Annexure “F,” Affidavit—Lost or Damaged Passport (DOWNLOAD)
You can find an Annexure ‘F’ or Affidavit, only needed for lost passports or damaged passports as a normal passport application in the Passport Law of India. Also, this process cannot apply to the Tatkal Passport Application in Word format, PDF format, or text format.
How to Fillup “Annexure F” for a Lost Passport
Annexure F is used for applications for lost or damaged passports with a single declaration. This annexure is to be completed only on a computer; it should not be used manually—please refer to the list of details below.
| a | Applicant name, father’s name, and address |
| b | GD and FIR Number |
| c | Date, Time, and Place of Passport Lost |
| d | Passport, Visa, or Travel Country Information |
| e | Finally, signatures |
| f | Date and Place |
Annexure ‘F’
Affidavit
I _____________, Son Of ____________, Residing At As ________________________________, Solemnly Affirm As Follows :-
- That I Have Lost My Passport From Travelling In A Bas On ____________ From My Custody And Subsequently I Lodged A General Diary At The ______ Police Station Being G D S No. _______ Dated _______ And My Passport Number – _______. I have never Lost Any Passport From My Custody Or Otherwise.
- That I Have Not Travelled In Any Place On The Lost Passport.
- I Have Not Availed Any Tr Concessions / Fts Allowance From Any Authority.
- That I Am An Indian National And I Am Not A Non-Resident Indian.
- That There Is /Was Any Objection By The Pia In Respect Of The Said Passport.
- That I Have Never Deported At Any Time At The Expenses Of The Government. 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:
Deponent
Identified By Me, Advocate
Annexure ‘F’ in Pdf (.PDF) Format Free Download
Annexure ‘F’ in Word (.doc) Format Free Download
अनुलग्नक ‘एफ’
शपथ पत्र
मैं ________________, _________ का बेटा, ________________________________ के रूप में निवास करता हूं, सत्यनिष्ठा से पुष्टि करता हूं: –
कि मैंने अपनी हिरासत से _________ के आधार पर यात्रा करने से अपना पासपोर्ट खो दिया है और इसके बाद मैंने ________ पुलिस स्टेशन में एक सामान्य डायरी दर्ज की है जी डी एस नंबर _______ दिनांक _______ और मेरा पासपोर्ट नंबर – _______। मैंने अपनी हिरासत से या अन्यथा कभी कोई पासपोर्ट नहीं खोया है।
कि मैंने खोए हुए पासपोर्ट पर किसी भी स्थान की यात्रा नहीं की है।
कि मैंने किसी भी प्राधिकरण से कोई टीआर रियायतें / फीट भत्ता प्राप्त नहीं किया है।
कि मैं एक भारतीय नागरिक हूं और मैं एक अनिवासी भारतीय नहीं हूं।
कि उक्त पासपोर्ट के संबंध में पिया द्वारा कोई आपत्ति है/थी।
कि मैंने सरकार के खर्चे पर कभी भी निर्वासित नहीं किया है। मैं आगे पुष्टि करता हूं कि यदि जारी किया जाता है तो मैं अपने पासपोर्ट का पूरा ध्यान रखूंगा और सरकार पासपोर्ट अधिनियम, 1967 के तहत कोई कानूनी कार्रवाई करने के लिए स्वतंत्र होगी, यदि चूक दोहराई जाती है।
दिनांक:
मेरे अधिवक्ता अनुबंध खोया के लिए ‘एफ’ शपथ पत्र से पहचान और पासपोर्ट डाउनलोड क्षतिग्रस्त
Lost or Damaged Passport Documents
| I | Old Passport Xerox Copy |
| II | FIR or G.D number from the Police Station |
| III | Application Form: A printout of the online application form, a submission, and an appointment letter. |
| IV | Birth Certificate: issued by a Municipal Authority or District Office of the Registrar of Births & Deaths. After 26/01/1989, a birth certificate is compulsory; otherwise, a birth certificate is not needed. |
| V |
Identity Proof: ( Two Documents)
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| VI |
Address Proof: (One Document)
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| VII |
Qualification: ( One Document)
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| VII | Annexure -F, notarized by the court. |
| IX | All documents must be original with a xerox. Also passport office takes your photo. |
Other Passport Annexure
| Annexure | The required documents for the passport application are: Annexures A, C, D, E, F, G, H, I, and J. Additionally, you must include Appendix-12 and an Authority Letter. Please ensure all these forms are completed accurately and submitted. |