Haryana Police Citizen Services: 1. P.S. Fir No. Date District Year

HARYANA POLICE CITIZEN SERVICES
¡ǐȡȡǕͧ ȡǐ ȯȡ
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C.)
Ĥ ǗȡǐȪ[

ȡȡȲĤͩĐȡ Ǒ¡Ȳȡȯ¡
1. District
ǔ«ȡGURUGRAM P.S.
ȡȡKHEDKI DAULA Year
[
FIR No.
Ĥ Ǘǐ Ȳ Date
ǑȡȲ

2. S.No. Acts
\ͬǓ Sections
ȡȡ
fȱ

Đ Ȳ
1 IPC 1860 279
2 IPC 1860 304-A
3. (a) Occurrence of offence

\ȡȧȡ
1 Day
ǑSunday Date from
ǑȡȲ ȯ Date To
ǑȡȲ
Time Period
\ͬPahar 8 Time From
ȯhrs Time To
hrs
(b) Information received at P.S.

ȡȡ¡ȡȲ Date
ǑȡȲ Time

ǗȡĤȡÜ¡Ǖ_ hrs
(c) General Diary Reference Entry No.
Ĥͪǔç Ȳ Time

Ȫȡȡ Ȳ[

hrs
4. Type of Information
ǗȡȡĤȡWritten
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Ĥ ǗȡǐȪ[

5. Place of Occurrence

ȡè
1. (a) Direction and distance from P.S.
ȡȡ ȯǗȣkǑȡWEST, 02 Km(s) Beat No.
Ȣ Ȳ
(b) Address
ȡf Ȣ]Ȫȧȡ×ȢȯȯæȡȯȧȫȡǔȡǕǾĒȡ
(c) In case, outside the limit of this Police Station, then Name of P.S.
Ǒȡȡ Ȣȡȯȡ¡¡ȰȪȡȡȡȡ
District (State)
ǔȡ
ȡÏ
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Ĥ ǗȡǐȪ[

6. Complainant / Informant
ͧȡȡ[ Ǘȡȡ[
(a) Name
ȡȣȡ¡
(b) Father's Name
ͪȡȡȡĮȢȡȯæȡȡ¡
(c) Date/Year of Birth
ÛǓͬ[ (d) Nationality
ȡçĚȣȡINDIA

(e) UID No.
Ǘ]_Ȣ Ȳ
(f) Passport No.
ȡ Ȫ[ Ȳ
Date of Issue
ȡȣȯȧǓͬ Place of Issue
ȡȣȯȡèȡ
(g) Occupation
å ȡ
(h) Address

ȡ
S.No. Address Type
ȡȡ Address
ȡ

Đ Ȳ
Ĥȡ
1 Present Address ȡȱȯȧȫȡKHEDKI DAULA, GURUGRAM,
HARYANA, INDIA
2 Permanent Address ȡȱȡ¡ ȪȡKAGARAUL, AGRA, UTTAR
PRADESH, INDIA
(i) Phone number
Ǘȡ Ȳ Mobile
Ȫȡ^ Ȳ
7. Details of known / suspected / unknown accused with full particulars

£ȡ ȲǑÊ\£ȡ
\ͧǕÈȡǗȯͪ Ǒ¡[
S. No. Name
ȡ Alias
`ȡ Relative's Name
ǐæȯȡȡȡ

Đ Ȳ
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Ĥ ǗȡǐȪ[

8. Reasons for delay in reporting by the complainant / informant

ͧȡȡ[ Ǘȡȡ[ɮȡȡ
ǐȪ[ȯȣ ȯ[ȡȯȯȡ
9. Particulars of properties of interest

ȲǔÛ àǔ×ȡ
ͪ
S. No. Property Type
àǔ×ȯSub Type
`Ĥȡ Value(In Rs/-)
Ǘã
ǽ

Đ Ȳ
Ĥȡ Ʌ
10. Total value of property stolen (In Rs/-)

Ȫȣ¡Ǖ_ àǔ×ȡǕǗã
ǽɅ
11. Inquest Report / U.D. case No., if any

Ǚ×Ǖ Ȣ¢ȡǐȪ[ǗLȢLĤ ȲǑȪ_¡Ȫ
S. No. UIDB Number

ǗLȢLĤ Ȳ

Đ Ȳ
12. First Information contents

Ĥ ǗȡØ
ȯȡȯĮȢȡSHO ȡ¡ȡȡȯ°ȧȫȡǕǽĒȡ¡ȪǓȯ¡Ȱͩɇȣȡ¡ǕğĮȢ
ȡȯæȡȡ¡Ǔȡ Ȣȡȱȡ¡ Ȫȡȡȡȡȡȫǔȡ]ȡ
`0Ĥȯȡ¡ȯȡȡ¡Ǘȱ@ɇ
ǕǕȧȪ [ȲȢȡȣǕȪȯȫȣȡ¡Ǘȱ@ȯȯ ȡȣͧ Ȳ¡Ǖğ^Ȳȡͧ Ȳ¡ȡȱ
ȡȡȡǕà¡ȯǔȡǕȡèȡȪ ǕǕȧȪ [ȲȢ`ȪÈȯȡȡ¡Ȱȡ
¡ȪɉĤȢR/O ¡ Ǖȯȡȯͩȡf¡ȯ¡Ȱ@ǑȡȲ4/04/2021Ȫ
ȣ09:30 PM ȯȣ\ȢȪ ȡ_ͩȲUP80FN8921ȡȡ[¡ȣȪ ȯ¡ Ǖ ȯȯ°ȧȫȡ
ȯͧfȡȡȡȯȯͧfȡ¡ȯȯɇȪ ȡ_ͩȡ¡ȡȡȡȯȡ ȡȢȣͧ Ȳ¡Ȣȯ
Ȱȡȡf Ȣ]Ȫȧȡ×ȢȡȯȯæȡǕȯȡǾȧ¡ȡ¡Ǖ_Ȫɇȯ
\ȢȪ ȡ_ͩȪ ° ȯȢȯȪͧȡɇȡǾȯȯͧfǕȡȡȱǗȣ
ȡȡȡȣͧ Ȳ¡Ȫ ȡ_ͩȯȡ °ȡȡȪ^ȯȯ¡ȣȡȱȯ°ȧȫȡȧ
ȯfȡ°ȢALTO Ȳ ¹ȯ¡ǕȯǓ ȯȡȡ¡Ǖ]]ȡkȡȡ¡ȣ ȯȪȯ
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Ĥ ǗȡǐȪ[

Ȣȯside ȯ°ȢȯȣȪ ȡ_ͩȯȯ ȡȢȣȪÈȡȣÈȯ¡ȣȡ
ȡȡȡȡȡǗȯ\ȢȡȪȪȡǔ ȡȲȯȯRJ02CC4924ȡǗ¡Ǖ]
ǔ ȯæȡɇȪ\ȯ ȡȢȣȪ`ȡȯȯȡkȡȡȡȡ
ȡȡǗ\ȢȡȲ`ȪÈȪȫȡ ȯȯȡȡǔ ȯȡȡ¡ȢȪȧ ¡ȡȡ ȯ
ȡ¡ȡĤȲȯɇ\ȯ ȡȢȣͧ Ȳ¡Ȫȯ^ȡȯͧfȯȡȲȡ\èȡȯ¡Ǖȡ
¡ȡȨÈ ȡ¡ȯȯȯ ȡȢȣͧ Ȳ¡ȪǙȪͪǑȡ¡fǔÈ Ʌȡ\ãȪ
ȲRJ02CC4924ȯȡɮȡȡȡȪȡȡ¡ȣ ȯȡȯȯȡ¡Ǖ]¡Ȱ@Ȫ
^ fǔÈ ɅȯȢȪɉȯȡȯȯ ȡȢȣͧ Ȳ¡`ȪÈȧȫ¡Ǖ_¡Ȱȡȡȡ
ȡȡȡǗȯͨȡȡǗȢȡ[ȡ¡ȣȧȡf@\ɇȯȯȡȲȡ\èȡȯ]Ȫ\ȡ
ͧͨȯǑȡSD/- ȣȡ¡8958958208,7351200085ȡ[ȡ¡ȣǕͧ ]ȢǓ
ȡȪȲĚȪǾǕǽĒȡ ȯȡȡ ǗȡĤȡÜ¡Ǖ_ͩȣȡȡåǔÈȪ ȡ^
Accident ȯȢȪɉȯȡȯȡȲȡ¡Ȩǔèȯbrought dead ȡȡȡ¡Ȱ@ȡ[ȡ¡ȣ¡ȯǕI/O
ȯȯǔ ǗȡèȲHC ɇͧ ȡ¡ȣ\ͧǕȡNo.5536ȡȡȯ°ȧȫȡ ȯȯȡȲȡ
¡Ȩǔè¡Ǖȡȱ¡ȡȱǕͧ ǗȡMLC No.9026 Brought dead \ȡȯĤȡÜȧȡdeath
ȣĤȡÜȧkȫȡȯ ȡȢȧȡȧȪȣS/O ȡȯæȡȯͧ`ȪÈ
ͧȡȯȧȪͧȡȯ ȡ ȯMLC ȡͫèȡ[ ȣ ȯȡȡ279,304A IPC ȡ
Ǒ¡Ȫȡȡȡȡȯȯͧͧ 0\ͧǕȡNo.5536ȯ¡ȡ\ͧȪ\Ȳͩ
\ͧȪȡȯ¡ȯǕȡȡȯȡȡ¡ȡ¡Ȱȡȯ\ͧȪ\Ȳͩ\ͧȪȲ ȯ Ǘͬ
ȯèȲHC ȡ[ȡ¡ȣ174 CrPC ȫȡȯȡȡ¡Ȩǔèȯ¡ȡǔ¡Ǘȱ@\ȯȡȡ¡Ȩǔè
ǕǽĒȡSD/- Sandeep HC ȡȡȯ°ȧȫȡǔȡǕǽĒȡdt 5-4-2021 Time 11:15 AM.^
ȡȡ`ȪÈȯȡȡȯĤȡÜ¡Ȫȯ\ͧȪ ȲÉȡ121ǑȡȲ05.04.2021ȡȡ279.304A
IPC ȡȡȯȧȫȡǔȡǕǾĒȡ[ǔèͩȡȡ\ͧȪȧFIR ȧCCTNS
ĤȲȡĤǓȡȲȰȡȧ_Ȫȡȯɮȡȡ`ÍȡͬȡǐȪȡ_ȡȡȰǔèĚȯ ȡ¡ȧ ȯȡȯ
ȯȢȡfȢ@Ǖͧ ȡ_\ ȯȯͧ \ͧ2033ȪǓÏIO HC Ȳȣȯȡ
¡Ȩǔèȡȡȡͩȡȡ@ĮȢȡȢ¡\ͧȪCCTNS ȧȢȧȡȢȯȡȯ
[ǔèͩȡȡ@
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Ĥ ǗȡǐȪ[

13. Action taken: Since the above information reveals commission of offence(s) u/s as
mentioned at Item No. 2.

ȧȢȡ[ȡ¡ȣǗȲͩ`ȪÈȡȡȣ ȯȡȡ¡Ȱͩ\ȡȯȡȣȡ
ȲɅ`ãȯȡȡȯ¡¡Ȱ
(1) Registered the case and took up the investigation
Ĥ[ͩȡȡkȡȲȯ
Rank
HC (Head
ͧfͧȡȡor ( ȡ Constable)
(2) Directed (Name of I.O.)
ȡȲ\ͬȡȣȡȡ
SANDEEP KUMAR
No.
Ȳto take up the Investigation
ȪȡȲ\ȯȡ Ʌȯȯȯ
ͧfǓȶǑȡȡor
ȡ
Directed (Mobile No. of I.O.)

ȡȲ\ͬȡȣȡȪȡ^Ȳ
(3) Refused investigation due to

ȡȲȯͧfor
ȯȡ^Ȳȡͩȡ
District
ǔ«ȡ
ȡ
(4) Transferred to P.S.
ȡȡ
on point of jurisdiction
Ȫ¢ȯğȡͬȡȯ
ȡ¡èȡȲǐ
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.
ͧȡȡ[
Ǘȡȡ[ȪĤȡͧȧ± Ǖȡ_Ȣ ¡ȣ[¡Ǖ_ȡȡkfȨȢǓǕã
ͧȡȡ[ȪȣȢ
R.O.A.C.
]jf Ȣ
14.
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Ĥ ǗȡǐȪ[

Signature / Thumb Signature of Officer in charge, Police

impression Station
ȡȡĤȡȣȯ¡èȡ¢
of the complainant /
informant
ͧȡȡ[ Name
ȡKrishan kant
Ǘȡȡ[ȯ¡èȡ¢\ȲǗȯ
Rank
I (Inspector)
ȡǓȡ
No.
Ȳ63SR
15. Date and time of dispatch to the court

\ȡɅĤȯȧǑȡȲ
k
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HARYANA POLICE CITIZEN SERVICES

3. (a) Occurrence of offence

(b) Information received at P.S.

7. Details of known / suspected / unknown accused with full particulars

8. Reasons for delay in reporting by the complainant / informant

9. Particulars of properties of interest

10. Total value of property stolen (In Rs/-)

11. Inquest Report / U.D. case No., if any

S. No. UIDB Number

12. First Information contents

Directed (Mobile No. of I.O.)

(3) Refused investigation due to

F.I.R. read over to the complainant / informant, admitted to be correctly recorded

Signature / Thumb Signature of Officer in charge, Police

15. Date and time of dispatch to the court

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