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An Affidavit of Loss Form is a crucial legal document used in Indian jurisdiction when an individual needs to formally declare the loss of important documents, certificates, or items. This sworn statement, prepared in accordance with Indian legal requirements, helps protect both the declarant and receiving authorities from potential misuse of lost items. The document typically includes detailed information about the lost item, circumstances of loss, and steps taken to locate it. The Affidavit of Loss Form must be sworn before a Notary Public or appropriate authority and requires proper stamp duty payment as per state regulations. It is commonly used for lost passports, educational certificates, banking documents, or other important instruments where a formal declaration of loss is required for replacement or record purposes.

1. Title and Jurisdiction: Specifies that this is an Affidavit of Loss and the jurisdiction where it is being sworn

2. Deponent Details: Full name, age, occupation, and complete address of the person making the affidavit

3. Oath and Declaration: Statement confirming that the deponent is swearing the affidavit voluntarily and understands the contents

4. Description of Lost Item: Detailed description of the lost item/document including any identifying numbers or features

5. Circumstances of Loss: Detailed account of when, where, and how the item was lost or discovered to be missing

6. Actions Taken: Description of steps taken to locate the lost item and any reports filed with relevant authorities

7. Declaration of Non-Recovery: Statement that the item has not been found and is believed to be permanently lost

8. Indemnification: Statement holding the accepting authority harmless from any claims arising from the loss

9. Verification Clause: Standard verification statement confirming the truth of the contents