Fill in Application to the Magistrate to Order an FIR

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Application to the Magistrate to Order an FIR

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Which Magistrate's court is the application made to?Needed

For example: THE CHIEF JUDICIAL MAGISTRATE, LUDHIANA

On what date is the application made?Needed

A calendar date — the day, the month and the year. Dates in a document like this are read against one another, so a date typed here can change what another date is allowed to be.

For example: 15 October 2026

Who is the applicant?Needed

For example: Manjit Kaur

Whose son, daughter or wife are you?Needed

For example: wife of Balbir Singh

What is your age?Needed

A plain number. Digits only — no words and no units beside them.

For example: 58

What is your address?Needed

House / flat / plot no.

Street, sector or locality

City area and PIN code

At which police station did you give the information?Needed

For example: Division No. 5, Ludhiana

Who are the persons complained against?Needed

Names, parentage and addresses where known, as they print after and.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: Ravinder Singh son of Gurnam Singh, proprietor of Sunrise Motors, Ferozepur Road, Ludhiana

What is the complaint about?Needed

The substance of the offence, in words that read after The Applicant complains of.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: cheating, in that Ravinder Singh took Rs 2,50,000 from me for a car he never delivered, and threatened my son when I asked for the money back

On what date did the incident happen?Needed

A calendar date — the day, the month and the year. Dates in a document like this are read against one another, so a date typed here can change what another date is allowed to be.

For example: 12 June 2026

What happened?Needed

In order, in complete sentences, as it prints after the date.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: Ravinder Singh took the money as a booking amount, promised delivery within 30 days and gave a receipt; no car was delivered and he stopped answering my calls.

On what date did you give the information at the police station?Needed

A calendar date — the day, the month and the year. Dates in a document like this are read against one another, so a date typed here can change what another date is allowed to be.

For example: 10 September 2026

How did you give it?Needed

For example: in writing, by handing a written complaint to the duty officer

What did the police station say or do?Needed

In complete sentences: whether it refused to record the information or took no action, and on what dates.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: The duty officer refused to record the information and said it was a civil matter.

To whom did you send the complaint at the next step?Needed

For example: the Senior Superintendent of Police, Ludhiana

On what date did you send it?Needed

A calendar date — the day, the month and the year. Dates in a document like this are read against one another, so a date typed here can change what another date is allowed to be.

For example: 24 September 2026

How did you send it?Needed

For example: by registered post, the postal receipt being enclosed

What came of that complaint?Needed

In complete sentences: no reply, a reply that took no action, or no action by the police station afterwards.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: No reply has been received and the police station has still not recorded the information.

Why does the matter need a police investigation?Needed

What only the police can do, in words that read after because: trace persons, seize records, recover articles.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: the accused controls the records and the showroom, and only the police can trace the money and secure the records

Have you applied to any court before about this?Needed

Write that no earlier application has been made, or give the court, the case number and the result.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: No earlier application has been made to any court on these facts.

What else do you enclose?You may leave this

For example: the booking receipt and the bank statement

Where is the affidavit sworn?Needed

For example: Ludhiana

Advocate's nameYou may leave this

For example: Amandeep Kaur Sidhu, Advocate

Who signs the application?Needed

For example: Manjit Kaur

Who will hold the completed record?Needed

For example: Kuldip Singh Sandhu

Which email address should receive privacy requests?Needed

An email address somebody actually reads. Notices under a document like this can be sent to it, so a working one matters more than a tidy one.

For example: kuldip.sandhu@example.com

Which consent statement should print?Needed

I consent to the collection and use described in the Personal Data NoticeI do not consent to the collection and use described in the Personal Data Notice

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IN THE COURT OF __________

APPLICATION UNDER SECTION 175(3) OF THE BHARATIYA NAGARIK SURAKSHA SANHITA, 2023 FOR A DIRECTION TO REGISTER A FIRST INFORMATION REPORT AND INVESTIGATE

__________, __________, aged __________, of __________ ... APPLICANT

VERSUS

The Officer in Charge, Police Station __________, and __________ ... RESPONDENTS

MOST RESPECTFULLY SHOWETH:

1. The offence. The Applicant complains of __________. On or about __________, __________

2. Information to the police station. On __________ the Applicant gave information to the officer in charge of Police Station __________, __________. __________ The information was not recorded as a first information report.

3. Complaint to the Superintendent of Police. On __________ the Applicant sent the substance of that information in writing __________ to __________, as section 173(4) of the Bharatiya Nagarik Suraksha Sanhita, 2023 allows. __________

4. Why an investigation is needed. The facts stated disclose a cognizable offence. A police investigation is needed because __________.

5. Earlier applications and other proceedings. __________

6. Affidavit and enclosures. This application is supported by the Applicant's affidavit, which follows it. Copies of the information given to the police station and of the complaint to the Superintendent of Police are enclosed.

PRAYER

It is therefore most respectfully prayed that this Hon'ble Court may be pleased to:

(a) direct the Officer in Charge, Police Station __________, under section 175(3) of the Bharatiya Nagarik Suraksha Sanhita, 2023, to register a first information report on the facts stated above and to investigate them;

(b) direct that the Applicant be given a copy of the first information report free of cost; and

APPLICANT

Place: __________

Date: __________

AFFIDAVIT IN SUPPORT OF THE APPLICATION

I, __________, __________, aged __________, of __________, the Applicant, solemnly affirm and state on oath as follows:

1. That I am the Applicant and am acquainted with the facts of the case.

2. That the contents of paragraphs 1 to 5 of the application are true to my own knowledge, except where I have said that I was told something, and that I have concealed nothing material.

3. That the copies enclosed with the application are true copies of the information I gave to the police station and of my complaint to the Superintendent of Police.

DEPONENT

VERIFICATION

Verified at __________ on __________ that the contents of this affidavit are true and correct to my knowledge, that no part of it is false and that nothing material has been concealed.

DEPONENT

LEGAL BASIS

Punjab: A Magistrate empowered under section 210 of the Bharatiya Nagarik Suraksha Sanhita, 2023 may, on an application supported by affidavit, order an investigation under section 175(3), after considering the submission of the officer in charge of the police station. Before applying, the applicant is expected to have given the information to the officer in charge under section 173(1) and, if it was not recorded, to have sent its substance in writing by post to the Superintendent of Police under section 173(4). The Sanhita has been in force since 1 July 2024.

Chandigarh: The Bharatiya Nagarik Suraksha Sanhita, 2023 is central law and applies in the Union Territory in the same terms from 1 July 2024. The application goes to the court of a Magistrate at Chandigarh empowered under section 210, after the information has been given to the officer in charge under section 173(1) and its substance sent to the Superintendent of Police under section 173(4).

PERSONAL DATA NOTICE

This notice is given under the Digital Personal Data Protection Act, 2023.

The purpose of collecting the personal data in this document is to identify the applicant and the persons complained against, and to put before the Magistrate what was reported and what the police did, so that the Magistrate can decide the application.

The record will be held by __________ and may be shared with the applicant, the Magistrate and the court's staff, the police station concerned, the Superintendent of Police, and the applicant's advocate.

If the matter does not proceed, the personal data will be retained for 90 days and then erased. If the matter proceeds, the record will be retained for the transaction or authority matter plus 12 months, except where a statute requires a longer named retention period.

A person named in this document may request correction or erasure where the purpose has ended, withdraw consent for future consent-based processing, or raise a grievance by writing to __________. The record-holder should acknowledge and reply within 30 days.

Data minimisation: this document does not collect a full Aadhaar number, an Aadhaar-card copy, a password or bank credentials.

Personal-data instruction: __________.

SIGNATURE

______________________________
Signature
Applicant: __________
Place: ____________________
Date: ____________________

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