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    Form 2A (Format of Police Complaint) : (Kindly Mention Both IMEI If Handset Is Dual SIM)

    Uploaded by

    Henlynn Dsouza
    This document is a police complaint form submitted to report a stolen mobile phone. It provides details of the stolen phone such as IMEI number, make and model. It also includes a brief description of the incident and contact information for the phone service provider and insurance company.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Form 2A (Format of Police Complaint) : (Kindly Mention Both IMEI If Handset Is Dual SIM)

    Uploaded by

    Henlynn Dsouza
    2K views1 page
    This document is a police complaint form submitted to report a stolen mobile phone. It provides details of the stolen phone such as IMEI number, make and model. It also includes a brief description of the incident and contact information for the phone service provider and insurance company.

    Original Description:

    Sample Police Complaint Letter

    Original Title

    Police_Complaint_Letter

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    This document is a police complaint form submitted to report a stolen mobile phone. It provides details of the stolen phone such as IMEI number, make and model. It also includes a brief description of the incident and contact information for the phone service provider and insurance company.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views1 page

    Form 2A (Format of Police Complaint) : (Kindly Mention Both IMEI If Handset Is Dual SIM)

    Uploaded by

    Henlynn Dsouza
    This document is a police complaint form submitted to report a stolen mobile phone. It provides details of the stolen phone such as IMEI number, make and model. It also includes a brief description of the incident and contact information for the phone service provider and insurance company.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    FORM 2A

    (FORMAT OF POLICE COMPLAINT)

    Date: *___________
    To

    Police Station In-charge


    *___________________
    ___________________
    ___________________

    Reg: Request for registering Complaint - Mobile *IMEI No (Kindly mention both IMEI if handset is dual SIM).
    IMEI No:
    Make - Model -

    Dear Sir,

    I regret to inform you that my above mentioned Mobile Phone purchased vide Invoice No *______________ dated
    ____________, bearing IMEI No. * ____________________________________________________________ has
    been stolen on *________________ (please mention date of incident)

    Brief Description of Incidence:


    _____________________________________________________________________________________________
    _____________________________________________________________________________________________
    _____________________________________________________________________________________________
    _____________________________________________________________________________________________
    _____________________________________________________________________________________________
    __________________________________________________________________________.

    I was having PRE-PAID / POST-PAID facility and was using the services of Service Provider (please mention
    service provider like Vodafone, Airtel, BSNL etc) *___________________ and my mobile number for same was
    (please mention Mobile No.) *______________________. I have already informed the service provider to terminate
    the services (incoming & outgoing)

    Please register a complaint for the above mentioned stolen mobile and assist us in tracing the same at the earliest.
    As soon as the said mobile is recovered, kindly inform to THE NEW INDIA ASSURANCE COMPANY LIMITED,
    CHANDIGARH, Divisional Office, SCO 104-106, 1st Floor, Sector 34 A, Chandigarh with whom I have filed an insurance claim.

    Thanking you

    Signature of the Insured Seal & Signature of Police Station


    *NAME:
    Address: *DESIGNATION:
    *PHONE NUMBER:
    Place:
    Date:

    * Compulsory fields

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