PROFORMA FOR COMPLAINT REGISTRATION IN CFCFRMS PORTAL

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Particulars Details
No
Complainant Details
1 Complainant Mobile Number 9550939698
2 Name of the Complainant A. DAYAKARA RAO
Phone call Date and time to
3 16-04-2024
1930 helpline
DOOR NO: 4-535/11, DHARANI APARTMENT,SUKA BRAHMA
4 Present Address ASRAMAM ROAD,SRIKALAHASTI,TIRUPATI(Dt), PIN: 517640
DOOR NO: 4-535/11, DHARANI APARTMENT,SUKA BRAHMA
5 Permanent address ASRAMAM ROAD,SRIKALAHASTI,TIRUPATI(Dt), PIN: 517640
6 District TIRUPATI
7 State ANDHRA PRADESH
8 PIN Code 517640
9 Police Station 1 TOWN POLICE STATION, SRIKALAHASTI
10 E-Mail allurudayakar@gmail.com
11 Total Lost Amount 20000/-
12 Company & Model of the Mobile IQOO Z9 5G
13 Suspect Mobile Number 6289186546
Debited Transaction Details
(complainant details)
14 Type of fraud-sub category UPI
(UPI/NET BANKING/WALLET/OTHERS)

15 Money transfer through UPI

(BANK/WALLET/UPI/MERCHANT)
16 Name of the if Wallet/Merchant
17.Debited Transaction Details ( Victim) : (Mandatory)*
(12 digit number) MONEY TRANSFER
Your Your BANK
SN TRANSACTION THROUGH PHONEPE/
BANK ACCOUNT Amount DATE TIME
O ID/UTR NUMBER/ GOOGLEPE/CREDIT/DE
NAME NUMER
Reference No BIT CARD/BANK
474846110 NX24041600115 12:0
1 ICICI 4999 16/4/24 CREDIT CARD
0008 073786459321 6
474846110 NX24041600052 12:1
2 ICICI 4999 16/4/24 CREDIT CARD
0008 001273684221 2
431581340129 OD43100628212 12:4
3 ICICI 10000 16/4/24 CREDIT CARD
4002 7737000 7
4
5

Credited Transaction Details

(Suspected person details)
18 Suspect whatsapp number 06289186546
19 Bank/Wallet/ Merchant Bank
Suspect Bank Account No. -
20
Walled ID/Merchant ID
21 Suspect E-mail Id -
22 Suspect Address Kolkata
23 Incident description/ Remarks:-

Payment screenshot is given below –

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NOTE: please send all Transaction screen shots its mandatory.

Certificate:-

This is to certified that, all details & transactions mentioned above to the 1930 Helpline about the cyber
fraud are True & Genuine in my knowledge

Victim Name:
Cell No: