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    Annexure L Lost Passport

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    Aditya Raj
    The applicant Pritpal Singh affirms that his passport was lost in Barara, Ambala in 2014 and an FIR was filed with the local police station. He had previously traveled to Abu Dhabi, UAE from 2008 to 2011 using the lost passport. He states that he did not claim any tax concessions or allowances and was not deported from any country at the expense of the Indian government. He pledges to take proper care of any new passport issued.

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    Annexure L Lost Passport

    Uploaded by

    Aditya Raj
    6K views2 pages
    The applicant Pritpal Singh affirms that his passport was lost in Barara, Ambala in 2014 and an FIR was filed with the local police station. He had previously traveled to Abu Dhabi, UAE from 2008 to 2011 using the lost passport. He states that he did not claim any tax concessions or allowances and was not deported from any country at the expense of the Indian government. He pledges to take proper care of any new passport issued.

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    Annexure l Lost Passport

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    The applicant Pritpal Singh affirms that his passport was lost in Barara, Ambala in 2014 and an FIR was filed with the local police station. He had previously traveled to Abu Dhabi, UAE from 2008 to 2011 using the lost passport. He states that he did not claim any tax concessions or allowances and was not deported from any country at the expense of the Indian government. He pledges to take proper care of any new passport issued.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    6K views2 pages

    Annexure L Lost Passport

    Uploaded by

    Aditya Raj
    The applicant Pritpal Singh affirms that his passport was lost in Barara, Ambala in 2014 and an FIR was filed with the local police station. He had previously traveled to Abu Dhabi, UAE from 2008 to 2011 using the lost passport. He states that he did not claim any tax concessions or allowances and was not deported from any country at the expense of the Indian government. He pledges to take proper care of any new passport issued.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    ANNEXURE L

    SPECIMEN AFFIDAVIT FOR A PASSPORT IN LIEU OF LOST PASSPORT (This affidavit is to be executed on non-judicial stamp paper of minimum value in the presence of First Class Judicial Magistrate or Executive Magistrate/Notary Public on the following points) I Pritpal Singh S/o Shri ParamjIt Singh residing at H.No. 2066, Barara, Tehsil Barara Distt Ambala solemnly affirm as follows: 1. State that my passport F6140629 was lost in Barara distt Ambala dated 29/01/2014 and FIR was lodged at Barara Police Station and one passports were lost earlier. 2. Yes I travelled on the lost passport and port to UAE IN 11-11-2008 entry into India at 27-12-2011 3. State whether you availed of any TR concessions/FTs allowance and if so details thereofNA 4. State whether non-resident Indian and if resident abroad, the details of the residence as follows: S.No. Name of the Length of Page Nos. of Country residence Passport From.To bearing departure & arrival stamps 1. ABU-DHABI (UAE) 11-11-2008 TO 27-12-2011 7 & 22

    5. State whether the Passport had any objection by the PIA and if so the details thereof. N/A 6. State whether you were deported at any time at the expense 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: ..

    Deponent

    Affirm before First Class Judicial Magistrate or Executive Magistrate/ Notary Public

    niser66954

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