FORM - 6 [See rule 13(2)] TEST MEMO Name and address of the seizure organization SECTION – I (for use by the seizing Officer) 1

FORM - 6 [See rule 13(2)] TEST MEMO Name and address of the seizure organization SECTION – I (for use by the seizing Officer) 1. Crime No. : 2. Name & Address of the Officer(s) drawing sample : 3. Name & Address of the accused(s): 4. Alleged description of drug and weight of samples (net. weight): 5. Date and time of seizure : 6. Place of seizure: 7. Date of Draw of sample : 8. No. of samples and (Extractive summary — verify with official source.)