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1. Title and Declaration: Formal title of the affidavit and opening declaration stating this is made under oath
2. Deponent Details: Full name, HKID/passport number, occupation, and residential address of the person making the affidavit
3. Item Description: Detailed description of the lost item including identifying features, serial numbers, or unique characteristics
4. Circumstances of Loss: Detailed account of when, where, and how the item was lost or discovered to be missing
5. Prior Ownership Proof: Statement confirming legitimate ownership or right to possession of the lost item
6. Search Statement: Description of efforts made to locate the lost item
7. Police Report: Details of the police report filed, including report number and date
8. Declaration of Truth: Formal statement affirming all information provided is true and accurate
9. Execution Block: Space for signature, date, and notary/commissioner for oaths' details
1. Financial Impact: Details of any financial loss or impact, used when the lost item has monetary value
2. Replacement Attempts: Description of any attempts made to obtain replacement documents, used for official documents
3. Security Measures: Details of steps taken to prevent unauthorized use, included when the lost item could be misused
4. Third Party Notifications: List of institutions notified about the loss, used for items like credit cards or official documents
5. Indemnity Statement: Statement indemnifying relevant parties against claims if the original item is found and misused
1. Schedule 1 - Original Proof of Ownership: Copies of original purchase receipts, registration documents, or other ownership proof
2. Schedule 2 - Police Report: Copy of the filed police report regarding the lost item
3. Schedule 3 - Identity Document: Copy of deponent's HKID or passport for verification
4. Schedule 4 - Supporting Photographs: If available, photographs of the lost item before it was lost
5. Schedule 5 - Relevant Correspondence: Copies of any correspondence with authorities or institutions regarding the loss
Lost Item
Original Document
Date of Loss
Place of Loss
Police Report
Report Number
Reporting Officer
Commissioner for Oaths
Notary Public
Supporting Documents
Relevant Authority
Identity Document
Last Known Location
Registered Address
Reporting Institution
Replacement Document
Official Copy
Search Efforts
Notification Date
Financial Services
Legal Services
Government and Public Sector
Banking
Insurance
Education
Real Estate
Transportation
Retail
Healthcare
Legal
Compliance
Risk Management
Administrative Services
Corporate Secretarial
Human Resources
Operations
Claims Processing
Document Control
Security
Property Management
Customer Service
Records Management
Legal Counsel
Compliance Officer
Risk Manager
Administrative Officer
Company Secretary
Human Resources Manager
Operations Manager
Claims Handler
Document Controller
Security Officer
Property Manager
Bank Branch Manager
Customer Service Manager
Records Manager
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