Complaint of victimization
Information of deposit
- 10-15-2009
- 104
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: kshtshchndrmishra4@gmail.com
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:&
Company: Complaint of victimization
Country: India