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    Beaula Jayaraj Naveen Kumar George Nathan No 15 6Th Cross Annappa Reddy Layout, Ramamurthynagar, Bengaluru, 560016

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    basava prabhu
    The document is an affidavit from Beaula Jayaraj regarding her lost/damaged passport. In it, she states that her passport number G6358166 was damaged due to rain and that no passports were damaged previously. She also states that she did not travel on the damaged passport and has not availed of any travel concessions. Finally, she affirms that she will take care of any new passport issued and understands legal action can be taken if another lapse occurs. The affidavit is 3 sentences in length.

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    Beaula Jayaraj Naveen Kumar George Nathan No 15 6Th Cross Annappa Reddy Layout, Ramamurthynagar, Bengaluru, 560016

    Uploaded by

    basava prabhu
    41 views2 pages
    The document is an affidavit from Beaula Jayaraj regarding her lost/damaged passport. In it, she states that her passport number G6358166 was damaged due to rain and that no passports were damaged previously. She also states that she did not travel on the damaged passport and has not availed of any travel concessions. Finally, she affirms that she will take care of any new passport issued and understands legal action can be taken if another lapse occurs. The affidavit is 3 sentences in length.

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    The document is an affidavit from Beaula Jayaraj regarding her lost/damaged passport. In it, she states that her passport number G6358166 was damaged due to rain and that no passports were damaged previously. She also states that she did not travel on the damaged passport and has not availed of any travel concessions. Finally, she affirms that she will take care of any new passport issued and understands legal action can be taken if another lapse occurs. The affidavit is 3 sentences in length.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    41 views2 pages

    Beaula Jayaraj Naveen Kumar George Nathan No 15 6Th Cross Annappa Reddy Layout, Ramamurthynagar, Bengaluru, 560016

    Uploaded by

    basava prabhu
    The document is an affidavit from Beaula Jayaraj regarding her lost/damaged passport. In it, she states that her passport number G6358166 was damaged due to rain and that no passports were damaged previously. She also states that she did not travel on the damaged passport and has not availed of any travel concessions. Finally, she affirms that she will take care of any new passport issued and understands legal action can be taken if another lapse occurs. The affidavit is 3 sentences in length.

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    of 2

    ANNEXURE L

    I, BEAULA JAYARAJ, W/O. NAVEEN KUMAR GEORGE NATHAN, residing at NO 15 6TH CROSS ANNAPPA
    REDDY LAYOUT, RAMAMURTHYNAGAR, BENGALURU, 560016, do hereby solemnly affirm as
    follows:

    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?

    I am the holder of Passports bearing No. G6358166, issued at


    Regional Passport Office, Bangalore, it had got damaged due
    to rain. No passport were damager earlier to this.

    State whether you travelled on the lost/ damaged passport, if so state


    flight number and date and port of entry into India?

    NIL.
    2 State whether you availed of any TR concessions/FTs allowance and if
    so details thereof? NIL.

    3 State whether non-resident Indian and if resident abroad, the details


    of the residence as follows: No.

    S.No Name of the Length of residence Page Nos. of


    . Country FromTo passport bearing
    departure &
    arrival stamps
    1 NA
    2 NA
    3 NA

    5 State whether the Passport had any objection by the PIA and if so the
    detail thereof.
    No.
    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. No.

    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.
    Place: Bangalore

    Date: 03/02/2017

    Deponent

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