FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C)
1. District ___________ Police Station________ Year ________FIR No._____ Date_____
2. Act___________ Sections______________
3.
a. Occurrence of offence: Date ________Time Period_____________
b. Information received at Police Station Date_________ Time_________
c. General Diary Reference: Entry No_________ 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 the limit of this P.S., then Name of Police Station_____________________ District_______________________
6. Complainant/Informant:
a. Name_________________
b. Father's/Husband's Name_________________
c. Date/Year of Birth ___________
d. Nationality
e. Address_________________________
7. Details of known/suspected/unknown accused with full particulars.
i. ____________________________________
ii. ____________________________________
8. Reasons for delay in reporting by the complainant/informant
9. Particulars of properties stolen____________________
10. Total value of property stolen____________________
11. Inquest Report/U.D case NO., if any__________________
12. FIR Contents:_____________________
13. Action Taken: Since the above information reveals commission of offence(s) u/s as mentioned at Item No.2:
1. Registered the case and took up the investigation or
2. Directed/Entrusted (Name of I.O)__________ Rank_________ No___________ to take up the Investigation or
3. Refused investigation due to _____________ Or
4. Transferred to P.S____________ District___________ on point of jurisdiction.
FIR read over to the complainant/informant, admitted to be correctly recorded and a copy given to the complainant/informant, free of cost.
Signature of Officer in charge, Police Station
Name_____________________
Rank_________ No________
14. Signature/Thumb impression of the complainant/informant.
15. Date and time of dispatch to the court ___________________