Form IX
[See Rule 32(1)(e)]
Chronological Register of Probationer
SerialNo.
Name of Probationer, father's name and address
Sex, age, religion, and identification marks etc.
Offence (give section and brief description of the offence)
Court passing the supervision order and Case No.
Date of supervision order and period of supervision
Name of the Probation Officer
Pre-sentence report submitted or not (if submitted, give
P.R., No. and date)
Whether the Probationer is residing in institution and
premises for the reception of probationers, if so, give the
name and address of the home.
Name and address of sureties, if any
1
2
3
4
5
6
7
8
9
10
Occupation, if any, and wages, name and address of
employer, if any
Any variation in original supervision order and the date of
such variation
No. of visits paid
No. of visits received
No. of progress reports submitted
Result of probation and remarks of Probation Officer, if any
Subsequent history after completion of probation
17
First year
Second year
Third year
Fourth year
Fifth year
11
12
13
14
15
16
(a)
(b)
(c)
(d)
(e)