POL00118374 - Non-Police Agencies Notification of Proceedings to Police Form - blank.

Evidence on official site

POL00118374
POL00118374

FORM NPA 01 11/12

SIDE 1
NON-POLICE AGENCIES
(Notification of Proceedings to Police)
AGENCY NAME: POST OFFICE LTD AGENCY REF. No:
ADDRESS: =
OFFICER IN CHARGE OF CASE: SIGNATURE:
For Police Use Only A/S Reference Number PNC Court Case Reference Number I
[ PNC ID Number ] I CRO Number ]
Entered on PNC by Date
Name Charged/Summonsed
[ “Sumame ] Forename(s) ]
Alias Name(s) [ I Nickname [ I
Date of Birth Sex Colour Height (Imperial) or Metric
I I I I ] [™] LF] I [ White I [_Nenwnite J ] ft in m ]
Place of Nationality Driver
Birth Number
Process [ Reported ‘Arrested Charged Date Time
Stage
DNA Sample [ Taken [ l Not Taken I I [ Mouth I I Hair I I [ 1D Number l l l I l l l I I
Prosecuting _[ Post Office Ltd Legal Services, Criminal Law Team, 148 Old Street, London, EC1V 9HQ
Agents
Offence (in plain language,
include Act & Section of
Offence.)
Offence Start Offence End
Date/Time Date/Time
are aan TOF I
Cony Parade
I [TTT TT
Method used in Offence (Show as much information as possible especially in regards to words spoken/weapons usedimeans of entrylest and
pat played by any ACCOMPLICE showing name and address where known.)
+ FOR ADDITIONAL OFFENCE(S) USE A SEPARATE FORM NPA 02 *****
Continuation form(s) NPA 02 attached Yes Cy No CI)
Charged/Summonsed Court Date Time
on date
Court
Name
Cautioned on date LLELLLELL] Cautioning Officer ] Rank
Name ‘Surmame Forename(s)
Cautioned

POL00118374

POL00118374
SIDE2
Ethnic White Dark ‘Afro Asian Oriental Arab Unknown
Appearance I_European European Caribbean
Build Fat Heavy I Stocky [I [ Broad [ [Thin [ I Sim [ I Smar_ 7 I
Medium Proportionate_[ I
Shoe Size (British I ] or [Metric J ]
Eye Blue Brown Green Grey Hazel Pink Unknown
Colour(s)
Glasses Glasses Contact Neither Handed [~ Right Left Ambi-
Lenses Handed Handed dextrous
Type Colour (1) Dyed/Greying Colour (2) Features
Hair
Bald BA) _I Black TR) _I Dyed ) I Back BR) _I Afro GF)
Collar Length (CL) White (WH) I Greying (Ss) White (WH) I Plaited (PL)
‘Cropped (CR) Light Brown. (LB) Light Brown (LB) Mohican (MO)
Receding (RE) I Dark Brown (0B) Dark Brown (DB) I Beehive (BH)
Short (SH) I Fair (FA) Fair (FA) I Ponytail (PT)
Shoulder L'th (SL) Blonde (BD) Blonde (BD) Punk (PK)
Nery Long (vt) Ginger (Gl) Ginger (Gl) Rasta (RA)
Auburn (AU) Auburn (AU) ‘Shaven (sv)
Grey (GY) Grey (GY) ‘Skinhead (SK)
Brown (ER) Brown (R) I Teday (Te)
Red (RD) Red (RD) I Permed (PM)
Sandy (SA) Sandy (sa) I Curly (CU)
Mousey (MO) Mousey (MO) I Wavy (WA)
Blue (BL) I Dirty (01)
Green (GN) I Greasy (GR)
Moustache (Wy Orange (OR) I Streaked (SD)
Beard ®) Purple (Pu) I Thinning (TH)
Long Yellow (YE) Wig (wi)
Sideburns () Pink (Pl) I Straight (ST)
Clean Shaven _(C) Multi (MU) I Untidy (UT)
Type Colour (1) Dyed/Greying Colour @) Features
Facial
Hi
Accent English Scottish trish Welsh Northern North East
North West Yorkshire. Midland East Anglia West Country’ Southern
Liverpool Birmingham London ‘Glasgow.
American Australian French German Ttalian_ ‘Spanish
West Indian Asian Oriental Foreign Other Cultured
Marks/Scars/ TATT Tattoo R Right SCAL(Scalp) LEGS GENI(Genitals = CHIN
Abnormalities MARK L Left EYES GAIT HAND ABDO(Abdomen
LACK Lacking c Centre LIPS BROW FEET BUTT (Buttocks)
SCAR ‘Scarred U Upper NECK EARS SPEE(Speech) FING (Finger)
PRCD Pierced Ww Lower BACK TEET(Teeth) FACE TOES
ecu I Peculiar ARMS CHES(Chest) NOSE TONG (Tongue)
I
Description (describe tattoo or other details)
Home Address(es) Postcode
Other Address(es) Postcode
Type Number
Identity Numbers
{OSSiNational insurance ete.)
Occupation [ Date[ I I I TTT 4
Habitual Dress [ ]
Jewellery Worn Bracelet Brooch Earring Neckchain I [Pin I [ Ring I I
Watch Pendant Other
State if worn permanently ]
and body position
Habits/Mannerisms I I

Special skills [ I