护照遗失经过说明表.docx

护照遗失经过说明表FORMFORSTATEMENTOFTHELOSSOFPASSPORT外文姓SurnameZHANG外文名GivennameSAN中文姓名Chinesename张三国籍Nationality荷兰性别Sex男出生日期DateofBirth职业Occupation学生护照号码PassportNo.123456入境口岸Portofentry温州机场入境日期Dateofentry签证种类TypeofvisaL在华停留期至Dateofexpiry豪此事由Purposeofstay旅游遗失时间Timeofthelossi失原因causeoftheloss丢失遗失物品ItemsoftheLoss护照在温州1TelephoneNo.an(主址和电话iAddressinWenzhou温州市鹿城区XXXXXXX(136XXXX5689)国外住址OverseaAddress无遗失经过详细说明：Statementofthedetailsoftheincident:坐公交车不慎丢失！签名：张三Signature:日期：Date: