PRASAR  BHARATI
(BROADCASTING CORPORATION OF INDIA)
ALL INDIA RADIO : IMPHAL

F O R M  O F  L OS T  P E R S ON (S)
(Details required for the tracing of lost person(s)

1.    Full Name of Lost person                         :

2.    How long ago and in what District
       was this person last heard of                   :

3.    Have you tried all other means of
       tracing the person for instance
       through the Police or the Post Office      :

4.    A brief description of the lost person(s)  :-

a)    Age and sex                                               :

b)    Height                                                         :

c)    Build and construction                               :

d)    Complextion                                               :

5.    Can you suggest his/her probable
whereabouts.                                                     :

6.    Whether any reward is offered if             :
so state the amount.

7    What is the relationship between the lost  :
person and the person who wished
        distress message to be broadcast.

8.    A brief report on the circumstances           :
        (if known) under which the person
        disappeared.

9.    Your full name and address                         :

CERTIFIED                                                                                                         Signature of the applicant  

                                                                  M A G I S T R A T E