Fir Application

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APPLICATION FOR OBTAINING COPY OF FIR FOR THE ACCUSED

1. FIR No. / Year/Date (if known) 0140 dated 26/09/2014

2. Expected Date of Registration of FIR From 26/09/2014 To 26/09/2014

3. Police Station C.A.W NANAK PURA


4. District SPUW & C DISTT
SUGANDH BANSAL (S/O) SANJAY
5. Name/details of the complainant
MITTAL

BHARAT KUMAR BANSAL,


6. Name of the accused/ alleged person
HUSBAND AND OTHERS

7. Applicant’s detail

(i) Name BHARAT KUMAR BANSAL

(ii) Parentage Chur Mal Bansal


Single Room, Flat No-18-D, RWA
(iii) Address Express view Apartment, Pocket-
A, Sector-105, Noida-201301
(iv
Contact Phone Number(s) 9891111604
)
(v) Relation with the accused/alleged person Self/Husband
For self defense & representing to
8. Purpose of applying for the copy of FIR
higher authorities

Note:- Police Station Record will be checked only for the details and period mentioned in the
application.

Signature of applicant

Application Receipt of Details


Name of the D.O/Receiving Clerk
Time
Date
Diary No.
DD/PO/Cash Receipt No.
Date STAMP of Police Station / DCP
Signatures of D.O/ Receiving Clerk Office receiving application

_____ Pages of FIR No. ______ Year ______ PS _________________supplied/refused to supply.

Signature of applicant/recipient
APPLICATION FOR OBTAINING COPY OF FIR FOR THE ACCUSED

1 FIR No. / Year/Date (if known) 0140 dated 26/09/2014

2 Expected Date of Registration of FIR From 26/09/2014 To 26/09/2014

3 Police Station C.A.W NANAK PURA


4 District SPUW & C DISTT
SUGANDH BANSAL (S/O) SANJAY
5 Name/details of the complainant
MITTAL

BHARAT KUMAR BANSAL,


6 Name of the accused/ alleged person
HUSBAND AND OTHERS

7 Applicant’s detail

(i) Name Chur Mal Bansal

(ii) Parentage Late Shri Hari Ramji

(III A-23-Ground Floor,Phase-1,


Address
) Ashok-Vihar, Delhi-110052

(iv) Contact Phone Number(s) 9811105587

(v) Relation with the accused/alleged person Father/Father in Law


For self defense & representing to
8 Purpose of applying for the copy of FIR
higher authorities

Note:- Police Station Record will be checked only for the details and period mentioned in the
application.

Signature of applicant

Application Receipt of Details


Name of the D.O/Receiving Clerk
Time
Date
Diary No.
DD/PO/Cash Receipt No.
Date STAMP of Police Station / DCP
Signatures of D.O/ Receiving Clerk Office receiving application

_____ Pages of FIR No. ______ Year ______ PS _________________supplied/refused to supply.

Signature of applicant/recipient
APPLICATION FOR OBTAINING COPY OF FIR FOR THE ACCUSED

1. FIR No. / Year/Date (if known) 0140 dated 26/09/2014

2. Expected Date of Registration of FIR From 26/09/2014 To 26/09/2014

3. Police Station C.A.W NANAK PURA


4. District SPUW & C DISTT
SUGANDH BANSAL (S/O) SANJAY
5. Name/details of the complainant
MITTAL

BHARAT KUMAR BANSAL,


6. Name of the accused/ alleged person
HUSBAND AND OTHERS

7. Applicant’s detail

(i) Name Sushila Agarwal

(ii) Parentage W/o Chur Mal Bansal

A-23-Ground Floor,Phase-1,
(iii) Address
Ashok-Vihar, Delhi-110052
(iv
Contact Phone Number(s) 9811105587
)
(v) Relation with the accused/alleged person Mother/Mother in Law
For self defense & representing to
8. Purpose of applying for the copy of FIR
higher authorities

Note:- Police Station Record will be checked only for the details and period mentioned in the
application.

Signature of applicant

Application Receipt of Details


Name of the D.O/Receiving Clerk
Time
Date
Diary No.
DD/PO/Cash Receipt No.
Date STAMP of Police Station / DCP
Signatures of D.O/ Receiving Clerk Office receiving application

_____ Pages of FIR No. ______ Year ______ PS _________________supplied/refused to supply.

Signature of applicant/recipient
APPLICATION FOR OBTAINING COPY OF FIR FOR THE ACCUSED

1. FIR No. / Year/Date (if known) 0140 dated 26/09/2014

2. Expected Date of Registration of FIR From 26/09/2014 To 26/09/2014

3. Police Station C.A.W NANAK PURA


4. District SPUW & C DISTT
SUGANDH BANSAL (S/O) SANJAY
5. Name/details of the complainant
MITTAL

BHARAT KUMAR BANSAL,


6. Name of the accused/ alleged person
HUSBAND AND OTHERS

7. Applicant’s detail

(i) Name Abha Gupta

(ii) Parentage W/o Lokesh Gupta

7/11, Kalkaji Extension Opposite


(iii) Address
Nehru Place,New Delhi
(iv
Contact Phone Number(s) 9650035134
)
(v) Relation with the accused/alleged person Sister /Sister in Law
For self defense & representing to
8. Purpose of applying for the copy of FIR
higher authorities

Note:- Police Station Record will be checked only for the details and period mentioned in the
application.

Signature of applicant

Application Receipt of Details


Name of the D.O/Receiving Clerk
Time
Date
Diary No.
DD/PO/Cash Receipt No.
Date STAMP of Police Station / DCP
Signatures of D.O/ Receiving Clerk Office receiving application

_____ Pages of FIR No. ______ Year ______ PS _________________supplied/refused to supply.

Signature of applicant/recipient
APPLICATION FOR OBTAINING COPY OF FIR FOR THE ACCUSED

1. FIR No. / Year/Date (if known) 0140 dated 26/09/2014

2. Expected Date of Registration of FIR From 26/09/2014 To 26/09/2014

3. Police Station C.A.W NANAK PURA


4. District SPUW & C DISTT
SUGANDH BANSAL (S/O) SANJAY
5. Name/details of the complainant
MITTAL

BHARAT KUMAR BANSAL,


6. Name of the accused/ alleged person
HUSBAND AND OTHERS

7. Applicant’s detail

(i) Name Lokesh Gupta

(ii) Parentage S/o Shri Gulab Rai Gupta

7/11, Kalkaji Extension Opposite


(iii) Address
Nehru Place,New Delhi
(iv
Contact Phone Number(s) 9650035134
)
(v) Relation with the accused/alleged person Brother in Law
For self defense & representing to
8. Purpose of applying for the copy of FIR
higher authorities

Note:- Police Station Record will be checked only for the details and period mentioned in the
application.

Signature of applicant

Application Receipt of Details


Name of the D.O/Receiving Clerk
Time
Date
Diary No.
DD/PO/Cash Receipt No.
Date STAMP of Police Station / DCP
Signatures of D.O/ Receiving Clerk Office receiving application

_____ Pages of FIR No. ______ Year ______ PS _________________supplied/refused to supply.

Signature of applicant/recipient

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