本《遗失说明》可打印,也可手写
Lost Explanation
Because I am careless custody, I lost my old passport (The passport number is: 填写旧护照号码 ).
The passport has bore entry and exit stamps to 填写以往出入境国家 , but no denied records.
如有拒签记请把‘but no denied records’话述改为
(and it has denied records: 时间 , 国家 , 被拒签原因 ).
Declarant: (本人签名)
DD/MM/YYYY
提醒:如您使用电脑打印,请务必删除所有红色字体的文字,谢谢。
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