BEAT DATA FORM-4 INFORMATION REGARDING FLOATING POPULATION (Rickshaw/auto-rickshaw walas, rehri,phari, dhabha walas, Maid servants, Mallis, Labouers etc.) 1. Name ________________________ Alias (if any) __________________ PHOTO 2. S/o,d/o,w/o _________________________________________________ 3. Age __________ Hight ________ Identification Mark _________________ 4. Present Address ________________________________________________________________ 5. Permanent Address ___________________________ Police Station ________________________ Distt. ____________________________ State_________________________________________ 6. Nature of job/work _________________________________ Since in Chandigarh______________ 7. Ration Card No. ________________________ Names included ____________________________ 8. Details of family members: 9. Thumb Impression: 10. Detail of Stranger rool issued ________________________ Reply ____________________________ No. 1 2 3 4 5 6 7 8 Name Age Sex Relation Occupation Note: In Case of any Change/addition, please report inrespective Police Station ............................................................................................................................................................................. Certified that the information given above is correct to my knoweledge and belief and that nothing has been concealed Name ___________________________ Signature _______________________ Date ___________________ For the kind attention of people of Chandigarh This form is being used by the Chandigarh Police to collect informationfrom the residents of Chandigarh to help check thefts/crimes/burglaries and to help police take quick action in case of an accident or mishappenning in your area. it is mandatory to furnish information U/s 144 Cr.P.C by order of D.M. Chandigarh and withholding the same is a cognizable offence U/s 188 IPC. For any clariification ring 74100 ext. 393 or your nearest Police Station. Details to be filled in Point No.9 i.e. (Full details of Occupation) A) If Rickshaw/ Auto- Rikshaw Puller 1) Rickshaw/Auto Rickshaw No. ________________ 2) Whether Owner or plying on rent ______________ 3) If plying of rent, Name and Address of owner : ________________________________ 4) Name/Place of Stand _______________________ B) Rehri/Phari Walas 1) Place of Rehri/ Phari ________________________ 2) Business on Rehri/Phari ______________________ 3) Place of Stand _____________________________ C) Maid Servants/Mallis 1) Presently working at H.No. ___________________ H.No.________________ H.No.______________ H.No.________________ H.No.______________ H.No.________________ H.No.______________ D) Labourer 1) Kind of work _____________________________ 2) Place of stand _____________________________
