The Officer In-charge,
__________ (Police Station Name),
__________ (Police Station Address)

Date: __/__/____ (Date),

Subject: Reporting loss of passport

Respected Sir/Madam,

With utmost respect, I would like to inform you that my name is _______ (Name) and I am a resident of ______ (Address/ Locality).

Most humbly, I would like to state that I do hold a passport bearing passport number_________ (Passport number) in the name of ________ (your name) issued at ________ (Issued Place). This is to regretfully inform you that I am unable to find my passport which was issued to me by _______ (Passport office name) for last _______ (Duration – days/ weeks) which is becoming a matter of concern for me.

I beg to request you to kindly file my complaint about the same. I shall be highly obliged for your kind and quick acknowledgment. For any queries, you may contact me at __________ (Contact number).

Thanking you,
_________ (Signature)
_________ (Your name),
_________ (Address),
_________ (Contact number)

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