FormatsApplication to police for lost documents or phone
Use this to report to the police station that you have lost a phone, wallet or documents. The stamped copy or report is often needed to get duplicates.
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To
The Station House Officer,
[Name of Police Station],
[City]
Date: [Date]
Subject: Report of loss of [Item Lost, for example my mobile phone and wallet]
Sir/Madam,
I am [Your Name], [son/daughter/wife] of [Father's or Husband's Name], living at [Your Address].
On [Date of Loss] at about [Time of Loss], I lost the following while [What You Were Doing, for example travelling by bus from the railway station to Model Town]:
1. [Item 1 with Details, for example a Samsung mobile phone, IMEI number 35xxxxxxxxxxxxx, SIM number 98xxxxxxxx]
2. [Item 2 with Details, for example my driving licence, number XX00 00000000000]
3. [Item 3 with Details]
I searched for them but could not find them. I request you to kindly record this report and give me a copy, as I need it to apply for duplicates.
I declare that the above information is true.
Yours faithfully,
[Your Name]
Mobile: [Alternate Mobile Number]
सेवा में,
थाना प्रभारी महोदय,
[थाने का नाम],
[शहर]
दिनांक: [दिनांक]
विषय: [खोई हुई वस्तु, जैसे मोबाइल फ़ोन और पर्स] खो जाने की सूचना
महोदय,
निवेदन है कि मैं [आपका नाम], [पिता या पति का नाम] का पुत्र/पुत्री/पत्नी, [आपका पता] का निवासी हूँ।
दिनांक [खोने की तारीख] को लगभग [खोने का समय] बजे [आप क्या कर रहे थे] के दौरान मेरा निम्नलिखित सामान खो गया:
1. [वस्तु 1 का विवरण]
2. [वस्तु 2 का विवरण]
काफ़ी खोजने पर भी सामान नहीं मिला। अतः आपसे प्रार्थना है कि मेरी यह सूचना दर्ज करके उसकी एक प्रति देने की कृपा करें, ताकि मैं डुप्लीकेट के लिए आवेदन कर सकूँ।
मैं घोषणा करता/करती हूँ कि ऊपर दी गई जानकारी सत्य है।
भवदीय,
[आपका नाम]
मोबाइल: [दूसरा मोबाइल नंबर]
Before you send it
- Many states let you file a lost article report online, on the state police website or app, and download it at once. Check that first; it can save a visit.
- This is a report of loss, not of theft. If something was stolen or snatched, say so plainly; the police then register it differently.
- For a lost phone, block the SIM with your mobile company at once. In India a lost phone can also be blocked and traced through the government's CEIR service on the Sanchar Saathi portal, which asks for the police report.
- Write the numbers of the lost documents if you have them: licence number, PAN, card numbers. Block lost bank cards with the bank immediately.
- Take two copies. Get the station's stamp and the date on your copy.
What to attach
- Identity proof
- Purchase bill or box of the phone showing the IMEI number, if a phone is lost
This is a general format, written by us, to save you time. If the office has its own printed form, use that form. Last checked: 11 November 2026.
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