I,…………………… ,
S/o ……………………………………………..,
Aged……………… years
presently and permanently
residing in………………………..\
do hereby solemnly affirm and declare as follows:—
1……………I was holding a Passport bearing No…… as issued from the
Regional Passport Office, on The expiry date of
my passport was
I lost my hand-bag containing the said Passport and other articles in the Central Reference Library of Delhi University on
An F.I.R. reporting the aforementioned loss was lodged by me with the
Police-station on the very same day. However,
the Police Authorities have been unable to recover my Passport and the accompanying articles till date and I have received no intimation whatsoever from the aforesaid authorities regarding the said loss.
4 I have used my Passport on two occasions - while travelling to Italy
from to , and while travelling to America
from to
I am a resident Citizen of India.
As I wish to travel to America next month for the purpose of attending a prestigious conference, I need a Passport as early as possible.
I undertake to keep the new Passport with utmost care and caution, failing which I will be liable to any legal action, which the Government may be pleased and authorised to take under the Passports Act, 1967.
Sd./ Deponent.
Verification
Verified at on this the day of ,
20 , that the contents of the above affidavit are true and correct to the best
of my knowledge, belief and information and nothing material has been concealed therefrom.
Sd./ Deponent.
Solemnly affirmed and signed before me by the deponent, who is personally
known to me, on this the day of ,20
Sd./ Notary.

Using this format

This is a reference draft reproduced for study and adaptation. Court rules, court fees and the correct forum vary with the facts and the value of the claim, so have the document checked and filed by an advocate. A defective application can be returned or dismissed even when the case itself is good.

Our Civil Litigation team drafts and files these documents before the Calcutta High Court, city civil courts, magistrate, family and consumer courts in Kolkata. Our civil litigation team drafts, files and argues these applications in Kolkata courts.

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Affidavit: Loss of Passport: Format

Using this format

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