To,
The Police Officer,
__________(Name)
__________(Address)

Date: __/__/_____(date)

Subject: Complaint for lost certificate __________ (name of the certificate)

Respected Sir/Madam,

With due respect, I am __________(Name) S/o, D/o Mr.___________(Father’s name) and I am a resident of ___________(mention address).

I would like to humbly inform you that I have misplaced my _____________ (name of the certificate) certificate at _________________ (mention location/ place) on ___/___/_____ (date) at __:__ (time). As far as I can remember I was going to _________ (home/ office/ travelling) from _________ (my workplace/ office/ any other location) which is located at _______________ (location). I have tried to find my lost certificate at that place but I couldn’t find it.

Further, please note that my certificate was in ___________ (color) folder/ file and my name ___________ (name) was written on that file.

I hereby request you to kindly lodge my complaint regarding the same. I would also request you to try finding my lost original certificate. I have also attached a photocopy of the lost certificate for your reference. I hope that you will contact me at the below-mentioned contact details.

Yours sincerely,
__________(Signature)
__________(Name)
__________(Contact Details)

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