FIRST INFORMATION REPORT

U/S 154Cr.P.C

1. District : Crime Branch, Delhi P.S : e-Police Station (ADARSH NAGAR, NORTH W EST) Y ear : 2024
FIR NO : 80052253 Date : 19/05/2024
2. Act(s): Section(s)
(1) IPC 379
3. Occurrence of Offence :
(a) Day: Sunday Date From : 19/05/2024 Date To : 19/05/2024
Time Period Time From : 18:30 hrs Time To : 18:50 hrs
(b) Information received at P.S: Date : 19/05/2024 Time :
(C) Daily Diary Reference : Entry No: 20A Time : 20:18
4. Type of Information : Through w eb application
5. Place of Occurrence :
(a) Direction and Distance from P.S : Beat No:
(b) Address: Majlis Park, Adarsh Nagar
(c) In case, Outside the limit of the Police Station: Name of P.S: District:
6. Complainant / Informant :
(a) Name : Kusum Gosw ami s/o Late Jagdish Chander Chadha
(b) Date/Y ear of Birth : 04/02/1961 Nationality: India
(c) Passport No : Not Available Date of Issue: NA Place of Issue: Not Available
(d) Occupation : Not Available
(e) Address: B-66, Gali No.1, Majlis Park, Adarsh Nagar, Delhi 110033
[Mobile Number : 7042684492] [Email ID : kusumgosw amilic@gmail.com]
7. Details of Suspected / Unknown accused with full particulars(attach separate sheet if necessary). :
(a) Suspect seen : Not Seen
(b) No. of suspect(s) : 0
(c) Suspect(s) Identified : No
8. Reason for delay in reporting by the complainant/informant:
no delay.
9. Particulars of properties stolen/ involved (attach separate sheet if necessary): Attachment Not Applicable

Sl. Details of Property Description of Property Status

1 Mobile Black coloured phone w ith a transparent cover Stolen

10. Details of Incident :

I w as standing outside and my phone w as lying on the chair just at the door of my house. I have the CCTV footage of the w oman w ho
picked up my phone (from my neighbours CCTV). Please look into the matter.
11. Inquest Report / U.D. Case No., if any : N/A
12. F.I.R Contents(attach separate sheet,if necessary) :

I, Kusum Gosw ami (D/O) Late Jagdish Chander Chadha, report the theft of my article(s)/belonging(s) from Majlis Park, Adarsh Nagar
betw een 18:30 and 18:50 on 19/05/2024.
Detailed statement w ill be recorded by the Investing Officer at later stage.
13. Action Taken (Since the above information reveals commission of offence(s) u/s as mentioned at item no.2
(i) Registered the case and took up the investigation OR
(ii) Directed (Name of the I.O): Rank :
PIS Number: to take up the investigation OR
(iii)Refuse investigation due to : OR
(iv)Transferred to P.S(name): District :
on point of jurisdiction.

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 :
R.O.A.C :
14. Signature / Thumb Impression of The Complainant / Informant : Signature of Officer
I certify that the information furnished for lodging FIR through this application NAME: NITIN KR. VERMA
 is correct to the best of my know ledge. RANK: INSPECTOR
PIS NUMBER: 16060001
15. Date and Time of dispatch to the court :

Digitally signed by
DS CRIMENot
Signature Verified
DS CRIME
BRANCH BRANCH
POLICE 09
DELHI

DELHI Date: 2024.05.19

20:18:07 +05:30
POLICE 09 Reason: FIR Lodged
Location: New Delhi