POLICE 20
KENYA POLICE SERVICE
FULL NAME………………………………………………………………………………………………………………..
ALIAS……………………………………………………… CLASS……………………………………………………..
IDENTITY CARD NO…………………………………….
CHARGE REGISTER NO…………………………………. DOCKET NO………………………………………………..
RIGHT HAND
THUMB FOREFINGER MIDDLE FINGER RING FINGER LITTLE FINGER
FOLD
LEFT HAND
THUMB FOREFINGER MIDDLE FINGER RING FINGER LITTLE FINGER
FOLD
LEFT HAND RIGHT HAND
Plain impression of the Four Fingers Plain impression of the Four Fingers
Taken simultaneously Taken simultaneously
FOLD
Plain impression
Plain impression
Right Thumb
Left Thumb
FINGERPRINTS TAKEN BY……………………………………………..
RANK…………………………………DATE…………………………….
POLICE STATION…………………………………………………………
FINGER PRINTS CLASSIFFIED BY………………………………………………………..DATE…………………………
TESTED BY…………………………………………………………………………………..DATE…………………………
SEARCHED BY………………………………………………………………………………DATE…………………………
SEARCHED IN S. OF C. BY…………………………………………………………………DATE…………………………
Tribe or Race…………………………………………District……………………………. Location…………………………
Sub-Location……………………………………………………………Approximate Date of Birth……………………………
Normal Address…………………………………………………………………………………………………………………
Place of Occupation………………………………………………………………………………………………………………
Trade or Occupation………………………. Height……………feet…………. inches (without boots) Weight (lb)………......
Build or Frame……………………………...Head……………………………………Face…………………………………..
Forehead…………………………………….Eyes……………………………………Eyebrows……………………………...
Nose……………………………………….. Mouth…………………………………...Lips……………………………………
Teeth………………………………..…….....Chin……………………………………..Ears…………………………………..
Hair…………………………………………Beard……………………………………Muscle…………………………………
Complexion………………………...Other Peculiarities of Face and Features…………………………………………………..
Peculiarities Body and Limbs…………………………………………………………………………………………………….
Tattoo Marks……………………………………………………………………………………………………………………
Distinguish Characteristics (Gait, Speech, Gestures, Smoking or Drugs Habits, etc.)…………………………………...………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
Address to which reply is to be sent……………………………… REMARKS……………………..………..………............
……………………………………………………………………. ……………….…………………………..……….……….
…………………………………………………………………….. …………………………………………………………….
……………………………………………………………………. …………………………………………………………….
Offence (s) with which charged………………...………………………………………………………………………………...
…………………………………………………………………………………………………………………………….………
…………………………………………………………………………………………………………………………….………
……………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………….………………
……………………………………………………………………………………………………………………………………
I hereby certify that the fingerprints contained in this form has been *taken by me in accordance with the direction
*taken in my presence
contained in such form and that the particulars entered in this form are, to the best of my knowledge and belief, accurate
and true.
*Delete the words which are inapplicable ……………………………………………………………….
Magistrate or Police Officer or any person appointed
Under sub section (2) of section 142 of the Criminal
Procedure Code
GPK (L)
