Notice Of Accident 154 Legal Draft Template
| Category | Notices |
| Format | Rich Text |
| File name | Notice of Accident-154.rtf |
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Notice of Accident
(See Regulation 65)
Notice
To(See Regulation 65)
Notice
Shri ………………………
Address ………………….
I………………..……….. (Name), S/o …………………… R/o ……….…………………. working in factory as …………………………. since the year …………….. in the Dept.…………………. lost my …………………………………. (Amputation be explained) at ………………………. place …………… time ……………… date, while on duty. My Insurance No. is ………………………
The following person are witnesses to the said accident.
The following person are witnesses to the said accident.
1. Shri ……………………
S/o …………………….
r/o …………………….
2. Shri ……………………
S/o …………………….
r/o …………………….
Working as …………………….
For which pleas take this legal notice.
Signature
*