Annexure L – Affidavit for Lost/Damaged Passport

Last updated: October 16, 2025 Type: Affidavit

**Sample PDF of the Affidavit attached at the end.

Why this affidavit is used

This affidavit is required when a person's passport is lost, misplaced, or damaged, and they need a reissue of the passport. It serves as a sworn declaration explaining the circumstances of loss/damage and assures the Passport Authority of the applicant's responsibility.

When it is used

If your passport is lost (whether in India or abroad).
If your passport is damaged (torn, water-damaged, or unreadable).
If you have lost passports earlier (multiple times), it is mandatory to declare details.
When applying for a duplicate/replacement passport with the Passport Seva Kendra/Consulate.

Purpose of this affidavit

To officially declare the details of loss/damage (how, when, where).
To confirm whether you travelled on the lost passport and entry details.
To disclose if you availed TR concessions/foreign travel allowances.
To give details of residence abroad (if NRI).
To confirm, no objection by Passport Authority was recorded.
To declare if you were ever deported and expenses repaid.
To undertake responsibility for safe custody of the reissued passport.

FAQs

Q1. Is an FIR mandatory for a lost passport?: Yes. An FIR/DDR (in India) or a loss report at the Indian Mission (if abroad) is compulsory.
Q2. Do I need this affidavit if my passport is only damaged?: Yes, for both lost and damaged passports, Annexure L is mandatory.
Q3. What if my passport is lost abroad?: File a report with local police and the Indian Embassy/Consulate. Then submit an affidavit with details when applying in India.
Q4. What if this is my 2nd or 3rd lost passport?: You must disclose previous loss incidents. Repeated loss may delay the issue or attract stricter scrutiny.
Q5. Who attests this affidavit?: It must be attested before a Judicial Magistrate, Executive Magistrate, or Notary Public.

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affidavit-passport-lost (95.75 KB)	95.75 KB

Format/Affidavit

ANNEXURE 'L'

SPECIMEN AFFIDAVIT FOR A PASSPORT IN LIEU OF LOST/DAMAGED PASSPORT

(This affidavit is to be executed on non-judicial stamp paper of minimum value in the presence of First Class Judicial Magistrate or Executive Magistrate/Notary Public on the following points.)

I…………………………. S/o, D/o, W/o Shri……………………… residing at …………………..solemnly affirm as follows:

State how and when the passport was lost/damaged and when the FIR was lodged, at which Police Station and how many passports were lost/damaged earlier.
State whether you travelled on the lost/damaged passport; if so, state the flight number, date and port of entry into India?
State whether you availed yourself of any TR concessions/FT allowances, and if so, details thereof?
State whether non-resident Indian and, if resident abroad, the details of the residence as follows:

s.n	Name of the Country	Length of residence from …………… to ………….	Page Nos. of passport bearing departure and arrival stamps
1
2
3

State whether the Passport had any objection by the PIA and, if so, the details thereof.
State whether you were deported at any time at the expense of the Government and if so, was the expenditure incurred reimbursed to the Government of India. I further affirm that I will take utmost care of my passport if issued, and the Government will be at liberty to take any legal action under the Passports Act, 1967, if the lapse is repeated.

Date: …………………..

Deponent

Affirm before First Class Judicial Magistrate or Executive Magistrate/Notary Public

Also See

Affidavit by One Parent for Minor’s Passport (Annexure C)

Affidavit for Change of Signature (Passport/Bank)

Affidavit for Minor’s Passport (Single Parent/Separated Parents)

Format Type

Affidavit