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Self-Class Ethnicity:
Occupation relevant to N
offence:
GLU:
National of: 1
Passport No: 1
National of: 2
Passport No: 2
Religion:
Local ID:
Grid Ref:
Address Details
VIW’s Address: is same as VEN?
Address:
GLU:
Home Intelligence Unit:
Local ID:
Grid Ref:
CNAA Reason: PCM
Contact Details:
Home:
Mobile:
Email:
Business:
Other:
Injury Details
Injury Description:
Degree:
Description/Dress:
Vulnerable intimidated
Victim/Witness?
Reason for
Vulnerability/Intimidation
:
Actions
MG11 Taken?
Victim of Reported Crime
to Police in last 12
months?
Is V willing for VSS to be
informed? V Code of
Practice Applicable?
Witness Albums Visited? N
Changed To:
Entered By:
Date:
