No.1 exh INTHE COURT OF Shri, NLR. Nalkwade District Judged And Addl. Sessions Judge, Nagar, Ahmadnagar, NOTICESUMMONS IN MOTOR M.Ac.pia2e2022 SCCIRENE CARS SEIT Sham Vishnu Berait Vs Sagar Milind Gaikwad Tay 3-Reliance General Insurance Co.Ltd (Off. No. 215-217, Amber Plaza, A Building, Station Road, Abssednayar Naget: AHMEDNAGAR, MAHARASHTRA. ereashs insiitel a Motor Accident Chim Patton irplssding you atone of the ponds, which ease has boon diected o be Ise before this Tribunal/Coumt for heating et 10 am On 12-10-2022. Enelose herewith the xerox copy of ex 1, Now therefore you are piven nosce to app inthis TribumalCoust ia person or bya lear daly inctructed (and able to answer ll meter questions relating to he suit, or wo shall be aeompaniee by some person, able to answer ll such questions, the 12-10-2022 at 11:00, ‘o'dedin the forenvon, to enswer the clans and ae farther you ae neeby rete to fle on that day site stateraent of your defenue and wo produce on the Sad day all ecumerts in yor Passi oF power upon wich you base your defence and where you rely an any er cocument ‘wheter in your possession ce power or nit aS evidence in support of your dofonce, you sul enter schcoruments na Isto be annexe tothe writen stare Take notice that, neta of your appearance on the day before mentioned the sui willbe han an ecermined in your sone. Gin undar my hand andthe ssl ofthe Cort, dis 05-09-2022, Dy ty supdendens, District court, Ahmednager EW.CS'To Chil Judge Sr Division Tal Dist A evan of serviceand retarn ta this court on or blot By order, Superintendent, District court, Ahmednog ofIN THE COURT OF HONBLE MOTOR ACCIDENT CLAIMS .. TRIBUNAL AT AHMEDNAGAR, MACP Ne, 328 12022. APPLICANT, Shri. Sham Vishnu Bowed ‘Ago: 35 yrs Occ: al Present Nil, Rio: Dahigaon, Tal: Nagar, Dist: Akmednager OPPONENT. 1. Shri, Sagar Milind Gaikwad Age: 22 yrs, Ove: Driver. Rio: Chikhalthan , Tal: Karmala, Dist: Solapur (Driver of Pick-up No, ME 4S AF 3730.) 2 Shri. Sachin Kailas Borade Age: 40 yrs, Oce: Business Rfo: Kedgaon Tal: Karmala, Dist: Solapur (Owner of Pick-up No. MH 45 AF 3730.) 3. 4 Reliance General Insurance Lid, Off. No. 215-217, Amber Plaza - A building, Station road, Abmednager. 414001. (insurance Co. of Pick-up No. MH 45 AF 3730.) (asurance Policy No,798222123340002024 @eriod of Policy. 31.10.2021 to 30.10.2022) Claim of Rs. 1,00,000/- U/s 166 of M.V. Act, To, ‘The Motor Accident Claims Tribunal At Ahmednagar, Respected si, T the above named applicant do hereby apply for grant of compensation on account of accidental injury caused to me in Motor Vehicular Accident. ‘The necessary particulars in respect of accident, vehicles ete are as under. 1. [Full name and address of |= | Sham Vishnu Berad, [_[ Somes Rio: As per title pot ee JAgeofthe Injured, | Ys SSC*«@YS 3. | Occupation ofthe injured. Tabour, at Present Nil W [Name © Adie of Fe Employer ofthe injured ‘Not applicable es epplicart is labour. | Injured. Place. Datc and time of the eocident, with detailed ame and address of police Satin in -whose Jurisdiction ——_acedent ‘occurred or registered Woathly Thome of the] Be. GOOF per day. ] Place: Nagar - Solapur road, in the Vicinity of — Village Shireahon. infront of Hotel Nandanven,. | Date: 08.04.2022, Time: 6:00 pm. CRNo, 1203/2023, US 279, 337, | 338427 of LP.C. & 184,134(@)), 17T of MN, Act, Nagar Taluka Police Station 7. | Was the person in respect of whom compensation claimed traveling inthe vehicle invelved in the accident. On dt 06042022 Applicant was | | riding on M/cyele No. MET 16 AW 8856, The acident is occurred due 10 | rash end negligent driving on the part | of Driver of Bolero Pick-up No. ME 45. AF 3730 & [Nature oF injuries sustained, period of weament & Expenses incured thore on & whether the injuries | resulted into permanent Greviows Injuries as per medical Certificate ‘Treatmont: | De. ,04.2032 to 16.04.2022 disablemen-or not | 3 [Name & Address of the) | Medical Officer of medical officer, who 1) Shreedip Hospital, attended tothe injured | Alsmednagar vehicle involved in the accident TO, | Registration No. & type of |= Mie eyels No. MHIG AW 8856 | Bolero Pick-up No. MH 45-AF-3730 TH Applcanis —selaionship with nr, ‘Applicant himselE12] Title to the propery of] [NA deceased. 13, Amount of compensation | | Claim for Rs. 1,00,0007 Us 166 0) claimed, MY. Act TA. | Any other information that |= | Astelow may be necessary in the final disposal of claim L_Lspptication A) On dt. 08,04,2022 applicant was riding on M/cycle No. MH 16 AW 8856 by Nagar - Solapur Road, He was proceeding from negar side towards Solapur side. When they were reached in the vieinity of village Shiradkon in ffont “Hotel Nandanwan”, At that time at about 6.00 pm one Bolero Pick-up No. ME 45 AF 3730 came stom opposite side “i. lane of Solapur side to Nagar side” in high speed & negligent ‘manner (without following traffic mules and regulations). Due to such high speed, its driver could not control Pick-up and coming towards applicants side gave heavy dash to applicant. Due to said accident spplicant sustained serious and grevious injuries ie. Head injury, # Rt forearm (cadiusiulua), # Rt leg T/, # Rt foot 3, 4, 5 metatarsal & Kuce, & other injuries as per medical certifieate. Due to said injuries applicant disabled permanently no fault on his part. B) After the accident immediately on ot. 08.04.2022 applicant was admitted in Shreedeep Hospital at Abmedngar. He was admitted in said Hospital for 08.04.02 to 18.04.2022. immediately Khabar of accident has been given Police Station. Therefore, Police of Nogar Taluka Police Station visited at Shreedeep Hospital & recorded the stalement of applicant on dt. 09.04.2022 at about 6.00 pm. Thereafter Police officer of said police station cerred out dus investigation. Insaid investigation it is reveal that the accident is occured due to negligence on the part of driver Namely Sagar Milind Gaikwad of Bolero Pick-up No, MH 45 AF 3730, Henoe, the offence is registered vide © .R. No. 1223/2022, U's 279, 337, 338, 427 of LPC, 184, 134 (@Xb),177 M.V, Act, at Nagar Taluka police Staton, Dist: A.Nagar. ©) After the accident immediately om dt. 08.04.2022 applicant was admitted in Streedeep Hospital at Ahmednagar. He was admitted for (08.04.2022 to 18.04.2022 in said Hospital, During admission period various tests were carried out and treatment was given as per Hospital protocol, Thereafter applicant is taking treatment as out door pavient til today, He had required to spand Rs. 2,50,000/- for treatment. Applicant will have also required considerable amount for further treatment. The details of treatment, expenses incurred or reimbursed if any, for treatment will be mentioned in Chief Affidavit of said claim application. D) Atthe time of accident applicant was 38 years old only (D.O.B. is 10.05.1983). He was quite healthy, strong and stought at that rime. He was not suffering from any illness, Applicant was the eaming hand and Karta of is femily, The family members are depending on income of applicant, Applicant wes doing Isbour work, He was eaming Rs 800/- per dey income (ie. 20,800/- per month) from labour work. Due to said accident applicant susteined serious and grievous accidental injuses by waich applicant is permanently disabled, He is tunable to do his day to day activities as before the accident, unable to do his any kinds of work, by which earning capacity is adversely affected.Applicant is the unfortunate victim of the said accident, who has been disabled permanently no fault on his part. Due to said accident applicant has facing physical. Psychological and economical Problems. He is in financial crisis. Applicent has sustained huge special and genoral damages and losses, wich in fact can not be adequately compensated by any amount, however applicant nominally Claiming as under: Spesial Damages: 1. Loss of earning during hospitalization ie. indoor & outdoor ‘ueaiment from date of aecident (Rs.20,800)- x 12 months) 02,49,600/- 2 Medical Expenses (lum-sumi) 02,50,000/- 3, Future Medical Expenses 07,50,000/. 4, Cost of Extra Diet and nourishment 50,000/- 3, Cost of Attendance (12 months x 6000/-) _72,000V- 5, Cost of Conveyance/transportation, 20,0001 7. Loss of ineone (20,800/- x 12 x 15) 37,44,000 (Considering 100% disability) Total: 45.35,600. Damages: 1, Pain, Shoek and sufferings Rs 5,00,000/- 2. Loss of Happiness & enjoyment RS. 1,00,000/- 3. Cost of Frusiation Rs___s0,0ou/- Total Rs. 06,50,000/- ‘Thus the total amount of compensation as worked out is Rs 51,85,600(- and claiming the same but applicant have restricted his claim to the tune of Rs. 1,00,000/- for court fee stamp purpose, as he is tunable to affix total court fee stamp of claiming compensation. The ‘applicant is ready and will affix the total court fee stamp on granted amount of compensation, 15, Opponent No. 2 is owner of Vehicle involved in the accident ic, Pick-up No, MH 45 AF 3730 Opponent No, 1 is Driver of Pick-up No,MH 45 AF 3730, The accident is occured due to sole negligence on the part of Opponent No. 1.. The Opponent No. 3 have insured the ‘Bolero pick-up No. MH 45 AF 3730 from dt. 31.10.2021 to 30.10.2022 ive, covering the date of accident, Therefore, Opponent No. 1 to 3 is Hable to pay compensation jointly and severally to applicant. 16, Casue of etion:- The cause of action for this claim petition has arisen on 08.04.2022, when the accident has taken place, thereafter it arose day to dey. 17, Valustion:- The claim is valued for Rs, 1,00,000/- and the necessary court fee stamp has been affixed accordingly, 18, Jurisdietion:- ‘That the accident is occurred within the jurisdiction of this Hon'ble Tribunal and applicant is also residing within the jurisdiction of this Hon'ble Tribunal. Hence this Hon'ble Tribunal has jurisdiction to try, entertain and decide this claim petition and award compensation to the applicant. 19, APPI ‘THEREFORE PRAYS THAT: A) Rs, 1,00,000/- and or such other just and proper higher amount bbe ewardod as compensation ws 166 of M.V. Act from the ‘opponents jointly and severally along with interest at 18% p.a. from the date of accident till realization, B) Leave to add, amend in said application, may please be granted in favour of the applicant ©) All the casts ofthis claim petition be awarded to the applicant.‘D) Any other just and equitable relicf to mest the ends of justice may please be granted in favour of the applicant. E) Application w/s 140 of Motor Vehicle Act is given alongwith this claim petition as interim relief scheme U/s 1644 of MV. ‘Act 2019 is not came to in Fores. Advocate, Applicant, | the above named applicant do hereby state that the particulars {given in above claim application arc true and correct to the best of my knowledge, belief and information and no claim in respect of the same accident has been filed or pending before any other foram in india, as & witness whereof I have singed below this verification. Verified & Indentified by Me. Date: Abmodnager. 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[SUING HO-RTA, COLLISION, OF PICKUP TEVEO AND 2 WHEELER INFRONT OF EACH OTHER, VICTIM |S ONTWO WHEELER NEAR NANDANWIAN HOTEL, SHRADHONE, NAGAR ARSUND GPM ONlasioe lnveststons } ‘ALL NEEDED LAB INVESTIGATIONS DONE AND REPORTS ATTACHED 10 FILE Diagnose {ERT RUJWTH BRET. TUF GR2 COMPOUND HTH: GRUSH FOOT WITH # 34 5 NETATARGAL WITH ~ TENDOW INJURY Surgery (04 B/422- RT. TIBIA PLATING WITH'S NETATARSAL K WIRE FIXATION. ON 1//422-87; RADIUS NAILING + RT. UMA PLATING Coures te Wards Pree tery tte CARTES ROTTEN AESTAR ves 1@a ONS DONE AS PER ORDER AND REPORTS ATTACHED 70 FILE; MEDICATIONS AND TREATMENT GIVEN AS PER ere tse, SRT, SETETM, “Tape Nae © OBA BEEBIED/ BeMTAN Ee] THEDEEDEEO“ORDER. PT WELL RESPONDED TO GNEN TREATMENT HENOE PIS STABLE AND READY TO DISCHAROE, ‘Treatnent Over [nb PAN, INLEMSET, INJCEFRIN PLUS, IUJPADTVE, INTRAMADOL ‘cineal Gonditon At The Tins ef Discharge STABLE Farther plan fay ERESGING A*TER DAYS FJ AFTER 7 DAYS, MAY REQUEEE FURTHER INTERVENTION, Praseription ele | aB.izoKeF 600 “TARVETORY P CAPRAB THB DBR. 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