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Affidavit Of Loss
"I need an Affidavit of Loss for my lost share certificates from ABC Trading Ltd (certificate numbers 12345-12350), which were misplaced during an office move on January 15, 2025, to help me obtain replacement certificates from the company registrar."
1. Personal Details and Declaration: Opening section containing deponent's full name, NRIC/passport number, address, occupation, and formal declaration statement
2. Description of Lost Item: Detailed description of the lost item including all identifying features, serial numbers, reference numbers, or other unique identifiers
3. Circumstances of Loss: Detailed narrative of when, where, and how the item was lost, including date, time, and location of last possession
4. Steps Taken: Comprehensive list of actions taken to locate the lost item, including searches conducted and persons contacted
5. Verification Statement: Formal statement verifying that the item has not been found, transferred, or pledged to any other person
1. Police Report Details: Section detailing the police report filing information, including report number and date of filing
2. Indemnification Clause: Section containing indemnity statement protecting the institution issuing replacement documents from future claims
3. Witness Statement: Section including statements from witnesses who can corroborate the circumstances of loss
4. Previous Instances: Section declaring any previous instances of loss of similar items, if applicable
1. Annex A - Identification Documents: Certified copy of deponent's NRIC or passport
2. Annex B - Police Report: Copy of police report if filed
3. Annex C - Supporting Documents: Copies of relevant documents proving ownership or existence of lost item (e.g., purchase receipts, photographs)
4. Annex D - Search Evidence: Documentation of efforts made to locate the lost item (e.g., correspondence, advertisements)
Authors
Deponent
Lost Item
Date of Loss
Place of Loss
Original Document
Replacement Document
Institution
Police Report
Commissioner for Oaths
Indemnification
Supporting Documents
Identification Documents
Statutory Declaration
Witness
NRIC/Passport Number
Registered Address
Relevant Authority
Official Capacity
Verification Process
Identification Details
Description of Lost Item
Circumstances of Loss
Last Known Location
Search Efforts
Police Report Details
Notification to Authorities
Indemnification
Non-Recovery Declaration
Truth Declaration
Replacement Request
Witness Statement
Verification
Oath Acknowledgment
Legal Responsibility
Supporting Documentation
Commissioner Authentication
Execution
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