REPUBLIC OF KENYA
APPENDIX “4”
ABSTRACT FROM POLICE RECORDS
TO……………………………………………………………………………......................
ABSTRACT REGISTER NO………………………………………………………………
POLICE REFERENCE………………………………………………………………….....
MISC. RECIEPT NO……………………………………………………………………….
WE HAVE CONFIRMED THE REPORT…………………………………………………
………………………………………………………………………………………………
WHICH WAS REPORTED AT ……………………………………...POLICE STATION
CASE FILE NO…………………………………………………………………………….
NAME OF THE COMPLAINANT………………………………………………………...
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
IT IS FURTHER NOTED THAT THE PROPERTY INVOLVED WAS ESTIMATED
TO THE VALUE OF Ksh………………………………………………….........................
DETAILS OF PROPERTY RECOVERED………………………………………………..
………………………………………………………………………………………………
………………………………………………………………………………………………
SIGNATURE………………………………………………
OFFICER IN CHARGE POLICE STATION
This Abstract Form is free of charge.
THE KENYA POLICE
ABSTRACT FROM POLICE RECORDS
A. APPLICATION
NAME………………………………………………………………………………
OF POSTAL ADDRESS…………………………………………………………...
HEREBY APPLY FOR POLICE ABSTRACT, WHICH WAS REPORTED AT
…..……………………………POLICE STATION ON…………………………...
INVOLVING…………………………………………………………………….....
……………………………….DAMAGES ETC…………………………………..
………………………………………………………………………………………
………………………………………………………………………………………
DATE……………………………………………………………………………….
SERIAL NUMBER………………………………………………………………...
ABSTRACT FROM POLICE RECORDS…………………………………………
NAME………………………………………………………………………………
ADDRESS………………………………………………………………………….
OFFICIAL RECEIPT………………………………………………………………
REPORTED ALLEGED TO HAVE BEEN RECEIVED ON……………………..
………………………………………………………………………………………
SIGNATURE……………………………………………….
OFFICER IN CHARGE POLICE STATION
RECEIPT FOR CASH Ksh…………………………………
This Abstract Form is free of charge.