Page 720 - The Central Motor Vehicles Rules, 1989
P. 720

692               THE CENTRAL MOTOR VEHICLES RULES, 1989   ANNEXURE-XIII

                                   ix.  Self Control                  Normal         Impaired
                                    x.  Memory                        Normal         Impaired

                                   xi.  Orientation of time & space   Normal         Impaired
                                   xii.  Reaction time                Normal         Delayed
                                   xiii. Gait                         Normal
                                                                      Unsteady
                                                                      Unable to stand upright
                                   xiv. Finger nose test              Positive   Negative
                                   xv.  Romberg’s sign                Positive   Negative
                                   xvi. Special examination (Blood & urine)  Preserved  Not Preserved
                                   xvii. Reflexes                     Normal
                                                                      Exaggerated
                                                                      Sluggish
                                  xviii. Any other findings/Injuries on the
                                        body
                                   56.  Postmortem Certificate
                                    i.  Alleged cause of death as per inquest
                                    ii.  Assisted by
                                   iii.  Medical Officer
                                   iv.  Remarks if any

                                 Documents to be submitted
                                 In Death Cases:
                                 1.   Death certificate
                                 2.   Proof of age of the deceased which may be in form of (a) Birth Certificate; (b) School
                                      Certificate; (c) Certificate from Gram Panchayat (in case of illiterate); (d) Aadhaar
                                      Card, etc.
                                 3.   Proof of Occupation and Income of the deceased which may be in form of (a) Pay
                                      slip/salary certificate (salaried employee) (b) Bank statements of the last six
                                      months (c) Income-tax Returns for last three years (d) Balance Sheet, etc.
                                 4.   Proof of the legal representatives of the deceased such as ration card, passport, etc.
                                 5.   In case of legal heirs below the age of 18, copy of school ID, proof of school fee,
                                      proof of other expenses/expenditure of the children.
                                 6.   Treatment record, medical bills and other expenditure prior to death
                                 7.   Bank Account no. of the legal representatives of the deceased near the place of their
                                      residence  with name and  address of  the bank along  with  the necessary
                                      endorsement
                                 8.   Proof of reimbursement of medical expenses by employer or under a Mediclaim
                                      policy, if taken
                                 9.   Any other document
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