Ministry of External Affairs (Passport Seva), Government of India Edition Annexure 'F' (specimen, PDF dated June 2019) 1 page

Annexure F — Declaration for a Passport in Lieu of a Lost or Damaged Passport

The plain-paper declaration you sign when applying to replace a lost or damaged Indian passport.

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Passport Annexure F · Annexure F — Specimen declaration of applicant for obtaining a passport in lieu of lost / damaged passport
The official Ministry of External Affairs (Passport Seva), Government of India form, edition Annexure 'F' (specimen, PDF dated June 2019) — blank
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Passport Annexure F (2019) Annexure F — Specimen declaration of applicant for obtaining a passport in lieu of lost / damaged passport — page 1 of 1
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Fill this form online Blank PDF from Ministry of External Affairs (Passport Seva), Government of India

What is Passport Annexure F?

Annexure F is Passport Seva's specimen declaration by an applicant who wants a new passport in place of one that was lost or damaged. Below your name, your father's or husband's name and your address, it asks six questions that the passport office uses to look into what happened to the old passport.

You explain how and when the passport was lost or damaged, when and at which police station the FIR was lodged and how many passports you have lost or damaged before; whether you travelled on it and, if so, the flight, date and port of entry into India; whether you used any TR concessions or FTS allowance; where you lived abroad and which passport pages carry the stamps; whether the passport had any objection by the Passport Issuing Authority; and whether you were ever deported at the Government's expense.

FileIt turns your answers into short lines printed under each question on the specimen, fills the residence-abroad table and checks that everything fits. You print the page on plain paper, strike out the S/o, D/o or W/o that doesn't apply and sign it by hand.

Who fills it
An Indian passport holder applying for a new passport after losing or damaging the old one.
Police report
For a lost passport, the declaration asks when and where the FIR was lodged.
Signature
By hand, with the date.
Fee
None for the declaration; the re-issue application has its own fee.
Edition
Specimen PDF dated June 2019 on passportindia.gov.in.

Who needs to fill out Passport Annexure F?

  • Anyone whose Indian passport was lost or stolen and who is applying for a replacement.
  • Applicants whose passport is damaged, for example torn, soaked or with pages missing.
  • Non-resident Indians replacing a lost passport, who also list their residence abroad.

When to use Passport Annexure F

  • When you apply for a passport in lieu of a lost or damaged one and Passport Seva asks for Annexure F.
  • After you have lodged a police report for a lost passport, so you can give its date and police station.
  • Before your Passport Seva Kendra appointment, so the signed original is ready.

What you need before you start

  • Your name, your father's or husband's name and your present address.
  • The date and circumstances of the loss or damage.
  • For a lost passport: the date of the FIR, the police station and, if you have it, the FIR number.
  • If you travelled on the old passport: the flight number, the date and the port where you entered India.
  • If you lived abroad: the countries, the dates and the passport page numbers with the departure and arrival stamps.
  • Plain paper to print on, and a pen to sign.

What’s on Passport Annexure F

The 2019 edition has 1 page. FileIt asks for it in 8 parts:

  1. The applicantApplicant
  2. 1. How and when the passport was lost or damagedApplicant
  3. 2. Travel on the lost or damaged passportApplicant
  4. 3. TR concessions / FTS allowanceApplicant
  5. 4. Residence abroadApplicant
  6. 5. Objection by the Passport Issuing AuthorityApplicant
  7. 6. DeportationApplicant
  8. Declaration and signatureApplicant

How to fill out Passport Annexure F, step by step

1 Your details

Name, father's or husband's name (strike out S/o, D/o or W/o by hand) and your address.

2 1. Loss or damage

Lost or damaged, when and how, the FIR date and police station for a loss, and how many passports you have lost or damaged before.

3 2–3. Travel and concessions

Whether you travelled on the old passport, with the flight, date and port of entry, and whether you used any TR concessions or FTS allowance.

4 4. Residence abroad

Up to three countries with the period you lived there and the passport pages with the stamps. If you haven't lived abroad, FileIt prints 'Not applicable'.

5 5–6. Objections and deportation

Any objection by the Passport Issuing Authority, and any deportation at the Government's expense and whether it was reimbursed.

Common mistakes to avoid

  • Leaving out the FIR details for a lost passport.
  • Forgetting earlier lost or damaged passports when giving the count.
  • Giving residence dates that don't match the stamps on the pages you list.
  • Not striking out S/o, D/o or W/o where they don't apply.
  • Signing before checking that every answer is true.

After you fill it out

Print the declaration from FileIt on plain paper and sign it by hand.

Take it, with the FIR and your re-issue application documents, to your Passport Seva Kendra appointment. FileIt does not submit anything for you.

Store the FIR and a scan of the declaration in your vault, and add the new passport with its expiry date when it arrives so FileIt can remind you before it expires.

Fill out Passport Annexure F online with FileIt

  1. Pick the person. Choose someone from People and FileIt fills in their name, date of birth, address and other details it already knows.
  2. Answer plain-language questions. One part of the form at a time, with the official help text beside each question — 49 fields in all. Your answers save as you go.
  3. Check the live preview. Watch your answers land on the real Ministry of External Affairs (Passport Seva), Government of India form, and let FileIt do any worksheet arithmetic.
  4. Generate the official PDF. FileIt prints your answers into the agency’s own PDF and files it in that person’s folder in your vault.

FileIt fills the form — it never files or submits anything for you. Deliver the finished form to whoever asked for it, the way the form’s instructions say.

Start Passport Annexure F now — it’s free

Passport Annexure F: frequently asked questions

Do I need an FIR for a lost passport?

The declaration asks when the FIR was lodged and at which police station, so have the police report ready before you fill it in.

Is Annexure F needed for a damaged passport too?

It covers both: the title is a declaration for a passport in lieu of a lost or damaged passport. For a damaged one there is no FIR to give.

What if I have never lived abroad?

Answer 'No' to question 4. FileIt then prints 'Not applicable: not resident abroad' in the first row of the table.

Can I sign it electronically?

It's a plain-paper declaration signed by hand, so FileIt doesn't offer an e-signature step for it.

What does the declaration commit me to?

You affirm that you will take the utmost care of the new passport, and the form says the Government may take legal action under the Passports Act, 1967 if the lapse is repeated.

Official sources

FileIt is not affiliated with or endorsed by Ministry of External Affairs (Passport Seva), Government of India or any government. This page explains the form in general terms and is not legal, tax or immigration advice. Always read the official instructions, and check that you are using the edition the recipient accepts. Page last reviewed 2026-10-19.

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