2 43 46

LEFTHAND

47 50 51 54 55 58 59 62 63 66
LEFT HAND PLAIN PRINTS RIGHT HAND
THUMB THUMB

Signature of Magistrate/Gazetted Ollicer/Oflicer in verilicalíon ol the fact that the'impression


above were taken belorc him and that they were the impressions of the convict named on
the reverse.
Rank/No. of Officer
Date Signature Rank/No. Date Place
Impressions taken by
Rank/No. Date Place
Impression tested by
To be filled by FPB UPDATE cODE 7 2
Name
15
HIII II FPB SI. No.
L
HENRY CLASSIFICATION
46
CLASSIFIED BY TESTED BY 71
INDEXED BY
CODIFIED BY CHECKED BY:
RECORDED BY

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