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F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr (under ui;i:iJi-l?f,.'t:iit't't ( , (uwr 154 tlil '11)'xi'gf6at ?D tl-trti) EI$* {d) Nationatitv (vilii?lill):'{ra Date of l55ue {.ril{i t;v;\ i{;l ld Number {r.:i:.llr :il 1{.1!) N.d ; R.B t q'T.ctf.s{N.+l l l, l. F.-l (qJi\rtit| .1li{ ttrt'i -l} I l)i..ilrr{ r it.r.. . r i. '.:' P.S' (qllll: q<iitil" :+ Yqar ('1$: ;l01tl l .!li ft+. i:^. :, - .: i.:i,::ii Dat€ and Time or dtn ts"Ikfi' ili] i41''l 3ih 29"03jl0iti ;;':46 cti' .. r: rrr::t.i j ,i? i: ,i , . .: , ,.1;. .:1 i! 1"11 , rll l;iaa..trr t,t'.:, ,, "i{t}nrc ,:ijY rt il r:':'tl}i i.. D.riv i rt -t. .i Date From 1li)rlt'iti.r1 |; 29/fr,ii)i{Jlil Date to 1itlt1rti 14; }:2!):');}il\)}e t::rr{,pq:r:rr:,i.:.'r:::i:)':'r,TlmeFromlitr'!:Iri}li1'00i:l}TimeTo{Ti'r:!]l'r):i'rilU:i::i {b!tnrc,r3rnllorlri,:r}rveqi}ip,5.(e.ir{l viri':lilttglltDate{!(rff'n):2910fi)014 Tlmet{tl:t{)::il:$0rri rc)(;Fneralll|"1fYn'lfi}rPrttetlililri4iillntrytlo'(uf.]IiboSSoale&Time(|*riodh,$lN|tii03;i(il922)7!14 Iytle !)l !t!l'{l{f],,r?tr:rtl {':) i' 'r;: rl{i)i(}: ():'a! ,r,ijit t. iti l,){' rr,: t"t":.? tlrtLlr'i r;:::1. 1. i.j; lt:itlc'Ji1, ili:c ii,srilll{c from p.$.{airtl uf.iii oii'l lcl'll )!:lli'!i, 2 f}rii i.ir: lliJCrr..,li:i,. ;i"ir':':i l j',rrr tr:l iil'jj': '{itFi:5rii:iii'llr"i:l 1c: t$ Llli{r, tr.jr!;rft*: th/) timit of this police Station, then {il1i'i t4111 vflql q'r q1;n if ii'111 i136;s ot t',5.{:'j:!ii 'lr, r!ri}: District{Stats} $'\i'{t Bcat llo' (4lil ri'1: r:on i':i ;ti.i;t ?1t : 1 r!,'o rmil n t { i')iit;i*{li}iiif li'ljirf i't{1 f )I t;:t) iiilm{i ' ''t: ' :': :i!r: ':: r} iil4ll ,t., Fr\Ttt{ll ( jtrl\iri!ltd 5 i!nmc(ii r'ir:l 'i .:... .. , {ci rlirt* Y',r}t !)t *lttb fi:"'; fitiiil':lti )lt'"i;j iA) t.J;!) l{0 :l- "r'!' :i 11'}: {f} i}SS5l}t :' t!{.., i;:il'!ia !)iit{t} i, t :;.,,lJ i l'':ir! .l) ' t:)r 'i:11-i )i {gl I.t llffi' 1), lf i) i t! r ,':,: iii, r' ' ir,; lfi r it}n Ca : d,vtter lD Card,passport'UlD No^.Driving drt'-r,: i -r'pe 1'..i, a. riri':j iadarust {'i<i , - ,r1;:il;.-;'*.iii:!i::i'{i:r'i{:t*:i5.ri'r1r,;i{iriilt r"11t;"ig;{gri1,ri]:n1 . . itl /Jf{:(l)''i'r'.:'; 'rr;"1r1} .: !j! {11){1!1p ;1r;fi)i}t1{;,:;.'"'irl',,}: trkbilc {tildl('i{-;l'}: i}etili|:i0!.!.:i,$,11.S1,5p8{r:J..r{l,,unk|town;rccu$ed''itt|fdl|plirti(uiars(i6I1i1l\{iillrrlnTir.l1r$t1\ Aijc,.:.;(:d ^noi{: .h:in t't{ti!,1 .!iii';'l '}*i ll :;.irl4) ':;I l}

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Page 1: I ui;i:iJi-l?f,.'t:iit't'tnagpurpolice.gov.in/media/accidents_compensation/66-2018...F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr(under ui;i:iJi-l?f,.'t:iit't't ( ,(uwr 154 tlil '11)'xi'gf6at

F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr(under ui;i:iJi-l?f,.'t:iit't't ( ,(uwr 154 tlil '11)'xi'gf6at ?D tl-trti)

EI$*

{d) Nationatitv (vilii?lill):'{ra

Date of l55ue {.ril{i t;v;\ i{;l

ld Number {r.:i:.llr :il 1{.1!)

N.d ; R.B t q'T.ctf.s{N.+l ll, l. F.-l (qJi\rtit| .1li{ ttrt'i -l}

I l)i..ilrr{ r it.r.. . r i. '.:' P.S' (qllll: q<iitil" :+ Yqar ('1$: ;l01tll

.!li ft+. i:^. :, - .: i.:i,::ii Dat€ and Time or dtn ts"Ikfi' ili] i41''l 3ih 29"03jl0iti ;;':46 cti'

.. r: rrr::t.i j ,i? i:

,i , . .: , ,.1;. .:1 i! 1"11

, rll l;iaa..trr t,t'.:, ,, "i{t}nrc ,:ijY rt il r:':'tl}i

i.. D.riv i rt -t. .i Date From 1li)rlt'iti.r1 |; 29/fr,ii)i{Jlil Date to 1itlt1rti 14; }:2!):');}il\)}e

t::rr{,pq:r:rr:,i.:.'r:::i:)':'r,TlmeFromlitr'!:Iri}li1'00i:l}TimeTo{Ti'r:!]l'r):i'rilU:i::i

{b!tnrc,r3rnllorlri,:r}rveqi}ip,5.(e.ir{l viri':lilttglltDate{!(rff'n):2910fi)014 Tlmet{tl:t{)::il:$0rri

rc)(;Fneralll|"1fYn'lfi}rPrttetlililri4iillntrytlo'(uf.]IiboSSoale&Time(|*riodh,$lN|tii03;i(il922)7!14

Iytle !)l !t!l'{l{f],,r?tr:rtl {':) i' 'r;: rl{i)i(}: ():'a!

,r,ijit t. iti l,){' rr,: t"t":.? tlrtLlr'i r;:::1.

1. i.j; lt:itlc'Ji1, ili:c ii,srilll{c from p.$.{airtl uf.iii oii'l lcl'll )!:lli'!i, 2 f}rii

i.ir: lliJCrr..,li:i,. ;i"ir':':i l j',rrr tr:l iil'jj': '{itFi:5rii:iii'llr"i:l

1c: t$ Llli{r, tr.jr!;rft*: th/) timit of this police Station, then {il1i'i t4111 vflql q'r q1;n if ii'111

i136;s ot t',5.{:'j:!ii 'lr, r!ri}: District{Stats} $'\i'{t

Bcat llo' (4lil ri'1:

r:on i':i ;ti.i;t ?1t : 1 r!,'o rmil n t { i')iit;i*{li}iiif li'ljirf i't{1 f )I

t;:t) iiilm{i ' ''t: ' :': :i!r: ':: r} iil4ll

,t., Fr\Ttt{ll ( jtrl\iri!ltd 5 i!nmc(ii r'ir:l 'i

.:... .. ,

{ci rlirt* Y',r}t !)t *lttb fi:"'; fitiiil':lti )lt'"i;j

iA) t.J;!) l{0 :l- "r'!' :i 11'}:

{f} i}SS5l}t :' t!{.., i;:il'!ia

!)iit{t} i, t :;.,,lJ i l'':ir! .l) ' t:)r 'i:11-i )i

{gl I.t llffi'

1), lf i)

i t! r ,':,: iii, r'

' ir,;

lfi r it}n Ca : d,vtter lD Card,passport'UlD No^.Driving

drt'-r,: i -r'pe 1'..i, a. riri':j iadarust {'i<i , -

,r1;:il;.-;'*.iii:!i::i'{i:r'i{:t*:i5.ri'r1r,;i{iriilt r"11t;"ig;{gri1,ri]:n1 . .

itl /Jf{:(l)''i'r'.:'; 'rr;"1r1} .:

!j! {11){1!1p ;1r;fi)i}t1{;,:;.'"'irl',,}: trkbilc {tildl('i{-;l'}:

i}etili|:i0!.!.:i,$,11.S1,5p8{r:J..r{l,,unk|town;rccu$ed''itt|fdl|plirti(uiars(i6I1i1l\{iillrrlnTir.l1r$t1\

Aijc,.:.;(:d ^noi{: .h:in t't{ti!,1 .!iii';'l '}*i ll :;.irl4) ':;I l}

Page 2: I ui;i:iJi-l?f,.'t:iit't'tnagpurpolice.gov.in/media/accidents_compensation/66-2018...F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr(under ui;i:iJi-l?f,.'t:iit't't ( ,(uwr 154 tlil '11)'xi'gf6at

-ary-____7-__

&zraw- f 416q79-+m776-* 3T :/t--aT: V Fry TvrrTfr. l-r,:rafr*rf 5waKT O t*oov/6/to

-^-*,Wt T: ry qvq- Pf;r'.z7-ffiaftTfr# va-yT#FrT Y

wprq^w

(,+c$<tr.,)*-e> -+- e,frarf-%

\- -'# s7r"'?r,g:t//,s/rs 7 .o{r*f;*e+qB- "rfr- ffi- vrq7 #_ fu q, ry .1y6qw- ""Fo- 1- -*?;# frr ir?r<- o 2 / ta 7r,* .-4_--dTrry-#_e"q_* _ At - e^#;"T:b"ffiT&,?,ry-':#' no.i T?t tt*'#o"e:V;;;">_ =f,ry''''J ̂,L

avnl'p}-= n- "r-

pr d *- d(- z7T aTr,-T:/=T,tr*th7-^oA', }..rrr. wT "+s6',+#W*U(U+B/,- ;--qrr_tlttl =lo:W n\d, jrq.1,,'Yl'\ q'f %ry;-:6* N-*fr- r,T'* .1, ^ nAll

rE r ?rt<

a)^- ryr? @ &w7- ry- *-#- sT Dv*rtud|t- q# D--r@ #Q'n4rrqil_ev,D_*3^* TTPrqz"z+7_.!, ry*%ev7q e-+r*-61*r<qv?- tr- *w7)wtw* i*+__*r;;_q_Y:

"-,fi.< ;f,6 dnF rayrz_ c a r<,? A_*'wq*rys%rryb_n#_F

# tu"T #W- "V Eq^T # *- b{ :'?,,prg-,

W

*E zt'/o s/t;

Page 3: I ui;i:iJi-l?f,.'t:iit't'tnagpurpolice.gov.in/media/accidents_compensation/66-2018...F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr(under ui;i:iJi-l?f,.'t:iit't't ( ,(uwr 154 tlil '11)'xi'gf6at

{

N.q R.B (\.t,{.fl ;Srt.*i)r.r.r.-tlC#f;tr vfrt sli -t)

:

'*

ffui*';''''. .

Fi!, ; I--1 r btform lt i nsi

t:'..' i. .: t lr;n'lllaiJ

i'.1.:..1;,'l

Prr( n{i ai itir}si.:j,:'.,. ;"

t{l irem ? of !:i.st lnformation Report {it}.i,r }j.dri r,',rlf ti {e 7 lialt,}l

.al fea!:ur*'s. det'orrnltirls acd othcr .letails o{ tho suspert/accus€d: t tf known iflan

t

1:ifiqc ,ii ',r,i:fi.r ;;iri':.iiif, i;i.1ii'ilqi.dlir s;r; f\q1u : {?lii: ilittr t il{fi {f[1]]

:*o.t0,.,,., 9ex 1i,,,;; Dately€ar of Builrl $€ightr{cm5.-} Complexion (tl; i16"nt,rt"ation Mdrk(si 1tl441'1 iiF,:girttr iiirri ilrfr) i (arlqet 1a;.1 1r)"{i'11 t

7ll 5,6

lSiiu ,l?i tl,"r: ttcl

Kablt(e) {,{r4;) Dress Hauit{i) (rlc"{l4l}

. .. :--x2:13.!

T4reth{ .i,;"1 }

g

Hair l{lct!)

ib' -

ryes (rii<il

-iI-

l.anc; uagt,Diaiect

{ r!;,::i/r':( 1;

rd

PlBce Ot (,rl i'ril.'ll*vr;r Mrr.k Leucoderma

"fqblC t.,iirril iiar t,nii i t--goo 1,iI .11-lii,i

i l ..i diJ ?'., {iri4il,}tit{-1t1t,': ).,,,:lt-r, tt.'l)l

:r 16 t7 1B 19

Oth$rs t$lt.'l)

20

Tlrese fi+ld-$ w.lt br +rrter*c.l $r1ly if <omplainantlinformant giv.es any one or more partlc*ulars.about tha 5u$pcct/accu$edf l;..-ri,r ,*i::;..! ... ...,.:, ,ji,;i,; tn,r,:itJ*L4nr.liirf tift,qi ctftrz{*,+*r}ti,i.r{\tlitnri'rti:} '${i}to'{t;{.ttdttill ili}

Page 4: I ui;i:iJi-l?f,.'t:iit't'tnagpurpolice.gov.in/media/accidents_compensation/66-2018...F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr(under ui;i:iJi-l?f,.'t:iit't't ( ,(uwr 154 tlil '11)'xi'gf6at

rfu.f"-'o

I' Reasons for detav in reporting by the corlrFlainar rtli nforrn ant ( i?t.r, ll; il,rii, i /, q r;:Ti;iaf i !r :t : i:jali,I' Particqlars of propcrties of interest {.lirir,i:.1 .!.ij,,.t.fii ,!r.i iijcrtt}:s'No' ('n''Prope6y category ({'iqf i) *ri}i rrroperty -t^ype {1r;,1i.1 ;i.: :Descripfion {lii,j.r,,r

1:':**t value of property (ln Rsi-!-+Frl:) ,,,, ,-, , ,1 ,,(., ,1^J.l.,|ta{uestReport.;tr,D.caseNo.,if any1,1, 1;,..,i.r, f.l"\,,;,;,,..,;1.,it,r;,,st .:::.,;t1c i;):lrif ,:5.No. (ir.,ri, ) :utDB Nsnrber (q.,{lr ;14;111 1,. 1

S.No,{rti. i ttlame {-it,t):. it\) i:rt,.1: r,il.t"t?'

lqlfiili

P.qlijtt iva' :i t{ arne { il.;,i,: r., (i,t r pf e sr\r}t; I :,i.:..: ..

:' r;ir, ;:i

iiil;r.1:

r.ri..,,:lrl ;,(, .i

12. First lnfoil$atron rrntents {uriri J..j.:t.ii (l"ri, }::(rj.ti; i:F ,.r:it:l ir it I .,Ji..: r

,;:,..;l ;;11-: ;,, ;tiliil,;l;I;1i'.'r,

'':;' A'4tioil taken:5iri<'er the at'ove inforrnat;0n r€veals c<;rnnris$ion of offence{sr u/5 ars r!r{:i.f i{}r}{:i( j ;t.i :rr)1l:}:llile-lr'11.:'j!,{.'luv'.1,;r;"'r,ra'*r*i-.ll'''a,u;:;.;::,.,.,,,.},;:.];ii;l.li':i',l]l,.l.ti.?ia I i Registered the case and took ull th€tnde$tagation. I |,,,,\.Ji <if l+;f,1 ;;, ; ['.:": . .

(ri tlirectetl ,*"rtt" Lt.l..o , {iilE ,x{ii*i,,i ,.i: -ij;:il: v,i:.iii [.),.ii:t;;::i, f,i,iir;r;r,,, R-r)k {:;(i)r ,]r i,,rr. , ..

t{o.{ ri.i:.i5_i ..:lij0402vel{Mll(i ?{} tak$ up ilre Invertiq;rtion (,r.i f ii.i .}r:;,j llii ,, i) ; .., ..:{li R*fused inv4}tttigation due to {.;i., .,

-t' \r'\; 'rrvt}rrg"rtlon {'t'i lrii'i }l:;'i 'rlri 'r jr) ; "

or {?iJ (lrirjri $r.t, llvJt il})i4l Transferrert fa p,S,{{rlllt}.

on pointof iu,.isd;ction la,,)'r).r.,fir,r,,u : jr\r,r,,J,r.-,rj,l1 . Dlstrtct {:ir'-lr};

} .l.R reacl ovarr t(i rh€L.DmJ,rai,a't I ,rrt".*i !"!"olainent '/ intarmant'aclrri-tted to be correrily recordFd ;rnd .", cul),/ iirvs., ,.:..l.)l..,,'i..,;'',i],.lr,..l.....fttrefofco5t-(i:t;i11..'.'''''/.t:'i.1|.';i|l*:f,,r'jl:.i.]],i.*,',ci1 ti.,1-C.l.l:....,i , .il.t

a,i ;igr)nture/Thuml.r :tnoression of lhe ccrnplr;nant / iniortnant,,:. c\i:;.,//.,{'/ ljci!,,, i ;; ir1.4:gy. ., 31,i.i ,r,t ai,;::;:..,,,-,

"' ?,ltl,,X;l time or dispatch to flre crrurr l tt,:r,qt1 t,iqrr,il;i i:)ir;,!

rq-,'"2

R*r*:rr-r\M

il

Page 5: I ui;i:iJi-l?f,.'t:iit't'tnagpurpolice.gov.in/media/accidents_compensation/66-2018...F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr(under ui;i:iJi-l?f,.'t:iit't't ( ,(uwr 154 tlil '11)'xi'gf6at

Form : ll

'ffii'{;jun1zz t'qmqfiF'

Acr and Secr',ons ,r-Ti z/-Q ,3 g/ Ihv'ic( ; le //' iV7

31lutrqr 4 6dr{ :

#qt" fi.tf*t3** *ry

hrsn.&n/Proceedin! rca Notcf /8"vear%!'t ffi*uJ

g|pl'

{ii} Classrfic'ation of MalorHead (MinorHead)\"'

gqtq t'\t u.fi:.1n',

Thi Place c{ Cccurrence shown bY:

#li rut*" ei'rfqqrrrs ;

lypEcF CF.ll^i \iil'r: 'rrilpl]'4 ';

f.tTIFfi t-{'F {'r ';': '

(i) 'i\.4aior ; ie"

qili:I:l ir,

(iir\ '"1''Irr'l'r "

Ql uut rf

,0q Qt-a't1f:s1z-a'/ tD

t/"zi o Ulvtril/t4),Ji)-L// /D34

m4- Oz ee448:

Page 6: I ui;i:iJi-l?f,.'t:iit't'tnagpurpolice.gov.in/media/accidents_compensation/66-2018...F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr(under ui;i:iJi-l?f,.'t:iit't't ( ,(uwr 154 tlil '11)'xi'gf6at

6. Motive cf Crime :

lf€rcn tq ;

Nrtionality

{IqE"iir

l4/netnDr

$0/$r

ttr.'iti

'l;il,ti(.,/

Perigion

';Ii'

ilJt;rv'{:li'itivo,.ii;

.iii:ri;1.;

L:zfll;'r;1;

(2)

iiii:ililttl,llirlti; i

li

7 ' Details of properties stolen/lnvolved I Use appropriate prescribed form (s) and attach ]q)'{tsr l ciar{-r 'ir+rtur ilcyftd (s-},q qrjqT qtr{rrfl's rifqd,T.srqr) :

8. Description of the place of occurrence :

se+qT qlfi EUIq :

Page 7: I ui;i:iJi-l?f,.'t:iit't'tnagpurpolice.gov.in/media/accidents_compensation/66-2018...F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr(under ui;i:iJi-l?f,.'t:iit't't ( ,(uwr 154 tlil '11)'xi'gf6at

d,otr

Page 8: I ui;i:iJi-l?f,.'t:iit't'tnagpurpolice.gov.in/media/accidents_compensation/66-2018...F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr(under ui;i:iJi-l?f,.'t:iit't't ( ,(uwr 154 tlil '11)'xi'gf6at

/)v,,.

!o

i4ATF*'-'{Pln5tvp

4."/(

.- (-<llLl9. qchrsfi r Map :

{/&'r+r'ru o1.;trg'

Qto//<o/q.

f,t:i?7i tq -frrs't? ftatn z//''' 4tTof n'.0' atu(. &oY< q'-c/

tt ffi::i,'5:,",:of

physicalevidence from the scene of crime for the prcperr,v recovered / su;::ed icr rfre ;rirrpose ol

acreiFrfr q@er yTr[ €W Tflqr q.rri+s-.t fi1afr-.iresflinTqt t]1f"ln qrarrrt] iiul.i ,

Date and Time of panchnamari?ll(ejfc/i qrf*{lRlTift il;g i{.F},'r,; J tz3/ s /z'/gName of Panchas :

ritr-dt ilr{ :

2-g - ?D .t/: 2 3 3, c) ./,/ q'i'"

11

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Date.'T\r,ji 4/3/?-t/8Girl'j- -k jq.J --DSP{F:C - - : j, 1,.t .. ?rr.ijr)it,

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Ranktir't':,i

OM

idarric l,rr,"i ,iiqr;

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r+)* ->t\tsr ci

Page 9: I ui;i:iJi-l?f,.'t:iit't'tnagpurpolice.gov.in/media/accidents_compensation/66-2018...F I RSL.tN,f 9"4 MAT-I CIttl".nEP-o Rr(under ui;i:iJi-l?f,.'t:iit't't ( ,(uwr 154 tlil '11)'xi'gf6at

\-/,jv+ n'j,

rS $enguptd

Hospital & Research lnstitute

Dr. Frashant B. RathiMBBS, L Jrtho.Sr. Conr;ultant Orthopaedic SurgeonReg. No. : 080913/

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Ravinagar Square, Nagpur - 440 033 M.s. I :91-712-253269i,2536628 Fax : 9l-712-2s6ssgj

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