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INTERROGATION 1. INDIVIDUAL PARTICULARS First Name Middle Name 1. Name 2 Alias 3. Fathers name 4. Age Yrs / ( 2013) 5.

Nationalit !. "eligion #. $aste % &$/&'/($/)thers *. +resent Address 10 +ermanent address 2. PHYSICAL FEATURES
Se5 $1& -(i)t $2& Hei+6t $%& E7e# $*& Hai! $,&

REPORT Last Name

Face $0&

Co)o! $1&

Teet6 $2&

. Male . Lean .Femal .&to-t e .&ti00 .9re1t .&too;ing .3-n1h


(a1>

.3.5 ?4.0 .(la1> 0t .$at .4.1 ?4.5 .&@-int 0t .4.! ?5.0 . )ne
0t 0t 0t 0t 0t 0t

.5.1 ?5.5 .)thers .5.! ?!.0 .!.1 ?!.5 .!.! ?#.0 .#.1?#.5

e e

.Normal

.(la1> .(ro8n ./hite .(ald ..Long .$-rle .(a1>


$om6ed $om6ed hairs

."o-nd ./hite .),al .Fair ./rin>l .(la1> ed .(ro8n .s@-ar . e .long &allo8 .)thers

.2rreg-lar .:is1olore
d

.(ro>en .:o-6le .)thers

.;artl .MiAed

NOSE (9)

BEARD (10)

MUSTACHES (11)

EAR ( 12 )

.Large .&mall .3oo>ed . &n-6 .


+roBe1ted

8Trim .Long .&hort .Fren1h


$-t

8Long .'-rnee 7; ..$hi;;ed .:ro;;ing .No m-sta1hes


Defo! itie# ' Pec()ia!itie# $ 1* & Lan+(a+e ' Dia)ect $ 1, &

Identification

a!"# $1%&

-URN .AR/ $10&

LEUCODE.A $11&

.OLE $ 12 &

SCAR $ 13 &

TATTOO $ 24 &

%. SOCIO ' ECONO.IC PROFILE 1 Li,ing &tat-s Alone

2. 3.

Marital &tat-s 9d-1ation :etails

. ./ith 0amil .2n hotel .2n 3ostel .3-t .&l-m .Married .7nmarried .7;to # . # to <th .=rad-ate .+ost =rad-ate .2lliterate
th th

./ith Asso1iates .4a1ha 3o-se .5aga6ond .3a,ing t8o 8i,es .2ntermediate .+ro0essional 1o-rse
1

4.

)11-;ation

5.

2n1ome =ro-;

.=o,t. Co6 .+ri,ate Bo6 .:ail La6o-r .$ontra1t La6o-r .(-siness . 7nem;lo ee .Lo8er 2n1ome "s. 500 ;.m. .Lo8er Middle in1ome "s.501 to "s.1000 .Middle in1ome "s.1001 to "s.2000 .7;;er Middle in1ome "s. 2001 to "s. 3000 .7;;er in1ome "s. 3000 a6o,e
Na e Add!e## C!i ina) 9ac"+!o(n d: an7 A)i;e ' dead

*. FA.ILY HISTORY S.No Re)ation . 1 Father

Mother

(rothers

1.

2.

4.

&isters

1.

2.

5.

/i0e

1.

2.

!.

$hildren

1.

2.

#.

Fathers 6rothers

1.

2.

%.

Fathers sisters

1.

2.

*.

Mothers 6rothers

1.

2.

10.

Mothers sisters

1.

2.

11.

/i0es 6rothers

1.

2.

.Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes

.Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e
2

12

/i0es sisters

1.

2.

13

An others

1.

2.

.No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No

.:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead

a. :oes the 0amil mem6ers sta together 6. +e1-liarities o0 0amil mem6ersD an

EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE RELATIONSHIP

,. RELATIONSHIP <ITH OTHER ASSOCIATES 'GANG .E.-ERS S.No. GANG .E.-ER NA.E 1 2 3 0. PERIOD OF OFFENCE

.:ar> Fort night


1. LOCAL CONTACT &.No. 'o8n / $it /5illage 1 2 3 2. REGULAR HA-ITS

. Moon Light
+& Limits

.&trangers night

.)thers (s;e1i0

Name and address o0 1onta1t ;erson.

.Li@-or .+rostit-tion

.'odd .3or1e "a1e

.&mo>ing
>ee; (s;e1i0 name i0 an )

.=am6ling

.$he8ing +an /
=-t>a

.Maintenan1e o0 .)thers

3. INDULGANCE -EFORE OFFENCE

./itnessing
mo,ie

.$ons-ming li@-or /
todd

.$ons-ming ganBa
A0ter )00en1e

.)thers (s;e1i0 )
"emar>s

14. S H E L T E R &.No "eg-lar residen1e 1

+re;aration o0 o00en1e

. (ars / /ine sho;s .:ila;idated ho-ses .'odd sho;s ."ail8a .:ila;idated 3o-ses stations .Asso1iates .(-s &tands residen1e .4ee;s ho-se ."elati,es ho-se ."elati,es ."eg-lar ho-se ho-se .Friends ho-se .)thers .=athering
;la1e

.&ele1t hide o-t


11. DISPOSAL OF PROPERTY &l.No. 3o8 :is;osed "e1ei,er :etails re1ei,er Name o0 Address Famil mem6ers / others (s;e1i0 )

.&old .+ledg
ed

:ire1t (Name o0 a11-sed)

.&old .+ledg
ed

'hro-gh relati,e (name)

.&old .+ledg
ed

'hro-gh 1oa11-sed(name

.&old .+ledg
ed

12.

HO< SHARE OF A.OUNT SPENT

.La,ish
&;ending +ro;erties 1%. sn o 1 1*. a. 6. 1. d. e. 0. g. h. i.

.4ee;
Maintenan1e

.+rostit-tion .)thers
(s;e1i0 ) $r.No. &e1.o0 la8

.$learing :e6ts .&a,ings ."emar>s


=ang Mem6ers in ea1h 1ase +ro;ert stolen +ro;ert re1o,ere d "emar>s

.$on,erting into .$harit


CASES CONFESSED :ist / 7nit / +.&. :i,ision

ARREST PARTICULARS :ate o0 Arrest +la1e o0 arrest $rime No. F se1 o0 la8 +oli1e &tation &-6 :i,ision :ist / 7nit Arrested 6 2nterrogated 6 )thers 8ho 1an identi0

1,. REGULARISATION OF PT <ARRANTS ' N-<S a& Re+()a!i=ation of PT <a!!ant &.N :ist / :,n +& $r. No &e1. )0 o la8 1 2 3 9& E5ec(tion of N-< &.N :ist / :,n o 1 2 3 10. &.N o 1 2 11. SURETIES &.No :ist / :,n N - <# PENDING :ist / :,n +&

&$ / $$ No

$o-rt

:ate o0 reg-lariGati on o0 +' /arrant

"emar>s

+&

$r. No

&e1. )0 la8

&$ / $$ No

$o-rt

:ate o0 eAe1-tio n

"emar>s

$r. No

&e1. )0 la8

&$ / $$ No

$o-rt

+ending sin1e

&-reties

+&

$r. No F &e1 o0 la8

&$/$$ No and 1o-rt

:9'A2L& )F &7"9'Y

Nat-re o0 s-ret $ash / +ersonal / +ro0essional

Name 1 2

Address

Lo1al / Non lo1al

12. DEFENCE COUNSEL &.No :ist / +& :,n 1 2 3

$r. No F &e1 o0 la8

&$/$$ No and 1o-rt

:9F9N$9 $)7N&9L :9'A2L& Name Address +hone No

Assistan1e (ail / 'rial

13. >AIL STAY ? AC@UINTANCES &.No CA2L CA2L +9"2): NAM9 F")M ') Name F address o0 Cail Mem6er

N9/ A$H7A2N'AN$9 Nat-re o0 1rime in,ol,ed +oli1e station 8here0ro m remande d "emar>s ( M) )

:9'A2L& )F $A&9& =) (7'')N "9H72"9 : ') &3)/ $A&9&

1 2 3 24. NE< GANG FOR.ATION &l.No Addition / Name F Address &;lit 1 2

+"952)7& 32&')"Y +&D 7nit F &tate 8here in,ol,ed in 1rime

CA2L& /39"9 L):=9:

3 21. CONVICTION 'AC@UITTALS &.No :ist / :i,ision +& 7nit

$r.No.

&e1.o0 la8

&$ / $$ No

:ate o0 C-dgme nt

:etails o0 1on,i1ti on / a1@-ittal

"easons 0or a1@-itta l i0 an

1 2 3 22. A PRESENT <HEREA-OUTS From 8here sent 2n Cail

$rime No. 7' No et1

6.

.)n 6ail .A6s1onding .Normal Li0e ."eha6ilitated .:ead

From 8here sent

$rime No. and date o0 6ail $rime N-m6ers

1.

/anted in +oli1e stations

9>ing li,elihood 6 doing la6o-r 8or> ete1.

e.

0.

.Fa1ing trial

+oli1e &tation

$rime N-m6ers

2%. HO< -ECA.E

ooOoo

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