Add New Complaint Details

“_ͧž€ȡ™€ȡͪšŽ‡Ȫ°Ʌ

1. Complaint No.
ͧž€ȡ™ Ȳ District
ǔ‡›ȡ›“a

Police Station
ȡ“ȡ‚Ȫ˜Ȣ“‚š Date of Complaint
ͧž€ȡ™€ȧǑ‘“ȡȲ€

2. Details of the complainant

ͧž€ȡ™€ȡ[€ȡͪšŽ

a) Nature of Complaint
ͧž€ȡ™€ȡĤ€ǙǓȪ™ȢèǕ

b) UID No.
™Ǘ]_ŒȢ Ȳ

c) Name
“ȡ˜ALOK RAI d) Father's/Husband's Name
ͪ”ȡ”Ǔ€ȡ“ȡ˜

e) Landline No.
›ɇŒ›ȡ^“ Ȳ f) Mobile No.
˜Ȫ–ȡ^› Ȳ

g) Age
]™Ǖ h) Date of Birth
‡Û˜Ǔͬ

i) Email ID
_˜ȯ›]_ŒȢnh.bajaj76@gmail.com j) Country of Nationality
šȡçĚȣ™ȡ¡ȯǕ‘ȯž

k) Address
”ȡ

S.No. Address Type

”ȡ€ȡĤ€ȡš Address
”ȡ

Đ Ȳ
1 [˜ȡ“”ȡ 2/377,VIRAM KHAND,GOMTI NAGAR,LUCKNOW,UTTAR PRADESH,›“a`׏šĤ‘ȯž—ȡš
2 [˜ȡ“”ȡ 2/377,VIRAM KHAND,GOMTI NAGAR,LUCKNOW,UTTAR PRADESH,›“a`׏šĤ‘ȯž—ȡš

3. Identification Details of the complainant

ͧž€ȡ™€ȡ[€ȡ”¡…ȡ“ͪšŽ

S.No.
Đ Ȳ Identification Type
”¡…ȡ“Ĥ€ȡš Identification No.
”¡…ȡ“ Ȳ

4. Details of the Accused

\ͧ—™Ǖȏ€ȡͪšŽ

1 a) UID No.
™Ǘ]_ŒȢ Ȳ b) Name of Accused
\ͧ—™Ǖȏ€ȡ“ȡ˜ALOK RAI

c) Mobile No.
˜Ȫ–ȡ^› Ȳ

d) Landline No.
›ɇŒ›ȡ^“ Ȳ

e) Address
”ȡ

S.No. Address Type

”ȡ Address
”ȡ

Đ Ȳ
€ȡĤ€ȡš
1 [˜ȡ“”ȡ 2/377, VIRAM KHAND, GOMTI NAGAR, LUCKNOW, ‚Ȫ˜Ȣ“‚š›“a`׏šĤ‘ȯž
2 èȡ™Ȣ”ȡ 2/377, VIRAM KHAND, GOMTI NAGAR, LUCKNOW, ‚Ȫ˜Ȣ“‚š›“a`׏šĤ‘ȯž

5. Incident Details
ƒŠ“ȡ€ȡͪšŽ

a) Place of Incident
ƒŠ“ȡ€ȡèȡ“GOMTI NAGAR, LUCKNOW

b) Type of Incident
ƒŠ“ȡ€ȡĤ€ȡš

c) Is Date/time of incident known

șȡƒŠ“ȡ€ȧǑ‘“ȡȲ€ ˜™£ȡ¡Ȱ!“¡ȣȲ

d) Uploaded Document
\”›ȪŒͩ€f‚f‘èȡȯ‡

S. No.
Đ Ȳ File Name
¹ȡ^›€ȡ“ȡ˜ Description
ͪšŽ
1

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 e) Date & Time of Incident From
ƒŠ“ȡ€ȧǑ‘“ȡȲ€kš ˜™ ȯ–‡ȯ

f) Date & Time of Incident To

ƒŠ“ȡ€ȧǑ‘“ȡȲ€kš ˜™€–‡ȯ

6. Complaint Details
ͧž€ȡ™ͪšŽ

a) Date of Complaint
ͧž€ȡ™€ȧǑ‘“ȡȲ€

b) Uploaded Document
\”›ȪŒͩ€f‚f‘èȡȯ‡

S. No.
Đ Ȳ File Name
¹ȡ^›€ȡ“ȡ˜ Description
ͪšŽ
1

c) Mode of Receipt
Ĥȡǔ܏€ȧͪͬ’

d) Remarks
ǑŠÜ”ͨŽ™ȡȱ

e) Complaint Description
ͧž€ȡ™ͪšŽ
I, ALOK RAI, AM WORKING A FIELD SUPERVISOR FOR HOME CREDIT INDIA FINANCE CASH COLLECTION PROCESS WITH NEW
HORIZONS, LOST CASH RECEIPT BOOKS PROVIDED BY HOME CREDIT BOOK NO 18-2910 CONTAINING FROM RECT NO.1800218176 TO
1800218250, BOOK NO.18-2913 CONTAINING RECEIPT NO. FROM 1800218401 TO 1800218475, BOOK NO.18-5481 CONTAINING RECEIPT NO.
FROM 1800411001 TO 1800411075, BOOK NO.18-2911 CONTAINING RECEIPT NO. FROM 1800218251 TO 1800218325, BOOK NO.18-2912
CONTAINING RECEIPT NO. FROM 1800218326 TO 1800218400 AND BOOK NO. 18-5489 CONTAINING RECEIPT NO.FROM 1800411601 TO
1800411675 .YOU ARE HEREBY REQUESTED TO DO THE NEEDFUL IN ORDER TO TRACE THESE BOOKS.

Report Printed on
ǐš”ȪŠ[˜ǕġŽ€ȧǑ‘“ȡȲ€–‡ȯ Signature
¡èȡ¢š

Report Printed by
ǔ‡ €ȯɮȡšȡǐš”ȪŠ[˜ǕǑġ Name
“ȡ˜Ajay Gupta

Rank
”‘

No.
 Ȳ

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