Application for G.D. number



To
The Officer in charge
Jhalda Police Station
Dist-Purulia , West Bengal

       Subject: Loss of the Mobile Phone
Respected Sir,
              With due respect I would like to inform you that I, Subhash Chandra , S/o ……………………… ,
 Vill-…………….. , P.O-………………… , P.S- ……………….. , Dist- ………………….. .On 15/03/2019 , I lost My Mobile Phone (Samsung J5) with SIM (Jio) on the way of Jhalda To Ranchi.

The IMEI number of the phone is 45632555887965,
 The serial number of phone is 45621234 and Mobile Number is 7894561230
                       Please do the needful and oblised
    
Date :                                                                                               yours faithfully
                                                                                                                   Name :
                                                                                                                   Contact No.

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