Fillable Affidavit Of Loss Of Indian Passport printable pdf download

Affidavit Of Loss Of Indian Passport

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AFFIDAVIT OF LOSS OF INDIAN PASSPORT

I,___________________________________________________________, Residing at

_______________________________________________________________________

legal age after having been sworn to accordance with law, do hereby depose and say

• That I was born on _____________________________________________

• That I have been issued Indian Passport No ________________________at

________________________________________________ I arrived in United

States of America on ___________________________________________

• That I have become Citizen of United States of America on________________

• That the aforesaid Indian Passport was lost/misplaced and never used for travel

since becoming citizen of United States of America as I traveled on USA Passport

after obtaining Indian Visa

• That the efforts to find the said passport were not successful

• That I am executing this affidavit of attest the aforementioned facts and in support

of my application to obtain surrender certificate of the Indian Passport and

Renunciation of Indian Citizenship

I HEREBY DECLARE UNDER PENALTY OF LAW, THAT ABOVE

STATEMENTS ARE CORRECT.

Signature: __________________________________

Print full name: __________________________________________________

BEFORE ME, a notary public on the day personally appeared

___________________known to me to be the person whose name is subscribed to the

foregoing document and being by me my first duly sworn declared that the statements

therein contained are true and correct

Given under my hand and seal of the office this on __________day of _______________

______________________

Notary Public

Affidavit Of Loss Of Indian Passport

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