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Recording Statement

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In the court of Sh.
MM
Court,
  • New Delhi Case FIR No.
  • Date.
  • U/S
  • P.S
  • Distt
  • S/T:-
  • S/V:-
  • Date of Arrest
SUBJECT:-
Application for recording statement U/S 164
C.R.P.C of Prosecutrix

Subject: Request for Medical Examination

Sir,
With due respect I am sending Mr./Mrs
S/o, d/o. W/o Sh
R/o
Age
in the custody / protection of 1. const
No
2. W/Const
No
It is therefore, requested that patient may kindly be medically examined and opinion for the same.
Thanking You,
Name of I.O.
P.S.
Distt.
Delhi
Date.
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