✏️ Click any field to edit — fill in all details before swearing before a Commissioner of Oaths.
Affidavit of Loss
Sworn under the Oaths and Statutory Declarations Act (Cap. 15), Laws of Kenya
Deponent Details
Full Name as on ID
ID Number
DD/MM/YYYY
+254 7XX XXX XXX
Estate, Town, County
e.g. Teacher / Businessman / Student
Affidavit
I, Full Name, holder of National Identity Card No. ID Number, of Estate, Town, County, do hereby solemnly swear / affirm and state as follows:
1. THAT I am the lawful owner of the following document:
e.g. National ID / Logbook / Title Deed / Academic Certificate / Passport
e.g. ID No. / Logbook No. / Certificate No.
e.g. NTSA / Kenya National Examinations Council / NRB
e.g. Vehicle Make/Model for logbook, or field-by-field details
2. THAT the said document was lost on or about Date at / near Location (e.g. Nairobi CBD / Mombasa Road).
3. THAT I have made all reasonable efforts to locate the said document but the same has not been found.
4. THAT the document has not been pledged, deposited, transferred or dealt with in any manner whatsoever by me.
5. THAT I make this affidavit for the purpose of e.g. obtaining a replacement / reporting the loss / supporting a police abstract.
6. THAT the contents of this affidavit are true to the best of my knowledge and belief.
⚠️ Important: This affidavit must be signed in the presence of a Commissioner of Oaths (available at law offices, magistrate courts, and notaries in Kenya). Fee: approx. KSh 200–500. Keep a certified copy for your records.