Page 713 - The Central Motor Vehicles Rules, 1989

ANNEXURE-XIII THE CENTRAL MOTOR VEHICLE RULES, 1989 685

ii.
iii.

iv.
v.
vi.
42. In case of children below the age of 18 years
Name of Child Details Annual Approximate expenditure of
of school School the child
and class fee
of the
child
i.
ii.
iii.
iv.
v.

vi.
43. Pecuniary Losses suffered
i. Expenditure on treatment
ii. If treatment is still continuing, give
the estimate of expenditure likely to
be incurred on future treatment
iii. Expenditure on conveyance, special
diet, attendant charges, etc.
iv. Loss of income
v. Loss of earning capacity
vi. Any other pecuniary loss/damage
44. Whether the injured got Yes No
reimbursement of medical expenses
from his employer or under a
Mediclaim policy or under any
government cashless treatment
scheme or government insurance
scheme
If yes, provide details
45. Value of loss/damage to the property
46. Any additional information