From: ____________
Date: ____________

To
The Branch Manager,
(Bank Name)
(Address)

Re: Request for issuance of duplicate Bank Pass Book.

ADVERTISEMENTS:

Dear Sir,

I regret to inform you that my Bank Pass Book in respect of Savings Account No.____________ which was kept in a small side bag in which other important papers were also there was found missing in a crowded bus on way to my coming to your bank. In this connexion.

I have lodged diary with the local police station today, the ____________ (No. of Copy) of the F.I.R. is enclosed. I would request you to make it convenient to arrange to issue a duplicate Pass Book in replacement of the missing one.

Thanking you,

ADVERTISEMENTS:

Yours faithfully,
(Your Name)