Interrogation Form 1
Interrogation Form 1
Interrogation Form 1
Nationalit !. "eligion #. $aste % &$/&'/($/)thers *. +resent Address 10 +ermanent address 2. PHYSICAL FEATURES
Se5 $1& -(i)t $2& Hei+6t $%& E7e# $*& Hai! $,&
Face $0&
Co)o! $1&
Teet6 $2&
.3.5 ?4.0 .(la1> 0t .$at .4.1 ?4.5 .&@-int 0t .4.! ?5.0 . )ne
0t 0t 0t 0t 0t 0t
.5.1 ?5.5 .)thers .5.! ?!.0 .!.1 ?!.5 .!.! ?#.0 .#.1?#.5
e e
.Normal
."o-nd ./hite .),al .Fair ./rin>l .(la1> ed .(ro8n .s@-ar . e .long &allo8 .)thers
.2rreg-lar .:is1olore
d
.;artl .MiAed
NOSE (9)
BEARD (10)
MUSTACHES (11)
EAR ( 12 )
Identification
a!"# $1%&
LEUCODE.A $11&
.OLE $ 12 &
SCAR $ 13 &
TATTOO $ 24 &
2. 3.
. ./ith 0amil .2n hotel .2n 3ostel .3-t .&l-m .Married .7nmarried .7;to # . # to <th .=rad-ate .+ost =rad-ate .2lliterate
th th
./ith Asso1iates .4a1ha 3o-se .5aga6ond .3a,ing t8o 8i,es .2ntermediate .+ro0essional 1o-rse
1
4.
)11-;ation
5.
2n1ome =ro-;
.=o,t. Co6 .+ri,ate Bo6 .:ail La6o-r .$ontra1t La6o-r .(-siness . 7nem;lo ee .Lo8er 2n1ome "s. 500 ;.m. .Lo8er Middle in1ome "s.501 to "s.1000 .Middle in1ome "s.1001 to "s.2000 .7;;er Middle in1ome "s. 2001 to "s. 3000 .7;;er in1ome "s. 3000 a6o,e
Na e Add!e## C!i ina) 9ac"+!o(n d: an7 A)i;e ' dead
Mother
(rothers
1.
2.
4.
&isters
1.
2.
5.
/i0e
1.
2.
!.
$hildren
1.
2.
#.
Fathers 6rothers
1.
2.
%.
Fathers sisters
1.
2.
*.
Mothers 6rothers
1.
2.
10.
Mothers sisters
1.
2.
11.
/i0es 6rothers
1.
2.
.Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No .Yes
.Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e .:ead .Ali,e
2
12
/i0es sisters
1.
2.
13
An others
1.
2.
.No .Yes .No .Yes .No .Yes .No .Yes .No .Yes .No
EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE RELATIONSHIP
,. RELATIONSHIP <ITH OTHER ASSOCIATES 'GANG .E.-ERS S.No. GANG .E.-ER NA.E 1 2 3 0. PERIOD OF OFFENCE
. Moon Light
+& Limits
.&trangers night
.)thers (s;e1i0
.Li@-or .+rostit-tion
.&mo>ing
>ee; (s;e1i0 name i0 an )
.=am6ling
.$he8ing +an /
=-t>a
.Maintenan1e o0 .)thers
./itnessing
mo,ie
.$ons-ming li@-or /
todd
.$ons-ming ganBa
A0ter )00en1e
.)thers (s;e1i0 )
"emar>s
+re;aration o0 o00en1e
. (ars / /ine sho;s .:ila;idated ho-ses .'odd sho;s ."ail8a .:ila;idated 3o-ses stations .Asso1iates .(-s &tands residen1e .4ee;s ho-se ."elati,es ho-se ."elati,es ."eg-lar ho-se ho-se .Friends ho-se .)thers .=athering
;la1e
.&old .+ledg
ed
.&old .+ledg
ed
.&old .+ledg
ed
'hro-gh 1oa11-sed(name
.&old .+ledg
ed
12.
.La,ish
&;ending +ro;erties 1%. sn o 1 1*. a. 6. 1. d. e. 0. g. h. i.
.4ee;
Maintenan1e
.+rostit-tion .)thers
(s;e1i0 ) $r.No. &e1.o0 la8
ARREST PARTICULARS :ate o0 Arrest +la1e o0 arrest $rime No. F se1 o0 la8 +oli1e &tation &-6 :i,ision :ist / 7nit Arrested 6 2nterrogated 6 )thers 8ho 1an identi0
1,. REGULARISATION OF PT <ARRANTS ' N-<S a& Re+()a!i=ation of PT <a!!ant &.N :ist / :,n +& $r. No &e1. )0 o la8 1 2 3 9& E5ec(tion of N-< &.N :ist / :,n o 1 2 3 10. &.N o 1 2 11. SURETIES &.No :ist / :,n N - <# PENDING :ist / :,n +&
&$ / $$ No
$o-rt
"emar>s
+&
$r. No
&e1. )0 la8
&$ / $$ No
$o-rt
:ate o0 eAe1-tio n
"emar>s
$r. No
&e1. )0 la8
&$ / $$ No
$o-rt
+ending sin1e
&-reties
+&
:9'A2L& )F &7"9'Y
Name 1 2
Address
13. >AIL STAY ? AC@UINTANCES &.No CA2L CA2L +9"2): NAM9 F")M ') Name F address o0 Cail Mem6er
N9/ A$H7A2N'AN$9 Nat-re o0 1rime in,ol,ed +oli1e station 8here0ro m remande d "emar>s ( M) )
$r.No.
&e1.o0 la8
&$ / $$ No
:ate o0 C-dgme nt
6.
1.
e.
0.
.Fa1ing trial
+oli1e &tation
$rime N-m6ers
ooOoo