FORM – IF1 - (Integrated Form) FIRST INFORMATION
REPORT
(Under Section 154 Cr.P.C)
1. Dist. ................. P.S...................Year ................. F.I.R. No.
................ Date ............
2. (i)
• (ii) *Act ........................................
*Sections ......................................................
• (iii) *Act ........................................
*Sections ......................................................
• (iv) * Other Acts &
Sections .........................................................................
..........
3.
• (a) * Occurrence of Offence: *
Day ...................*Date ...................... *Time ................
• (b) Information received at P.S.
Date .............................. Time ...................................
• (c) General Diary Reference: Entry
No(s) ........................ 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 limit
of this Police Station, then the name of
P.S. ...................................
District .................................
6. Complainant / information :
• (a)
Name ......................................................................
....................................
• (b) Father’ s / Husband’ s
Name ......................................................................
...........
• (c) Date / Year of
Birth ............................................. (d)
Nationality ..........................
• (e) Passport No: ....................... Date of
Issue: .................... Place of Issue ....................
• (f)
Occupation: ............................................................
.......................................
• (g)
Address: .................................................................
......................................
7. Details of known / suspected / unknown / accused with
full particulars
.......................................................................................
................................... ...................................................
....................................................................... ...............
........................................................................
8. Reasons for delay in reporting by the complainant / In-
formant ............................................. ............................
.......................................................................................
..... .................................................................................
........................................
9. Particulars of properties stolen / involved:
.......................................................................................
................................. .....................................................
.................................................................... ..................
.......................................................................................
.............
10. * Total value of the properties stole /
involved: ..............................................................
11. * Inquest Report /U.D. Case No., if
any: ....................................................................... .......
.......................................................................................
.........................
12. F.I.R. Contents (Attach separate sheets, if re-
quired):
13. Action taken: Since the above report reveals commis-
sion of offence (s) u/s as mentioned at Item registered the
case and took up the investigation/
direction*……………………………… to take up the investiga-
tion/ transferred to P.S. .............................. on point of juris-
diction.
F.I.R. read over to the complainant / Informant, admitted to
be correctly recorded and copy given to the Complainant /
Informant free of cost.
Signature /Thumb-impression of the complainant / infor-
mant
Signature of the Officer-in-charge, Police Station *
Name : ................................................
*Rank:...........................No. ...................
