[Plain-English version of what Annexure F asks; use the official form for the application]
I, Rahul Varma, son of Mohan Varma, residing at 7 Marine Drive, Kochi, Kerala 682031, do hereby solemnly affirm and declare as under:
1. I was issued Indian passport no. P1234567 on 10 May 2019 by the Regional Passport Office, Kochi, valid until 9 May 2029.
2. The said passport was lost on or around 20 October 2026 while travelling by train from Kochi to Bengaluru. I noticed the loss on reaching Bengaluru and searched thoroughly without success.
3. I lodged a complaint with the Kochi City Railway Police on 22 October 2026 (complaint / FIR no. 456/2026), a copy of which is attached.
4. I last travelled abroad on the said passport to Dubai from 2 to 9 March 2026. I have not travelled on any other passport and I have not been deported or refused entry by any country.
5. I have not misused the passport, nor has it been impounded or revoked. If the passport is found, I undertake to surrender it to the nearest Passport Office or Indian Mission.
Verification: Verified at Kochi on 2 November 2026 that the above contents are true and correct.
Signed
Rahul Varma, Deponent · attested by Notary Public / Magistrate
Names, numbers and dates above are examples. Replace them with yours.
Stamp paper, notary and signing
Annexure F is executed on plain paper and attested by a notary, magistrate or oath commissioner; no stamp paper is required by Passport Seva, though notaries in some states insist on a Rs. 10–20 stamp. Submit online via passportindia.gov.in (Re-issue → Lost/Damaged) with the police report.
Common questions
Do I need the official Annexure F or will this do?Use the official Annexure F wording from passportindia.gov.in for the application; this page explains what it says. Our generator makes the general lost-document affidavit, which is useful for other offices (bank, airline refund).
Lost abroad — what first?Report to local police, then contact the Indian Embassy for an Emergency Certificate or re-issue; take the police report and any passport copy.
Damaged passport — same process?Yes, Annexure F covers damaged passports too; no police report is needed if you still have the damaged booklet.
This page is a template and general guidance for a common situation, not legal advice. Rules differ by state and office; check with the office that asked for the document. Last reviewed October 2026.