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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)
Personal Details
Section 2. Details of Officer your informationis about.
The Complaints
*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?
Were you involved in the case you are complaining about:
Have you formally filed a complaint?

If you have already filed a complaint, please give details and copies of relevant correspondence.
Has the complaint been dealt with? If so, what do you think of the findings?
Section 3. 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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