Date:__/__/____ (DD/MM/YYYY)

To,
Officer in charge,
________ (Police Station),
________ (Police Station Address)

Subject:  Loss of Mobile phone

Respected sir,

I, ________(Name) S/o, W/o ________ (Father/ Husband Name), a resident of ________ (address) hereby request you to lodge a complaint about a lost Mobile Phone. I lost my mobile phone at ________ (Location) on ____________ (phone lost date). I realized the loss only after a gap of __________(hours/days) when I searched for it to make an urgent call. Details of the Phone are mentioned below:

Make:  ______
Model number:  ______
IMEI:  ______
Serial Number:  ______
Color:  ______
Mobile number: _______ (sim number)

I have already requested the _______ (mobile sim provider) sim service provider to block the number.

Kindly register the complaint, I shall be grateful if you kindly take action to trace and recover the lost device if possible.

Thanking you,

Yours sincerely,

________ (Name),
________ (Signature),
________ (Contact Number)

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