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2016 NPS Recruits
Form for submitting information about or complaints against officers of the national police service To be completed by Members of the Public and Police Officers, Groups and Organizations)
County of residence
Section 2. Details of Officer your informationis about.
Force number(if known)
Duty Station (current)
Duty Station (previous)
Phone Number (if known)
*Description of Complain: Provide details of the circumstances, location and Time
(Attach additional information)
Are you making this complaint on behalf of someone else, or for yourself?
If someone else, who?
Were you involved in the case you are complaining about:
As a suspect
As a witness
As a victim
Otherwise, please specify
Have you formally filed a complaint?
If Yes, Where:
If you have already filed a complaint, please give details and copies of relevant correspondence.
If not, please specify why you have not yet raised this complaint.
Has the complaint been dealt with? If so, what do you think of the findings?
Are there any other people who can support your complaint? Please give their names, and contact details.
Section 3. Commendation
Do you have any commendation for the Police Officer e.g. service to the public, courtesy, courage etc.? Please provide details of the Commendation:
I declare that the facts in this statement are true to the best of my knowledge, belief and information.
I am acquainted with section 25 of the NPSC Act stating:
Any person who-
a. in connection with an application, by himself or herself for employment, nomination or recommendation for appointment, confirmation in appointment, promotion, deployment or transfer in the Service; or
b. in connection with any matter upon which it is the duty of the Commission to require information or evidence, or into which it is the duty of the Commission to inquire,
willfully gives to the Commission any information which is false or misleading in any material particular, commits an offence and shall on conviction be liable to a fine not exceeding two hundred thousand or to imprisonment for a term not exceeding two years or to both.
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