REPORT OF LOSS OF ITEM(S)
(Note: Please use this form only for the accidental loss of item(s) of which the whereabouts remain unknown. if you have reason to believe that the item or items has or been stolen or dishonestly misappropriated for use, please lodge an incident report with Campus Security [Tel: 67904777].)
Informant's Particulars
Name:
(Please indicate whether you are student or a staff member)
Matriculation Number (for student) or
Department (for staff member):
Contact Number (cell phone / office):
Details of loss
Date and time of discovery of loss:
Actual or possible place of loss:
Description of item(s):

Declaration by Informant
I declare that I have accidentally lost the above-mentioned item (s), which was or were in my possession. The information I have provided above is true and correct in all respects.

Note: This form will be routed to the email address (sfchan@ntu.edu.sg) of Mr. Chan Seng Fatt of Student Affairs Office. If you have any further enquiries, please contact Mr. Chan at 67905153 or, in his absence, Mr Lai at 67904771 or yclai@ntu.edu.sg