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SSRS Report

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0% found this document useful (0 votes)
35 views2 pages

SSRS Report

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Budget Vehicle Details

Rental Agreement Number Vehicle Registration Claim Number


313774112 AUCZ37LY C00000402-NOGUERIA ABRELINO
Agent IRF Received Date
CRM Admin 26/10/2024 1:43 AM

Incident Details

Date And Time Of Incident Weather Conditions Vehicle Direction At the Incident
10/10/2024 11:19 AM Clear Moving Forward
Road Conditions/Traffic Controls Speed Limit At Scene (Km/h) Speed You Were Travelling (Km/h)
Roundabout 123 123
Address of Incident
Newark Liberty International Airport, Newark, NJ, United States

Renter Details

Renter Is Driver the Same as Renter?


NOGUERIA ABRELINO No

Driver Details

Driver
Aditya sharma

Budget Vehicle Details

Incident Details

Incident Image IRF Received Date

Witness Details

Was There a Witness to the Incident ? Type of Witness


Yes Passenger in Budger Vehicle

1
Witnesses
Full Name Mobile Phone Email Address1 Dashcam Footage
Available
Adityaadgg Bhradwaj +61 412 494 511 fffff hello No
Jai
Aditya sharma +61 412 494 511 aditya.sharma@gmail.com dd No
Aditya Sharmaddd +61 412 494 511 fff No
sharmaddd ggh
NSW 202426
aus
aditya sharma11 +61 412 494 511 No
Shuchi Sharmax +61 412 494 511 Yes

Police Details

Were Police Called ?


No

Third Party Details

Was there any other vehicles involved in the accident ?


Yes

Third Parties
Full Name Birthdate Mobile License Number Address Line1 Address Line2 Contact Type
Aditya sharma +61 412 494 511 wweee wwweeee Third Party

Declaration

Name of Renter Name of Driver


Aditya shuchi Sharma
Date Date
28/10/2024 28/10/2024
Signature of Renter Signature of Driver

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