[A2/1/5/17]

YAYASAN BANTUAN GUAMAN KEBANGSAAN

(BAR COUNCIL YBGK SECRETARIAT)
REMAND INTERVIEW SHEET
Date :
OYDS Name: .... Consecutive days in Detention:.

IC No : ................................................................
Sex: M / F Age: .................... Special Circumstances (if any):
Police Station of Arrest: .......................................................... Court Coram:
Magistrate:
Financial, Social status of the arrested person .
1. Working? Y / N 2. If Yes, Self Employed / Employed by someone IO: ..
3. Working at this job for how long ?
4. If not working : Why? Days Granted:
Special needs
Does OYDS have any special needs/requests? Y / N If yes, pls state: Next date: .../...
Marital Status Courts Instructions::.
Single Married Divorced Children? Y / N
..
Who are the OYDS Dependants (If any)?......................................................
.
Details of Family/Friend (must be above 18)
Name: ....................
Relationship: .........................
Contact No: ..................

DETAILS OF ARREST & OFFENCE:

OTHER OFFENCE DRUG ABUSE/CONSUMPTION

OFFENCE
Place of Arrest
1. Time of Arrest (try to be accurate)? ............................ 2.Where were you arrested? ............................................
3. Does OYDS know why he was arrested? .........................................................................(Section :........................)

Questioning by police
1. Have the police taken a statement from him? Yes No - If yes, what time? ............................
(explain to the client that this would be the 112 statement which he would have had to sign and confirm)

Investigation done by the police Police taken a sample (urine) from OYDS? Y / N
1. As far as OYDS knows, what other investigative steps have the If yes: When?
Police taken? (for example) If urine test taken, does he know the results?
Kawad cam? Recovered Barang Kes Positive Negative
Interviewed witnesses Others: Dont know
Previous Convictions:
1. Does OYDS have any previous convictions? Yes No
FACTS OF CASE

.....
Details of Lawyer
Name :
Firm :
Signature :