# Format: Arrest / Court Surrender Memo **FORM – IF3 - (Integrated Form)** #### Arrest / Court Surrender Memo (Separate Memo for each accused) **1.** Dist ………..................... P.S. ...…..................…….. Year ……................ FIR No. / Proceeding No. ……..............….… Date…............……… Alphanumeric code of the Accused ………………………. (Write A1 to A9 for the first 9 persons, B1 for 10th persona and so on) **2.** Date & Time of Arrest / Surrender: \*Date …….................……. Time …..................…………. G.D. No. ….....................…………….............. **3.** Name of the Court (if surrendered): ………................................................………………………………...…..................………………………......... **4.** Acts and Sections: …………………………………………………………........................………………………............................................................... **5.** Arrested and sent up / Arrested and released on bail / Surrendered in court and bailed out / Surrendered in court and sent to judicial custody / Surrendered in court and remanded to Police custody (tick ‘ ’ applicable portion). **6.** Particulars of the Accused: (i). \*Name: ……………………………………........................................…………………………………………..................................…………………… (ii). Father’s / Husband’s Name ……………………………………………………………….................................…………………………………………... (iii). First Alias: …………………………………………………………………………………................................………………………………………………….. (iv). Second Aliases: ……………………………………………………………………………................................………………………………………………. (v). Other Aliases: …………………………………………………………………………….................................………………………………………………….. (vi). Nationality: …………………...................…..….…(vii) (a) Passport No. …………………………….................................…………………….. (b). Date of Issue: ………………….........................…… (c). Place of Issue ……..….………………................................…………………………. (viii). Religion …………………………….............…….. (ix). Caste / Tribe. …..………………..……….................................…………………………... (x). SC/ST ……………………………………..............…. (xi) \*Occupation: ………………..…………................................…………………………....... (xii). Permanent address: …………………………………………… Distt. ………..…………….…… P.S. ………………................................………….. **7.** (xiii). Present Address: ………………………………………… Distt. …………………….…… P.S. …………………Injuries, cause of injuries and physical condition of the accused person (Indicate if medically examined): ………………………………………………………………… ……………………………………………………………………………………………………….............…………………………………………………………….... **8.** The accused, after being informed of the grounds of arrest and his legal rights, was duly taken into custody on ………………………. (date) at …………………… (hours) at………………………. (place). The following article(s) was / were found on physical search, conducted on the person of the accused, and were taken into possession for which a receipt was given to the accused. 1 ……..........................................................……………………....……………… 2 ……………………………………………..............………….............. 3 ………………..........................................………………...………………………… 4 ………………………………………..……………............................ 5 ………………..........................................………………...………………………… 6 ………………........................................………………...………. Necessary wearing apparels were left on the accused for the sake of human dignity and body protection. The accused was cautioned to keep himself / herself covered for purpose of identification. Intimation given to …........................……...................................…………. (Relationship) ……............................…………………………………….. If no article found, ‘Nil’ may be indicated in the blank space provided below: **9.** Physical features, deformities and other details of the accused:
**Sex** **Date / Year of** **Birth** **Build** **Height in** **Cms.** **Complexion** **Identification** **Marks**
123456
(For Modus Operandi offences only)
**Deformities** **/ peculiarities** **Tech** **Hair** **Eye** **Habit(s)** **Dress habits**
789101112
**Languages** **/ Dialect** **PLACE OF**
**Burn Mark** **Leucoderma** **Mole** **Scar** **Tattoo**
131415161718
Other features (19) ……………………………………………………………………………………………................................................................................ **10.** Whether finger-print taken or not?: …………………………………………....................................................…............................................. **11.** Socio-economic profile of the accused showing: (**a).** Living Status: Living alone or with Family / Relation / Associate in Pucca House / Hotel / Hostel / Kachcha House / Thatched House / Slum or is homless. **(b).** Educational qualification(s): ………………………............................................................................……………………………………….. **(c).** Occupation: ………………………………………………………………………………….........................................................................………… **(d).** Income Group: .........................................................................………………............................................................................ (i). Lower Income (Below Rs. 500/P.M.) (ii). Lower middle Income (From Rs. 501 to Rs. 1000) (iii). Middle Income (From Rs. 1001 to Rs. 2000) (iv). Upper Middle Income (From Rs. 2001 to 3000) (v). Upper Income (above Rs. 3000) **12.** Whether the accused person, as per the observations and known Police records:
(a)Is dangerous Yes/No
(b)Previously escaped any bail Yes/No
(c)Is generally armed Yes/No
(d)Operates with accomplices Yes/No
(e)Has past criminal records Yes/No
(f)Is recidivist Yes/No
(g)Is likely to escape bail Yes/No
(h)If released on bail, is likely to commit another crime Immediately or threaten the victims / witnesses. Yes/No
(i)Is wanted in any other case Yes/No
Signature of the Investigating officer with:
Place …………………………… Name:……………………………….... Rank:………………………………..... Number, if any:……………………. Date:………………………………......