| 1. | Name with alias of missing person | Niyati Mahato |  |
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| 2. | W/O | Nandalal Mahato | ||||||
| 3. | Full Address | Village Kantaranguni, PS- Adra, Dist-Purulia. | ||||||
| 4. | Age | Sex | Height | Built | Complexion | Color of eyes | ||
| 65Years | Female | 5’ | Normal | Fair | Normal | |||
| 5. | Habit | Nil | ||||||
| 6. | Other | Nil | ||||||
| 7. | Hair | Black | ||||||
| 8. | G.D.E. No. & Date | Adra PS GDE No. 347 dt. 08.09.14 | ||||||
| 9. | Religion | Hindu | ||||||
| 10. | Educational Qualification | Not Noted | ||||||
| 11. | Mother tongue | Bengali | ||||||
| 12. | Wearing Apparels | Blue Shari | ||||||
| 13. | Visible mark of identification | Nil | ||||||
| 14. | Date & Time of Missing | On. 03.09.14 at 06:00 AM. | ||||||
| 15 | Place of missing | From own house | ||||||
| 17 | Informants name | Sunil Mahato | ||||||
| 18 | Contact No. of informant | Nil | ||||||
| 19 | M. P. Case No. | 02/14 | ||||||
| 20 | Relation between informant- | Son | ||||||
| 21 | Duty officer | ASI. G. Bhattacharya | ||||||
| All are requested to take N/A. and informed this P.S. | ||||||||
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