BEAT DATA FORM-3 INFORMATION REGARDING SERVANTS (DOMESTIC/OTHER SERVANTS) (attach separate sheet wherever necessary) H.No. ______________________ Sector/Village ________________ 1. Name _______________________(alias, if any) _________________ 2. s/o,d/o,w/o ______________________________________________ 3. Occupation ______________________________________________ 4. Presently working at___________________________________ Since ________________ 5. Present Address ___________________________________________________________ 6. Permanent Address _________________________________________________________ Disst.___________________________ State _________________ P.S. _______________ 7. Ration Card No. _____________________ Names included _________________________ 8. Particulars of Family members 9. Known Persons/Relatives in Chg. With Address: 10. If married, spouse resides at _____________________________________________________ 11. Previous Places of employment ___________________________________________________ 12. Age ____________ Hight ________________ Identification Mark _______________________ 13. Thumb imperession : 14. Stranger Roll Issued vide No. ______________________ Reply __________________________ No. Name Age Sex Designation Address 1 2 3 4 5 6 7 8 Note: 1.Attach separate, if required. 2. In case of any change /addition, please report in respective police Station Certified that the information given above is correct to my Knowledge and belief and that noting 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.
