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Vehicle Accident Affidavit

The affadavit states that the owner of a Maruti Ertiga vehicle was involved in an accident while the vehicle was being driven by Jasvir Kumar near an unspecified location at 11:00 AM on an unspecified date. The owner confirms there was no third party loss or injuries in the accident but accepts responsibility for any third party claims that may arise from the incident. The owner verified the statement is true to the best of their knowledge.

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Nardev Kumar
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2K views1 page

Vehicle Accident Affidavit

The affadavit states that the owner of a Maruti Ertiga vehicle was involved in an accident while the vehicle was being driven by Jasvir Kumar near an unspecified location at 11:00 AM on an unspecified date. The owner confirms there was no third party loss or injuries in the accident but accepts responsibility for any third party claims that may arise from the incident. The owner verified the statement is true to the best of their knowledge.

Uploaded by

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

I .. S/o Sh. ., R/o ..


.., Punjab, do hereby solemnly affirms and declared as under:1.

That I . am the owner of the Maruti Ertiga No.


.. Bearing chassis no Engine no.
.., Regd.at ., date of Registration ..

2. That my said car met with an accident on . at about 11:00 AM near


.
3. That at the time of accident Sh. Jasvir Kumar driving the vehicle.
4. I hereby also confirm that no third party loss was arise and no one received any
injuries in the mishap and if any third party loss arise in the said mishap I shall be
fully responsible for that.

Deponent
Verified that statement furnished above is true and correct to be best of my knowledge
and belief and nothing has been concealed.

Deponent

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