| 1. | Name with alias of missing person | Name | |
| 2. | S/O | Father’s Name |
| 3. | Full Address | |
| 4. | Age | Sex | Height | Built | Complexion | Color of eyes |
| Years | Male | 05’06” | Normal | Sallow | Normal |
| 5. | Habit | Nil |
| 6. | Other | Nil |
| 7. | Hair | Black |
| 8. | G.D.E. No. & Date | Para PS GDE NO 414,dtd 12.07.16 |
| 9. | Religion | Hindu |
| 10. | Educational Qualification | Not Noted |
| 11. | Mother tongue | Bengali |
| 12. | Wearing Apparels | Khanki full pant and white red half shirt |
| 13. | Visible mark of identification | Not applicable |
| 14. | Date & Time of Missing | 30.06.16 |
| 15 | Place of missing | Own House |
| 17 | Informants name | Sandhya Debi |
| 18 | Contact No. of informant | Not available |
| 19 | M. P. Case No. | MP Case No- 11/16,dtd 12.07.16 |
| 20 | Relation between informant- | Wife |
| 21 | Duty officer | |
| All are requested to take N/A. and informed this P.S. and I/C MPB,Bankura Contact No. XXXXXXX |
