* JPEG,JPG format Only
	Missing Child's Name: *
	Age: *		OR DOB: *		Sex: *	Please Select Male Female Other
	Address: *
	Missing Event Place: *			Missing Date: *

2Informant's Details

Informant's Name: *
Address: *			Mobile No: *	+91
OR Telephone No: *		Email Id:		Relationship with Missing Child: *

3 Complaint Details

State Name: *	--Please Select-- ANDAMAN & NICOBAR ANDHRA PRADESH ARUNACHAL PRADESH ASSAM BIHAR CHANDIGARH CHATTISGARH DADRA & NAGAR HAVELI DAMAN & DIU DELHI GOA GUJARAT HARYANA HIMACHAL PRADESH JAMMU & KASHMIR JHARKHAND KARNATAKA KERALA LAKSHADWEEP MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND ODISHA PONDICHERRY PUNJAB RAJASTHAN SIKKIM TAMILNADU TELANGANA TRIPURA UTTARAKHAND UTTAR PRADESH WEST BENGAL	District Name: *		Select State First
Police Station: *	Select District First
Have you lodged Missing Complaint? *	Yes	No	Don't Know
GDE No: *		GDE Date: *
FIR No:		FIR Date:
Reason: *	Select Reason Police Station is too Far Decliend by Police Others				*
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