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ANNEXURE- III Form of Report to be used when forwarding samples of Forensic Medical Examination of alleged Accused of sexual assault to FSL To, The Director/ Dy.Director, Forensic Science Laboratory….…………………,Govt. of Maharashtra I / we am / are herewith forwarding the samples collected during Forensic Medical Examination of alleged accused of sexual assault to you in Properly COLLECTED, PRESERVED, SEALED , LABELLED CONDITION through concerned police station / Investigating Officer for necessary analysis. Sr. Particulars of the samples collected No. 1 Stains on the clothes and body for detection of semen/blood / DNA. 2 Matted pubic hairs for detection of semen & comparision with those found on victim. 3 Combed pubic hairs for comparison with those of victim. 4 10 to 15 scalp hairs for comparison with those found on victim. 5 One swab from prepuce, coronal sulcus for detection of vaginal epithelial cells & DNA 6 One smear from prepuce, coronal sulcus for detection of vaginal epith. cells & DNA 7 One swab from glans and urethral meatus for detection of vaginal epith. Cells & DNA 8 One smear from glans and urethral meatus for detection of vaginal epith. cells & DNA 9 Nail cutting / scraping for blood group & DNA 10 Blood sample in plain bulb for grouping. 11 Blood sample in EDTA bulb for DNA. 12 Blood for evidence of alcohol and drugs in Fluoride and Oxalate bulb 13 Urine for alcohol & Drug level estimation. Of the list above total …………(in words ……….….. ) samples are collected in this case. Impression of The SEAL Preserved/Not preserved Copy of Label— Name:…………………………………………………………………………………. Age:…………… Sex: ………………………. MLC no……………………………. Hospital……………………………………….. Date: ………………………………….. Sign Date:-………………………….Place:-……………………. Signature Name Stamp / Seal Of Designation And Hospital RECEIPT Received………. (in words………………………) above mentioned intact, sealed and labeled samples from Dr………………………………for subsequent submission to FSL……………. Signature………………PC no……………….Name:-………………..Police station:-……….