Page 726 - The Central Motor Vehicles Rules, 1989

698 THE CENTRAL MOTOR VEHICLES RULES, 1989 ANNEXURE-XIII

8. Insurance Details of offending vehicle
Policy No.

Period of Policy
Name of Insurance
Company
9. Whether License has been Yes No
verified from the
Authority.
If yes, attach report
If no, give reasons
10. Whether Driving Licence Yes No
suspended/cancelled
If yes, give details
11. Whether driver injured Yes No
during the accident
If yes, give details
12. Vehicle was Driven by Owner
Paid Driver
Other (Specify)
13. Whether the Driver was Yes No
driving under the
influence of alcohol/drugs
Whether findings based
on scientific report.
If yes, give details
14. Whether driver carrying Yes No
mobile phone at the time
of accident
If yes, give details of
Mobile
Mobile No.
IMEI No.
Make & Model
15. Whether driver Yes No
previously involved in
motor accident case(s)
If yes, whether case
pending or decided by
MACT?
Give details of The FIR
and MACT case