Complaint of victimization
Information of deposit

First Name: Kshiteesh

Middle Name: Chandra

* Last Name: Misra

Business Name: ADVOCACY

* Age:40 - 49

* Gender: M

* Address:-

Address (continued):Mukeritola

Suite/Apt./Mail Stop: Rekabganj

* City: Faizabad

Do you live within the city limits? : Yes No

County:-

State:

* Country: India

* Zip Code / Route:224001

* Phone Number:09415715565

* E-mail Address: [email protected]

Name of your local police or sheriff's office:

polie station kotwali sadar city & district faizabad

Is the complaint you are filing related to the Internet or an online service?

Yes No

Do you have pertinent documents in paper form?

Yes No

Information about the Individual/Business that victimized youBusiness Name:

First Name:

Middle Name:

Last Name:

Gender: U

Address:

Address (continued):

Suite/Apt./Mail Stop:

City:

State:

Country:

Zip Code / Route:

Phone Number:

E-mail Address:

Other IdentifiersWeb Site:&