Abstract Form
Abstract Form
A. APPLICATION
NAME………………………………………………………………………………
OF POSTAL ADDRESS…………………………………………………………...
INVOLVING…………………………………………………………………….....
……………………………….DAMAGES ETC…………………………………..
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DATE……………………………………………………………………………….
SERIAL NUMBER………………………………………………………………...
NAME………………………………………………………………………………
ADDRESS………………………………………………………………………….
OFFICIAL RECEIPT………………………………………………………………
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SIGNATURE……………………………………………….
OFFICER IN CHARGE POLICE STATION