To, __________ Police Station, District __________
Subject: Report of a lost admit card (__________, roll no. __________, year __________)
Sir/Madam,
I, __________, resident of __________, report that I have lost my admit card issued for __________, roll no. __________, year __________. I lost it at or near __________ on or about __________. I have searched for it and could not find it.
As far as I know, the loss is not connected with any crime.
I need a copy of this report to apply for a duplicate admit card. Please record this report and acknowledge receipt on my copy.
I declare that the facts stated above are true.
Yours faithfully,
(Signature) __________ Address: __________ Mobile: __________ Date: 28.10.2026