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[LossDeponentFullName], son/daughter/wife of [LossDeponentGuardianName], aged about [LossDeponentAgeYears] years, holding CNIC No. [LossDeponentCNIC], by profession [LossDeponentOccupation], resident of [LossDeponentAddress], [LossDeponentCity], [LossDeponentProvince], do hereby solemnly affirm and state on oath as follows:
That I am the deponent of this affidavit and I am fully competent to swear this affidavit.
That the following document(s) belonging to me have been lost/misplaced:
(a) Type of Document(s): [LostDocumentType]
(b) Document Number(s): [LostDocumentNumber]
(c) Issuing Authority: [LostDocumentIssuingAuthority]
(d) Date of Issue: [LostDocumentIssueDate]
(e) Other Details: [LostDocumentOtherDetails]
That the said document(s) were lost/misplaced on or about [LostDocumentLossDate] at/near [LostDocumentLossLocation]
That despite my best efforts, I have not been able to recover the said document(s) up to this date.
That to the best of my knowledge, the said document(s) have not been pledged, sold, transferred, or handed over to any person for misuse.
That if the said document(s) are found or recovered, I undertake to immediately inform the concerned authority and to act as per their directions.
That (if applicable) I have lodged/intend to lodge a report with the Police Station [LossPoliceStationName] vide Diary/FIR No. [LossPoliceReportNumber] dated [LossPoliceReportDate].
That this affidavit is being made for the purpose of [LossAffidavitPurpose] and is to be submitted before/with [LossAffidavitReceivingAuthority] and wherever else required.
That the contents of this affidavit are true and correct to the best of my knowledge and belief.
Signature: ______________________________
Name: [LossDeponentFull-Name]
CNIC No.: [LossDeponent-CNIC]
Date: [LossAffidavit-Date]
Place: [LossAffidavit-Place]