২৮। উক্ত Code এর SCHEDULE V এর Form I এর পূর্বে নিম্নরূপ নূতন Form IA সন্নিবেশিত হইবে, যথা:-

                                            “MEMORANDUM OF ARREST

                                                        (See section 46A)

1.    Name, Father's name, Husband's name (if applicable), address, and age of the arrested person:

2.    NID/Passport/ Birth Registration Number of the arrested person (if available):

3.    Place of arrest:

4.    Date and time of arrest:

5.    Reasons for arrest (mention relevant law and section):

6.    Name and address of informant/complainant (if applicable):

7.    Case/GD number:

8.    Memo number and date of warrant of arrest (where applicable):

9.     Physical condition of the arrested person at the time of arrest:

10.    Cause of injury, if found, on the body of the arrested person:

11.    Name of attending registered medical practitioner and certification (attach a copy if the arrested person is injured):

12.    Has the family/ relative/friend/neighbour of the arrested person been informed? Yes/No

13.    Name and address of relative/friend/neighbour of the arrested person who is informed of the arrest:

14.    Contact number of the person informed:

15.    Court before which the arrested person is to be produced:

16.    Signature or thumb-impression of the arrested person (if not refused):

17.    Signature of a family member of the arrested person or a respectable inhabitant of the locality (state reason if not found):

----------------------------------------------------------------------------------------------------------

Name, designation, ID number and signature of the arresting officer

[Direction:

This memorandum shall be prepared at the time and place of arrest and shall be forwarded to the Magistrate or Court together with the arrested person. If the arrested person is injured, attach the attending registered medical practitioner's certification and/or release documentation. A copy must be preserved in the case diary for future reference.”]