To,
The Officer In-charge,
________ (Police Station),
________ (Police Station Address)

Date:__/__/____ (Date)

Subject: Application regarding lost of SIM bearing no. __________ (SIM Number)

Respected sir/madam,

Respected, my name is __________ (Name), s/o,d/o __________ (Parent’s/ Guardian) am writing this letter to complain about the SIM card I recently lost. I am a resident of _________ (Address) and this is to inform you that on __/__/____ (Date), unfortunately, I lost my SIM card during ___________ (Journey/ at home/ Stolen/ etc.).

The SIM was of __________ (Company name/ Service provider’s name) and mobile number was __________ (Contact Number). I request you to kindly accept this letter as a letter of complaint and lodge a complaint about the same.

I shall be highly obliged for your kind support.

Thanking you,

Yours sincerely,
________ (Signature),
________ (Name),
________ (Alternate Contact Number)

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