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Statutory Declaration — Lost Passport (Malaysia)

Statutory Declaration — Lost Passport (Malaysia)

STATUTORY DECLARATION

LOSS OF MALAYSIAN PASSPORT

Oaths and Affirmations Act 1949 (Act 13) | Passports Act 1966 (Act 150) | Statutory Declarations Act 1960 (Act 783)

I, [Declarant Name], holder of NRIC No. [Declarant NRIC], born on [Date of Birth], of [Declarant Address], do hereby solemnly and sincerely declare as follows:

1. I am a Malaysian citizen and the holder of Malaysian Passport No. [Passport Number], issued on [Passport Issue Date], expiring on [Passport Expiry Date], issued by [Issuing Office].

2. On or about [Loss Date], at [Loss Location], I lost the said passport in the following circumstances: [Loss Circumstances]

3. I have conducted a thorough search for the said passport but have been unable to locate it.

4. I solemnly declare that I have not wilfully destroyed, given away, lent, or transferred the said passport to any other person, and that to the best of my knowledge the said passport has not been used by any other person since the loss.

5. Police report reference: [Police Report Number]

6. I make this solemn declaration for the purpose of applying for a replacement Malaysian passport at the Immigration Department of Malaysia (Jabatan Imigresen Malaysia), in accordance with Section 12(2) of the Passports Act 1966, and I conscientiously believe the same to be true.

AND I MAKE THIS SOLEMN DECLARATION conscientiously believing the same to be true and by virtue of the Statutory Declarations Act 1960.

Declared before me at [Commissioner Address]

on [Declaration Date]

Commissioner for Oaths / Consular Officer: [Commissioner Name]

(Seal and signature)

Declarant

________________

Signature

Commissioner for Oaths / Consular Officer

________________

Signature

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What Is a Statutory Declaration — Lost Passport (Malaysia)?

A Statutory Declaration — Lost Passport in Malaysia records sworn statements of fact that can be relied on before a court or authority.

Section 12(2) of the Passports Act 1966 makes it an offence for a passport holder to fail to report the loss, theft, or destruction of their passport to the Director General of Immigration as soon as practicable after discovering the loss. The Passports Act 1966 (Amendment) 2012 increased penalties for passport-related offences, and failure to report a lost passport may result in a fine of up to RM 1,000 or imprisonment of up to two years under Section 22 of the Act. A statutory declaration of loss, made before a Commissioner for Oaths under the Oaths and Affirmations Act 1949, is the document accepted by the Immigration Department when applying for a replacement passport.

The process for replacing a lost Malaysian passport requires attendance at a Jabatan Imigresen Malaysia office — the main offices being at Putrajaya Headquarters, the Immigration Regional Office Kuala Lumpur, and state immigration offices — with the statutory declaration, a police report, a certified true copy of the MyKad (NRIC), and the prescribed replacement fee. The fee for replacing a lost passport is higher than the renewal fee — RM 300 for a 32-page passport replacement under the Immigration (Fees) Regulations — and Jabatan Imigresen may impose additional scrutiny on applicants who have lost multiple passports.

A Statutory Declaration for a Lost Passport differs from a Lost Passport Police Report in that the statutory declaration is a sworn personal statement confirming the loss, while the police report (Laporan Polis) at a Royal Malaysia Police (PDRM) station is a report to law enforcement. Both documents are typically required by Jabatan Imigresen for a replacement passport application. For passport loss that occurs overseas, Malaysian consulates and embassies are authorised to issue Emergency Travel Documents (ETD) and accept statutory declarations through their own processes under the Vienna Convention on Consular Relations.

The Statutory Declarations Act 1960 (Act 783) and the Oaths and Affirmations Act 1949 together require that a statutory declaration be made voluntarily and truthfully. A person who makes a false statutory declaration regarding a lost passport faces criminal liability under Section 199 of the Penal Code (Act 574) for giving false evidence on oath, carrying imprisonment of up to seven years.

When Do You Need a Statutory Declaration — Lost Passport (Malaysia)?

A Statutory Declaration for a Lost Passport in Malaysia is required in specific circumstances where a Malaysian citizen needs to report and replace a lost travel document.

A Statutory Declaration for a Lost Passport is required when a Malaysian citizen applies at any Jabatan Imigresen Malaysia office for a replacement passport following loss of the original. Jabatan Imigresen's replacement application checklist requires a statutory declaration of loss made before a Commissioner for Oaths, together with a police report, MyKad photocopy, and prescribed fee.

A Statutory Declaration for a Lost Passport is needed when a Malaysian travelling abroad discovers their passport is lost or stolen before completing their return journey, and must apply for an Emergency Travel Document (ETD) at the nearest Malaysian Embassy, High Commission, or Consulate. The embassy or consulate requires a statutory declaration of loss (administered by a consular officer) together with the local police report.

A Statutory Declaration for a Lost Passport is required when a Malaysian student studying abroad under a JPA, Petronas, or university scholarship loses their passport and must regularise their immigration status in the host country while simultaneously applying for a replacement passport through the Malaysian diplomatic mission.

A Statutory Declaration for a Lost Passport is needed when a passport is lost or destroyed at home — for example, in a fire, flood, or theft — and the owner must satisfy Jabatan Imigresen that the loss was genuine and not deliberate, particularly where the passport contained valid foreign visas of value.

A Statutory Declaration for a Lost Passport is required by some financial institutions, airlines, and government agencies when a Malaysian citizen needs to verify their identity or travel history but cannot produce their physical passport, and the statutory declaration serves as supplementary evidence of the prior passport's issuance and details.

What to Include in Your Statutory Declaration — Lost Passport (Malaysia)

A valid Statutory Declaration for a Lost Passport in Malaysia accepted by Jabatan Imigresen Malaysia and compliant with the Passports Act 1966 and the Oaths and Affirmations Act 1949 must contain the following elements.

Declarant Identification: The declarant's full name as per their current NRIC (MyKad), NRIC number, date of birth, address, and contact details. The declarant must be the passport holder — declarations on behalf of incapacitated adults require separate documentation under the Mental Health Act 2001 or a court-appointed guardian's letter.

Lost Passport Details: The passport number, issue date, expiry date, and issuing immigration office of the lost passport. Where the passport number is not recalled, the declarant should state the approximate issuance year and the regional immigration office that issued it.

Circumstances of Loss: A specific description of the circumstances and approximate date and location of the loss — for example, "misplaced at Hotel XX, Bangkok, Thailand, on approximately 10 March 2025" or "lost during a house move from [address] to [address] in February 2025". Jabatan Imigresen cross-references the stated circumstances with the police report.

Confirmation of No Misuse: A statement that the declarant has not wilfully destroyed, given away, or transferred the passport to any other person, and that to the best of the declarant's knowledge the passport has not been used by any other person since the loss.

Police Report Reference: The declaration should reference the police report (Laporan Polis) number and the police station where it was filed, as both documents are submitted together to Jabatan Imigresen.

Commissioner for Oaths Endorsement: The Commissioner for Oaths' name, registration number, address, seal, and signature confirming the declaration was made before them on the stated date, under the Oaths and Affirmations Act 1949. The commissioner administers the oath or affirmation before witnessing the declarant's signature.

Declarant's Signature and Date: The declarant signs before the Commissioner for Oaths. Making a false statutory declaration is an offence under Section 199 of the Penal Code carrying imprisonment of up to seven years.

Additional compliance elements for a Statutory Declaration — Lost Passport (Malaysia) used in Malaysia include: Under Malaysian law, the Contracts Act 1950 (Act 136) governs contractual obligations. The Companies Act 2016 (Act 777) regulates corporate entities through the Companies Commission of Malaysia (SSM). The Employment Act 1955 (Act 265) and the Department of Labour govern employment matters. The Personal Data Protection Act 2010 (Act 709) and the Personal Data Protection Department protect personal data. The Inland Revenue Board of Malaysia (LHDN) administers tax obligations. The Industrial Court adjudicates employment disputes under the Industrial Relations Act 1967 (Act 177). Forms-legal.com provides this template as a starting point for Malaysia-compliant documentation.

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Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Statutory Declaration — Lost Passport (Malaysia) (Malaysia) [Legal document template]. Forms Legal. https://forms-legal.com/malaysia/personal/legal-declarations/statutory-declaration-lost-passport-malaysia

MLA

"Statutory Declaration — Lost Passport (Malaysia) (Malaysia)." Forms Legal, 2026, https://forms-legal.com/malaysia/personal/legal-declarations/statutory-declaration-lost-passport-malaysia.

BibTeX
@misc{formslegal-statutory-declaration-lost-passport-malaysia,
  author       = {{Forms Legal}},
  title        = {Statutory Declaration — Lost Passport (Malaysia) (Malaysia)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/malaysia/personal/legal-declarations/statutory-declaration-lost-passport-malaysia}},
  note         = {Free legal document template. Based on Contracts Act 1950 (Act 136)}
}

Frequently Asked Questions

Based on Contracts Act 1950 (Act 136) — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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