Police Station

Police Complaint Application for Lost Mobile Phone & SIM

Auto-fill and download official Police Complaint Application Letter format PDF for Lost Mobile Phone & SIM card to submit at Police Station.

1 Recipient Authority / Office Details

To Authority *

Police Station Name *

City / District *

2 Applicant Particulars

Applicant Full Name *

Father's / Husband's Name *

Contact Mobile Number *

Full Address *

3 Application Specific Inputs (Auto-Generates Official Text)

Phone Make & Model *

IMEI Number (15 Digits) *

SIM Mobile No & Operator *

Date & Time of Loss *

Location Where Phone Was Lost *

Place of Application *

Application Date *

Official Procedural Guide

Guide to Submitting Police Complaint Application for Lost Mobile Phone / SIM

Filing an official police lost report (NCR) at your local Police Station (Thana) is mandatory when you lose your mobile phone or SIM card. This document is required by telecom operators (Airtel, Jio, Vi, BSNL) to re-issue duplicate SIM cards and by insurance companies for mobile claims.

Important Instructions for Submission:

• Print this auto-filled application on standard A4 size paper.

• Sign or affix thumb impression above the Applicant Signature block.

• Attach self-attested photocopies of mandatory identity proof (Aadhaar / Voter ID).

• Retain a receiving copy stamped by the official receiving clerk at the office counter.

Send Us Your Feedback

Police Complaint Application for Lost Mobile Phone & SIM

1 Recipient Authority / Office Details

2 Applicant Particulars

3 Application Specific Inputs (Auto-Generates Official Text)

Guide to Submitting Police Complaint Application for Lost Mobile Phone / SIM