EN

Lost Document Declaration

Filed at the police station — FR/AR bilingual

9 DH / 0,99 €

Document language

Declarant identity

Full name*

National ID number (CIN)*

Date of birth*

Address*

Lost document

Type of lost document*

Document number (optional)

Issue date (optional)

Place of loss (optional)

Date of loss (optional)

Police station / Signature

Police station / Brigade*

Place of signature*

Date of signature