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Name  

 

Email  

 

Address  

 

Place of interaction with Traffic Police  

 

Date of Interaction  

 

Time of Interaction  

 

Name or other particulars of the Police officer, if known  

 

Was the officer wearing a uniform and name plate?  

 

Challan Number, if issued with section of law  

 

Time Taken by the Officer  

 

Behaviour of the Officer  

 

Did the officer negotiate by asking for a higher fine?  

 

Was any money given to the officer in addition to the fine amount?  

 

Remarks or suggestion if any?