I N T E R R O G A T I O N F O R M FOR Personal Details

1. INDIVIDUAL PARTICULARS

First Name Middle Name Last Name

1. Name
2 Alias
3. Father’s name
4. Age Yrs / ( 2007)
5. Nationality
6. Religion
7. Caste
8 SC/ST/BC/Others
9. Present Address

10 Permanent
address

2. PHYSICAL FEATURES

Sex Built Height Eyes Hair Face Color Teeth

(1) (2) (3) (4) (5) (6) (7) (8)

□ Male □ Lean □3.5 -4.0 □Black □Black □Round □White □Irregular

□Femal □Stout ft
□Cat □Brown □Oval □Fair □Discolore
□4.1 -4.5
e
□Stiff □Squint □White □Wrinkl □Black d
ft
□Broken
□Erect □4.6 -5.0 □ One □Bald ed
□Brown
□squar □Double
□Stooping ft eye
□.Long □
□5.1 -5.5 □Others e
□Others
□Hunch ft □Curley □long Sallow
Back
□5.6 -6.0 □Back □Others
□Normal ft Combed

□6.1 -6.5 □partly

ft Combed

□6.6 -7.0 □Mixed

ft hairs

□7.1-7.5
ft

NOSE BEARD MUSTACHES EAR

(9) (10) (11) ( 12 )

□Large
□Small □Trim □Long
□Hooked □Long □Turnee
□ Snub □Short Up

□.Chipped
□ □French
Projected Cut □Dropping
□No
mustaches

1
Identification marks Deformities / Peculiarities Language / Dialect
(13) ( 14 ) ( 15 )

BURN MARK LEUCODEMA MOLE SCAR TATTOO

(16) (17) ( 18 ) ( 19 ) ( 20 )

3. SOCIO / ECONOMIC PROFILE

1 Living Status
□Alone □With family □With Associates
□In hotel □In Hostel □Kacha House
□Hut □Slum □Vagabond
2. Marital Status
□Married □Unmarried □Having two wives
3. Education Details
□Upto 7 th
□ 7 to Xth th
□Intermediate
□Graduate □Post Graduate □Professional course
□Illiterate
4. Occupation
□Govt. Job □Private job □Daily Labour
□Contract Labour □Business □ Unemployee
5. Income Group
□Lower Income Rs. 500 p.m.
□Lower Middle income Rs.501 to Rs.1000
□Middle income Rs.1001 to Rs.2000
□Upper Middle income Rs. 2001 to Rs. 3000
□Upper income Rs. 3000 above
4. FAMILY HISTORY

S.No Relation Name Address Criminal Alive / dead

. backgroun
d, any
1 Father
□Yes □Alive
□No □Dead
2 Mother
□Yes □Alive
□No □Dead
3 Brothers 1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead
4. Sisters 1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead
5. Wife 1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead
6. Children 1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead

2
 7. Father’s
brothers
1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead
8. Father’s sisters 1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead
9. Mother’s
brothers
1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead
10. Mother’s sisters 1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead
11. Wife’s brothers 1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead
12 Wife’s sisters 1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead
13 Any others 1.
□Yes □Alive
□No □Dead
2.
□Yes □Alive
□No □Dead
a. Does the family members stay together □Yes □No
b. Peculiarities of family members, any _______________________________________

5. RELATIONSHIP WITH OTHER ASSOCIATES /GANG MEMBERS

S.No. GANG MEMBER NAME RELATIONSHIP

1

10

6. PERIOD OF OFFENCE

□Dark Fort night □ Moon Light □Strangers night □Others (specify

7. LOCAL CONTACT

3
 S.No. Town / City PS Name and address of contact person.
/Village Limits
1

8. REGULAR HABITS

□Liquor □Toddy □Smoking □Gambling □Chewing Pan /

Gutka

□Prostitution □Horce Race □Maintenance of □Others

keep
(specify name if
any)

9. INDULGANCE BEFORE OFFENCE

□Witnessing □Consuming liquor / □Consuming ganja □Others (specify)

movie toddy

10. S H E L T E R

S.No Regular residence Preparation of offence After Offence Remarks

1
□ Bars / Wine shops □Dilapidated
□Toddy shops houses

□Railway
□Dilapidated Houses stations
□Associate’s □Bus Stands
residence
□Keep’s house
□Relatives’ house
□Relatives’
□Regular house house

□Others □Friends’ house

□Gathering
place

□Select hide out

11. DISPOSAL OF PROPERTY

Sl.No. How Disposed Receiver Details Address Family

members /
Name of others
receiver (specify)

□Sold
□Pledg
ed
1 Direct (Name of
accused) □Sold
□Pledg
ed
2 Through relative
(name) □Sold
□Pledg
ed
3 Through
coaccused(name □Sold
□Pledg
ed

12. HOW SHARE OF AMOUNT SPENT

4
□Lavish □Keep □Prostitution □Clearing Debts □Savings
Spending Maintenance

□Converting into □Charity □Others □Remarks

Properties (specify)

13. CASES CONFESSED

sn Dist / Unit / P.S. Cr.No. Sec.of Gang Property Property Remarks

o Division law Members stolen recovere
in each d
case
1

14. ARREST PARTICULARS

a. Date of Arrest

b. Place of arrest

c. Crime No. & sec of law

d. Police Station

e. Sub Division

f. Dist / Unit

g. Arrested by

h. Interrogated by

i. Others who can identify

15. REGULARISATION OF PT WARRANTS / NBWS

a) Regularization of PT Warrant

S Dist / Dvn PS Cr. No Sec. Of SC / CC Court Date of Remarks

.No law No regularizati
on of PT
Warrant
1

b) Execution of NBW

S Dist / Dvn PS Cr. No Sec. Of SC / CC Court Date of Remarks

.No law No executio
n
1

5
 2

16. N B Ws PENDING

S Dist / Dvn PS Cr. No Sec. Of SC / CC Court Pending Sureties

.No law No since
1

17. SURETIES

S.No Dist / PS Cr. No & SC/CC Nature of

Dvn Sec of law No and DETAILS OF SURETY surety
court Cash /
Personal /
Professional
Name Address Local / Non
local
1

18. DEFENCE COUNSEL

S.No Dist / PS Cr. No SC/CC No Assistance

Dvn & Sec and court DEFENCE COUNSEL DETAILS Bail / Trial
of law Name Address Phone No
1

19. JAIL STAY & ACQUINTANCES

S.No JAIL DETAILS

JAIL PERIOD NAME NEW ACQUAINTANCE OF CASES

FROM TO Name & Nature of Police Remarks GO

address crime station ( MO ) BUTTON
of Jail involved wherefro REQUIRE
Member m D TO
remande SHOW
d CASES
1

6
2

20. NEW GANG FORMATION

Sl.No Addition / Name & Address PREVIOUS HISTORY JAILS WHERE

Split PS, Unit & State where involved in LODGED
crime
1

21. CONVICTION /ACQUITTALS

S.No Dist / Division PS Cr.No. Sec.of SC / CC Date of Details Reasons

Unit law No Judgme of for
nt convicti acquitta
on / l if any
acquittal
1

22. PRESENT WHEREABOUTS

A
□In Jail From where sent Crime No. UT No etc

b.
□On bail From where sent Crime No. and date of
bail

c.
□Absconding Wanted in Police stations Crime Numbers

D
□Normal Life Eking livelihood by doing labour work etec.

e.
□Rehabilitated
f.
□Dead
G
□Facing trial Police Station Crime Numbers

7
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