I, Jaspreet Kaur, D/o Sh. Balbir Singh, resident of House No. 65, Model Town, Ludhiana, contact number 98765 43210, do hereby solemnly affirm and declare as under:
- That I was issued a mark sheet / statement of marks, namely X, bearing number PSEB/10/2019/558214, by Punjab School Education Board, in the year 2019.
- That the said certificate has been lost under the following circumstances: the certificate was kept in a file of personal documents at the holder's residence, which was found missing while preparing documents for a university application in July 2026; it is believed to have been misplaced during a change of residence in March 2026.
- That the certificate was last seen in my possession on or about 1 April 2026.
- That despite the following efforts, the certificate could not be traced: a thorough search was made at the holder's residence and former residence, and enquiries were made with family members, without success
- That a First Information Report / General Diary entry has been lodged with the police, particulars of which are given below