True Translated Copy

Dhaka Metropolitan Police

To
Office In Charge
Paltan Model Police Station, Dhaka Metropolitan Police, Dhaka

Subject: Prayer for issuing general diary.

Sir,
I undersigned (Name) : Md. Aminul Islam, National Identity Card No: ...
Father: Md. Abdul Barek, Mother: Rajia Begum.
Address (Permanent) : Village: Nagjatia, Post Office: Shreeyong
Police Station: Laksam, District: Cumilla

Address (Present) : Same

I do hereby state that, My passport have been lost on 11/02/19 approximately

at 9.00 PM from Naya Paltan area. Which Number is BY0432776. I couldn’t
find it even after searching a lot.

Paltan Model Police Station’s GD

NO: 783, Date: 13/02/19

SD/- ELLIGABLE
Duty Officer
Paltan Model Police Station
D.M.P. Dhaka

So, Therefore I hope and pray that your honor would be kind enough to issue
this matter as a general diary in your police station.

Date: 13/02/19 Oblige Thereby

Signature : SD/- ELLIGABLE
Name: Md. Aminul Islam
Mobile: 01677063460
E-Mail (If any)...........................

(Note: Extra sheets can be used if necessary)