Annexure F' Specimen Declaration of Applicant For Obtaining A Passport in Lieu of Lost/ Damaged Passport
Annexure F' Specimen Declaration of Applicant For Obtaining A Passport in Lieu of Lost/ Damaged Passport
Annexure F' Specimen Declaration of Applicant For Obtaining A Passport in Lieu of Lost/ Damaged Passport
1. State how and when the passport was lost/ damaged and when FIR was lodged
at which Police Station and how many passports were lost/ damaged earlier?
2. State whether you travelled on the lost/ damaged passport, if so state flight
number and date and port of entry into India?
4. State whether non-resident Indian and if resident abroad, the details of the
residence as follows:
5. State whether the Passport had any objection by the PIA and if so the details thereof.
6. State whether you were deported at any time at the expenses of the Government and
if so was the expenditure incurred reimbursed to Government of India.
I further affirm that I will take utmost care of my passport if issued and the Government will be
at liberty to take any legal action under the Passports Act, 1967, if the lapse is repeated.
Date: ..
(Signature of applicant)