護(hù)照遺失證明范本

Lost Explaination

Because I am careless custody, I lost my old passport (The passport ).

The passport has bore entry and exit stamps to denied records.

(and it has denied records: , ).

Declarant：

Date:

護(hù)照遺失證明范本 [篇2]

致日本駐上�？傤I(lǐng)事館：

本人 由于個(gè)人原因不慎將老護(hù)照第遺失，舊護(hù)照上無(wú)任何拒簽記錄。

特此證明

簽名:

日期:

號(hào)

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