This below F.I.R Application format will help as and when you require.
From
abc… (Applicant Name)
xyz …(your contact address)
120012…(your contact mobile number/Phone number)
[email protected]...(your e-mail id.
Date.______
To,
The Police Officer In charge
Address ( Local Police station)
Respected Sir,
Sub. : Loss of my ORIGINAL _____________(mention your lost document name and Number)
While travelling from _______(place) to __________(place) by bus/ train/ walk I have lost my
Original __________ bearing No.____________ along with (name other documents if any)
some where. (If you have any idea or chance of loss at an approximate area, you can mention
the same in your application). Sir, to avoid any misuse of my above ___________ I seek your
help and request you to kindly register my F.I.R in the subject matter.
For your ready reference I enclose herewith
(a) copy of lost ____________
(b) copy of ______________ as I.D proof.
Hope you will do the needful favourably at the earliest.
Thanks and regards
Yours Sincerely
____________(your signature)
____________(your Name)
Note : You should make 3 or more copies of the Application.(1 cpoy for police station record, 1
copy for duplicate Document Application & 1 copy for your own record) Please take care that
you should get the report (F.I.R) duly signed by Police Officer In-charge with his name and
designation, Police station Address Stamp.