Affidavit For Lost Passbook
AFFIDAVIT
I son/daughter/wife of - ________resident of __ do hereby solemnly affirm and declare as
under:
1. That I am citizen of
2. That I am residing on the above address from
years.
3. That I confirm that have an Account at your Bank in - Branch.
4. That I further confirm that my Passbook has been lost.
5. That my Account no. is “. _".
6. That please
7. That it is my true statement.
DEPONENT
VERIFICATION
Verified at _______ on this __ _ that the contents of this affidavit are true and correct to the
best of my knowledge and belief and nothing has been concealed therein.
DEPONENT
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