To,

Officer In-Charge,
Officer In Charge,
Lalmai Police Station
Cumilla.

Sub : Application For A General Diary (GD).

Dear Sir,
It is my humble submission that I, the undersigned, Pankaj Kanty Bhomick, Father-
Pulin Chandra Debnath Village – Batiapara, Police Station- Sadar Dakshin Hale Police Station-
Lalmai,
District- Cumilla. Having appeared at the police station, I hereby declare that on 25/09/2022 at
Approximately 10.30 am, on my way from my home to cumilla, I have obtained the original
original
Passport Of my name bearing No- BK 0095319 From me in Bagmara Bazar area. It gets lost in an
Unknow Place on the way. After searching a lot, I prayed to file a diary at the police station, Note
that
I have not gevin my passport to anyone

Therefone, Sir , please register the above matter in your police station

Humble Bidder

Signature: Sd/Illegible
Name : Pankaj Kanty Bhomick
Date : 27/10/2022
Mobail: 01724348921

Lalmai Police Station

GD No- 1195
Date : 27/10/2022 AD.

Sd/Illegible
27/10/2022
Duty Officer
Lalmia Police Dtstion, Cumills