BEAT DATAFORM-2 STATEMENT REGARDING OWNER/TENANT OF COMMERCIAL AREA/COMPANIES/CLUBS/GOVT.OFFICES (Attach separate sheet wherevernecessary) 1. S.C.F/S.C.O/Booth No __________________________ Sector_____________________________ 2. Owner/Tenant _____________________ If tenant, Name & Address of Owner _________________ 3. Name, Address __________________________________________________________________ 4. Name of the Shop _________________________________ deals in ________________________ _______________________________________ Telephone/ Fax __________________________ 5. Having any servant/helper or not? __________________________________ (if yes, fill form-2 also) 6. Detail of persons employed: 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_________________ .................................................................................................................................................................. CHANDIGARH ADMINISTRATION POLICE DEPARTMENT CHANDIGARH e-JAN SAMPARK 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. e -JAN SAMPARK : Information Gateway of Chandigarh Administration Page : 2 of 2
