| 1. | Name with alias of missing person | Shis Md. Khan |  |
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| 2. | S/O | Lt. Golam Khan | ||||||
| 3. | Full Address | Village Hussaindih, PS – Jhalda, Dist-Purulia. | ||||||
| 4. | Age | Sex | Height | Built | Complexion | Color of eyes | ||
| 85Years | Male | 5’ 6” | Medium | Fair | Black | |||
| 5. | Habit | Nil | ||||||
| 6. | Other | Nil | ||||||
| 7. | Hair | Black | ||||||
| 8. | G.D.E. No. & Date | Jhalda PS G.D.E.No.525,dt-13.07.14 | ||||||
| 9. | Religion | Hindu | ||||||
| 10. | Educational Qualification | Not Noted | ||||||
| 11. | Mother tongue | Bengali | ||||||
| 12. | Wearing Apparels | Upper- Kurti Lower- Lungi | ||||||
| 13. | Visible mark of identification | Nil | ||||||
| 14. | Date & Time of Missing | Not noted | ||||||
| 15 | Place of missing | From his house | ||||||
| 17 | Informants name | Shahid Khan | ||||||
| 18 | Contact No. of informant | Nil | ||||||
| 19 | M. P. Case No. | 15/14 | ||||||
| 20 | Relation between informant- | Son | ||||||
| 21 | Duty officer | ASI. H.R. Mondal | ||||||
| All are requested to take N/A. and informed this P.S. | ||||||||
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