English translation of FIR (Crime) no. /2021 of ………..
Police Station
FORM No. 1
KERALA POLICE
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C.)
1. District : P.S :
FIR No : 1549 Year : 2021
Date &Time : 05-11-2021 18:34 hrs
2.
[Link]. Acts Sections
1 IPC 1860 420,34
3. (a) Occurrence of offence:
1. Day : Intervening Day Time Period : 00:00
Date : 13/03/2020 Date to : 05/05/2020
Time from : 00:00 hrs Time to : 00:00 hrs
(b) Information received at P.S:
Date : 05/11/2021 Time : 18:02 hrs
(c) General Diary Reference:
Entry No. : 013 Time : 18:34 hrs
4. Type of Information : Court Endorsement
Source of complainant : Court
5. Place of occurrence :
1
(a) Direction and distance from P.S : WEST, 0.7 Km
Beat No :
(b) Address :
(c) In case outside the limit of this police station:
Name of P.S :
District :
6. Complainant/ Informant:
(a)Name :
(b)Husband’s Name :
(c) Date/ Year of Birth :
(d) Nationality : INDIA
(e) Passport No: ……...... Date of Issue: …………… Place of Issue: …………….
[Link]. Id Type Id Number
(f) Occupation :
(g) Address :
[Link]. Address Type Address
1 Present Address
2 Permanent Address
(h) Phone number :
(2) Victim/Missing/Deceased details:
Sl. Name Age Sex Relative’s Name Address
No
7. Details of known /suspected/unknown accused with full particulars:
[Link]. Name Alias Relative’s Name Address
8. Reasons for delay in responding the complainant/Informant:
9. Particulars of property of interest:
[Link]. Property Sub Type Description Value
Type
10. Total Value of Property Stolen (Attach separate sheet if necessary):
11. Inquest Report /U. D case No., If any:
[Link]. Registration Type Registration Number
12. First Information Contents:
13 Action taken: (Since the above Information reveals commission of offence (s) u/s as mentioned
at Item No. 2.
Investigation/Assign IO
Registered the case and took up the Investigation:
Name of IO :
Rank : SI (Gr) (Sub – Inspector (Grade))
PEN :
14 Signature/Thump impression of the complainant/informant Signature of office in charge,
Police Station
Name :
Ran : I (Inspector)
PEN :
F.I.R. read to the complainant, admitted to be correctly recorded and a copy given to the
complainant/informant free of cost