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FSL Docket

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No
Dated
To the HOD Department PGIMS Rohtak
Signature of forwarding Officer
Designation of the
Forwarding Officer
Dated Specimen Impression Sealing wax

Certificate

Certificate to be signed by the competent forwarding authority and
Forwarding to the Director, HOD Department PGIMS Rohtak Certified that the Director HOD Department PGIMS Rohtak has the
Authority to examine the exhibit sent to him is connection
with case to State Versus
2 Under section and if necessary to take them to pieces of remove portion for the purpose of said examination
Place :- Date :-
Signature & Designation of the
forwarding authority.

  • F.I.R

  • Dates

  • U/S

  • PS

  • Distt

Nature of Crime.

(The should cover nature of charge, brief history and relevant details)

( LIST OF EXHIBITS SENT FOR EXAMINATION)

Sr Description of
Exhibits		 How when and
By whom found		 Source of
the exhibits		 Remarks

NATURE OF EXMINATION REQUIRED

(Including and information will assist the examination)
Memo No
Date
Forwarded to the Director FPB Madhuban Karnal
  • ACP/DSP
  • PS
  • Dated

Certificate

(Certificate to be signed by the competent authority)

Forwarded to the Director FPB Madhuban Karnal

Certified that the director FPB Madhuban Karnal has the authority to the

examine the exhibits sent to him in the connection with the Case FIR No./DDE No.

dated
u/s
P.S

the FSL may take the pieces and remove any exhibits if necessary for the

purpose of said examination.

Place :-
Date :-
ACP/DSP
No
Dated
To the Director FPB Haryana Madhuban Karnal
Signature of forwarding Officer
Designation of the
Forwarding Officer
Dated Specimen Impression Sealing wax

Certificate

Certificate to be signed by the competent forwarding authority and
Forwarding to the Director, FPB Haryana Madhuban Karnal . Certified that the Director FPB Haryana Madhuban Karnal has the
Authority to examine the exhibit sent to him is connection
with case to State Versus

FIR No. Dated Under section

PS DLF Phase-II, Gurgaon and if necessary to take them to pieces of

remove portion for the purpose of said examination.

Place :- Date :-
Signature & Designation of the
forwarding authority.
  • FIR No.
  • dated
  • U/S
  • IPC

Nature of Crime.

(The should cover nature of charge, brief history and relevant details)

( LIST OF EXHIBITS SENT FOR EXAMINATION)

Sr Description of
Exhibits		 How when and
By whom found		 Source of
the exhibits		 Remarks

NATURE OF EXMINATION REQUIRED

(Including and information will assist the examination)
No
Dated
To the Director Chemical Examiner F.S.L Haryana Madhuban (Karnal)
Signature of forwarding Officer
Designation of the
Forwarding Officer
Dated Specimen Impression Sealing wax

Certificate

Certificate to be signed by the competent forwarding authority and
Forwarding to the Director, F.S.L Chemical Examiner Haryana Madhuban ( Karnal). Certified that the Director F.S.L Haryana Madhuban has the
Authority to examine the exhibit sent to him is connection
with case to State Versus
2 Under section and if necessary to take them to pieces of remove portion for the purpose of said examination.
Place :- Date :-
Signature & Designation of the
forwarding authority.
No
Dated
To the Director Chemical Examiner R/F.S.L Haryana Bhondsi (Gurugraml)
Signature of forwarding Officer
Designation of the
Forwarding Officer
Dated Specimen Impression Sealing wax

Certificate

Certificate to be signed by the competent forwarding authority and
Forwarding to the Director, F.S.L Chemical Examiner Haryana Madhuban ( Karnal). Certified that the Director F.S.L Haryana Madhuban has the
Authority to examine the exhibit sent to him is connection
with case to State Versus
2 Under section and if necessary to take them to pieces of remove portion for the purpose of said examination.
Place :- Date :-
Signature & Designation of the
forwarding authority.

  • F.I.R

  • Dates

  • U/S

  • PS

  • Distt

Nature of Crime.

(The should cover nature of charge, brief history and relevant details)

( LIST OF EXHIBITS SENT FOR EXAMINATION)

Sr Description of
Exhibits		 How when and
By whom found		 Source of
the exhibits		 Remarks

NATURE OF EXMINATION REQUIRED

(Including and information will assist the examination)
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