FORM – IF1 - (Integrated Form)
FIRST INFORMATION REPORT
(Under Section 154 Cr.P.C)
1. 28/05/2025 P.S……………….Year
Dist. …………….. 126779 2025
…………….. 2022178
F.I.R. No. ……………. Date …………
2. (i) 2005
*Act …………………………………. *Sections 504
……………………………………………...
(ii) 2005
*Act …………………………………. *Sections 354
……………………………………………...
(iii) *Act …………………………………. *Sections ……………………………………………...
504,354
(iv) * Other Acts & Sections ………………………………………………………………………..
3.
(a) Wednesday
* Occurrence of Offence: * Day ……………….*Date 05/28/2025
…………………. 17:58
*Time …………….
(b) 05/28/2025
Information received at P.S. Date ………………………… 16:13
Time ……………………………..
(c) 78003
General Diary Reference: Entry No(s) …………………… 05/29/2025
Time ………………………………
4. Type of information : violence *Written / Oral
5. Ashok Nagar
Place of occurrence: (a) Direction and Distance from P.S. ………………… 5643
Beat No. ……………..
(b) anapaleya 1st cross Masjeed street Bangalore 560047
* Address ……………………………………………………………………………………….
landmark Noor medical
…………………………………………………………………………………………………..
(c) vikkey
In case outside limit of this Police Station, then the name of P.S. ……………………………..
anapalaya
District ……………………………
6. Complainant / information :
(a) Mir Zain
Name …………………………………………………………………………………………….
(b) Mir Salman baqar
Father’s / Husband’s Name ……………………………………………………………………...
(c) 07/01/2006
Date / Year of Birth ……………………………………… Indian
(d) Nationality ………………….....
(e) 224467
Passport No: ………………….. Date of Issue: ……………….. Ashok Nagar
05/29/2025 Place of Issue ………………..
(f) 12 std
Occupation: ………………………………………………………………………………………
(g) Anapalaya 1st across Masjeed street #35\1
Address: ………………………………………………………………………………………….
7. Details of known / suspected / unknown / accused with full particulars
(Attach separate sheet if necessary):
call and abusing language
…………………………………………………………………………………………………………..
…………………………………………………………………………………………………………..
…………………………………………………………………………………………………………..
8. Reasons for delay in reporting by the complainant / Informant ………………………………………
talking abusing language
…………………………………………………………………………………………………………
………………………………………………………………………………………………………….
9. Particulars of properties stolen / involved (Attach separate sheet if necessary): ……………………...
…………………………………………………………………………………………………………
vilonce
………………………………………………………………………………………………………….
…………………………………………………………………………………………………………
4
10. * Total value of the properties stole / involved: ……………………………………………………..
call vilonce
11. * Inquest Report /U.D. Case No., if any: ……………………………………………………………..
………………………………………………………………………………………………………..
12. F.I.R. Contents (Attach separate sheets, if required):
13. Action taken: Since the above report reveals commission of offence (s) u/s as mentioned at Item No.
2022178
2., registered the case and took up the investigation/ direction /…………………… 3
Rank …………
to take up the investigation transferred to P.S. ………………………… on point of jurisdiction.
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 of the Officer-in-charge, Police Station
vikkey
* Name : …………………………………………
3
*Rank:………………………No. 2022178
……………….
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14. Signature /Thumb-impression 05/29/2025
of the complainant / informant
15. Date & time of despatch to the court: 05/29/2025 17:58