INSTRUCTIONS:

  1. Fill the form very carefully.
  2. The fields marked (*) are mandatory to be filled.
Complainant Details
Name *
Father's Name *
CNIC # * (e.g xxxxxxxxxxxxx)
Land Line # (Land Line Only i.e PTCL, NTC e.g 02134558313)
Mobile # * (e.g 03331234567)
Email Address
Present Address *
Home District *
Home Police Station *
INFORMATION REPORT
Date of Incident * (e.g dd-mm-yyyy)
Time of Incident * (e.g 10:30 am)
Place of Incident *
District of Incident *
Police Station Jurisdiction *
Details of Incident *
Already Visited Police Station *
Visit Details
(Name/Rank of Police Officer visited)
Visit Date (e.g dd-mm-yyyy)
Visit Time (e.g 10:30 am)