Affidavit Loss Of Passport Legal Draft Template

Precedent No. 79

AFFIDAVIT: LOSS OF PASSPORT

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

1. I lost my hand-bag containing the said Passport and other

articles in the Central Reference Library of Delhi University on

1. 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.

1. I have used my Passport on two occasions - while travelling to Italy

from to , and while travelling to America

from to

1. I am a resident Citizen of India.
2. 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.

1. 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

personallyknown to me, on this the day of ,20

Sd./ Notary.