Page 743 - The Central Motor Vehicles Rules, 1989

ANNEXURE-XIII THE CENTRAL MOTOR VEHICLE RULES, 1989 715

FORM-X
VERIFICATION REPORT
By Investigating Officer to Claims Tribunal
Along with DAR within ninety (90) days of Accident
through information available on VAHAN Database
FIR No.
Date

Under Section
Police Station
1. Vehicle Registration No.
Validity Period

2. Engine No.
3. Chassis No.
4. Category of Vehicle LMV/HMV/MGV
Private or Commercial

5. Vehicle Make & Model
Make
Model
6. Owner Details
Name
Address

7. Details of Insurer
8. Details of Permit
Permit No.
Validity
9. Details of Fitness Certificate
Fitness Certificate No.
Validity

10. In case record not available, state
reasons
S.H.O./I.O
P.I.S./EMPLOYEE No. : ...........................
Phone No. : ...........................
P.S. : ...........................
Date : ...........................