Schedule-11 (Relating to sub-section (4) of Section 16) Form of document executed by person seeing, witnessing, hearing or knowing the incident

Schedule-11

(Relating to sub-section (4) of Section 16)

Form of document executed by person seeing, witnessing, hearing or knowing the incident

Document executed by…………………. (person), aged …………….., carrying on ………profession/occupation, son/daughter of ………………., a resident of ……………., before Mr./Ms…………………….., investigating authority of……………… police office.

1. Short description of the first information report or notice:
2. Questions in connection with the incident:
3. Matters set out by the person executing the document:
4. Presence:

Signature of the document executing person:

Done on ……………….. day, ……………… month of ………………… of the year…………………