IN THE COURT OF THE CHIEF JUDICIAL MAGISTRATE AT __________
Complaint Case No. ____ of 20__
IN THE MATTER OF:
[Complainant Name], S/o [Father’s Name], Aged about __ years,
Occupation: [Occupation], Resident of [Full Address] ………. Complainant
VERSUS
[Accused Name], S/o [Father’s Name], Aged about __ years,
Occupation: [Occupation], Resident of [Full Address] ………. Accused
COMPLAINT UNDER SECTION 200 OF THE CODE OF CRIMINAL PROCEDURE
MOST RESPECTFULLY SHOWETH:
1. That the Complainant is a responsible citizen residing at the above-
mentioned address and has no previous criminal antecedents.
2. That on __________ at around ___ A.M./P.M., while the Complainant was
present at his residence/shop/office, the Accused unlawfully entered
the premises and abused, threatened, and physically assaulted the
Complainant.
3. That the Accused used criminal force intending to cause injury and also
threatened the Complainant with dire consequences, all of which was
witnessed by [Witness Names].
4. That the Complainant tried to register an FIR at the [Name] Police
Station but the authorities, under influence or negligence, refused to
lodge the same.
5. That the acts of the Accused constitute offences punishable under
Sections [Specify relevant Sections] of the Indian Penal Code.
6. That this Hon’ble Court has the jurisdiction to try and entertain this
complaint, and the present complaint is filed within the prescribed
limitation period.
PRAYER:
It is therefore respectfully prayed that this Hon’ble Court may be pleased to:
a) Take cognizance of the offences committed by the Accused;
b) Issue summons to the Accused under the relevant provisions of law;
c) Pass any such further orders as this Hon’ble Court may deem fit and
proper in the interest of justice.
Place: __________
Date: __________
[Signature]
(Complainant)