FIRST INFORMATION REPORT [CD1]
(Under Section 154 Cr.P.C)
1. District ___________ Police
Station________ Year ________FIR No._____ Date_____ 2. Act___________ Sections______________
3.
a.
Occurrence of offence: Date ________Time
Period_____________
b.
Information received at Police Station
Date_________ Time_________
c.
General Diary Reference: Entry No_________
Time____________ 4.
Type of Information Written/Oral
5. Place
of Occurrence:
a. Direction
and distance from P.S__________ Beat No________
b. Address________________
c. In
case,, outside the limit of this P.S., then Name of Police
Station_____________________ District_______________________
6. Complainant/Informant:
a. Name_________________
b. Father's/Husband's
Name_________________
c. Date/Year
of Birth ___________
d. Nationality
e. Address_________________________
7. Details
of known/suspected/unknown accused with full particulars.
i. ____________________________________ ii. ____________________________________
8. Reasons
for delay in reporting by the complainant/informant
9. Particulars
of properties stolen____________________
10. Total
value of property stolen____________________
11. Inquest
Report/U.D case NO., if any__________________
12. FIR
Contents:_____________________
13. Action
Taken: Since the above information reveals commission of offence(s) u/s as
mentioned at Item No.2:
1. Registered
the case and took up the investigation or
2. Directed/Entrusted
(Name of I.O)__________ Rank_________ No___________ to take up the
Investigation or
3. Refused
investigation due to _____________ Or
4. Transferred
to P.S____________ District___________ on point of jurisdiction.
FIR read over to the complainant/informant,
admitted to be correctly recorded and a copy given to the
complainant/informant, free of cost.
Signature of Officer in
charge, Police Station
Name_____________________
Rank_________ No________
14. Signature/Thumb
impression of the complainant/informant.
15. Date
and time of dispatch to the court ___________________
16.

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