Page 692 - The Central Motor Vehicles Rules, 1989
P. 692

664               THE CENTRAL MOTOR VEHICLES RULES, 1989   ANNEXURE-XIII

                                       Number of Injured
                                   6.  Details of the Hospital where victim(s) taken

                                       Hospital Name
                                       Address
                                       Doctor’s Name
                                   7.  Availability of CCTV  Yes    No
                                       Footage
                                       If yes, CCTV Footage be
                                       preserved and be filed
                                       with DAR
                                   8.  Details of Owner(s), Driver(s) and Insurance of the Vehicle(s)
                                               Details               Vehicle 1             Vehicle 2
                                                                 (Offending vehicle)
                                       Vehicle Details
                                       Vehicle Registration No.
                                       Driver Details
                                       Name of the Driver
                                       Address of Driver
                                       Mobile No. of Driver
                                       Owner Details

                                       Name of the Owner
                                       Address of Owner
                                       Mobile No. of Owner
                                       Insurance Details
                                       Insurance Policy No.
                                       Period of Insurance Policy

                                       Name of Insurance
                                       Company
                                       Address of Insurance
                                       Company
                                   9.  Details of Victim(s)
                                                Name              Deceased/Injured   Address & Contact Details
                                    i.
                                   ii.
                                   iii.
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