OD

INVESTIGATION REPORT
Insured Details
Insured Name Mr. Roop Lal
Claim No 200302201123110005001
Policy Number 201120030222700147200000
Vill. Gharan, P.O. Malta Teh. Jhandutta, District Bilaspur, HP –
Present Address
174034.
Insured Contact Number Mob. 9459900500
Insured Email ID Not Available.
Vehicle Number HP24D3350
Vehicle Registration Details
Registration Number HP24D3350
Vehicle owner Mr. Roop Lal
Registration Date 11/12/2013
Manufacture year 2013
Registration RTO Jhandutta
Vehicle Type Motor Car
Vehicle Make Hyundai Motors India Ltd
Vehicle Model Verna
Fuel Type Diesel
Seating Capacity 05
Engine Number D4FBDU332055
Chassis Number MALCU41ULDM139096*H
Any Modifications In Vehicle No
We found that IV Hyundai Verna is registered with RLA Jhandutta
Any Other observation during Investigation in the favor of insured Mr. Roop Lal. Insured is sole owner of IV at
the time of purchased.
Loss date and time Intimation to Liberty Date/Time Delay in intimation days
14.11.2022 15.11.2022/ 10:33 NA
Reason for Delay in intimation NA
Present Policy Details
Policy Number 201120030222700147200000
Policy Type Private Car Package Policy 
Policy period 06.11.2022 to 05.11.2023
Is the accident within policy period Yes
Previous Policy Details
Policy Number
Policy Type
NA
Policy period
Any claim lodged in previous year Roll
over policy’s
 Basic Details From Insured
Loss date and time as per claim Loss date and time as per Loss date and time as per
form intimation / Written statement FIR / GD
20.05.2023 at 05:20 20.05.2023 at around 05:20 NA
If Mismatching , then reason NA
During investigation we met insured Mr. Roop Lal and procured a
written statement from his and also made enquiry with his about
accident of insured vehicle.

Insured stated that he is the resident of Vill. Gharan, P.O. Malta Teh.
Jhandutta, District Bilaspur, HP – 174034. He is the registered owner of
vehicle no. HP24D3350 make Hyundai Verna. This vehicle was
purchased for his and his family’s personal use.
Brief Remarks of the accident
On 19/05/2023, his son Aryan Chandel was travelling from Bilaspur to
Vaishno Devi. He reached on the same day. After paying his obisence he
was travelling back to Bilaspur. When he was crossing Hira Nagar
( Jammu Highway ) at around 5:00 – 5:30 PM, a car going ahead started
reversing. As insured’s son was on the highway, he also tried to stop but
it hit the rear of the vehicle ahead of him. Due to the impact insured’s car
rotated and airbag also opened and his son got unconscious but he didn’t
receive any injury due to airbags. The opposite vehicle fled from the spot
and they were not aware of it. Later on, next day the vehicle was shifted
from the spot to the working station at Pathankot. They submitted all the
documents to the workshop workers.

(Written statement of insured is enclosed with report)

Accident Details
Loss Type Vehicle Burnt Origin Of Fire
Accident - External Means No Not Available
No of Vehicle Involved No of Occupants Relation Desc.
2 NA NA
Is Insured Traveling? Purpose of Travel Is Any TP Accident Involved
No Personal Work No
Traveling From Date Traveling To Date Is anyone traveling in
vehicle Injured/Dead
19.05.2023 20.05.2023 NA
Traveling From Location Traveling to Location If Possession other then self
From Vaishno Devi To Bilaspur NA
FIR / GD Details
Accident Date NA
FIR No NA
FIR / GD date NA
Any Delay in FIR / GD NA
Reason for delay NA
Accused Name NA
Complainant NA
Police Station Name NA
Investigation office Name NA
Contact number of IO Not Applicable
Brief FIR / GD Narration NA
(Copy of SDE is enclosed with report)
Driver Details
Driver Name Mr. Aryan Chandel
Relation with the Insured Son
DL Number of the Driver HP8920190000553
DL Issuing Authority Jhandutta
Type of License Permanent
Which vehicle authorized to Drive LMV, MCWG
Date of issue 17.07.2019
License Validity Date for LMV 16.07.2039
License Validity Date for TRANSPORT NA
Remarks
We found insured’s son Mr. Aryan Chandel possess a valid DL to
drive the insured vehicle. We also checked his DL status in
online RTO site and found it is valid to drive insured vehicle.

During our investigation we also checked the GPS timeline of IV

User’s handset and found it showed same travel history as brief by
insured and also at the time of accident it showed his presence at
Hira Nagar.

Driving License of insured’s husband Mr. Arun Kumar Singh

Garage Details
Garage Name Novelty Hyundai
Dalhousie Road, Mamoon Chowk, Gurdaspur, Punjab,
Garage Address
145001.
Vehicle Entry Date and Time 21-05-2023
JOB card Number NA
ODO meter reading at the time of entry NA
The Difference between loss date and garage
NA
entry date
NA
Reason
Copy of RSA report is enclosed with report.
If reported to any garage till date, not Please
Not Applicable
mention the reason
 If Vehicle Commercial
Vehicle Loaded
Invoice Date
Consignor Details
Consignee Details
Vehicle loaded- LR/Bilty details
Nature of consignment Not Applicable, IV is a Private Car.
Weight of consignment
Gross weight of vehicle
Transporter Details
Transporter Verification details
Any Other observation during Investigation
Permit/Fitness/TAX Details
Permit Available
Permit No
Permit Valid Till Not Available, IV is a Private Car.
Fitness Certificate Available
Fitness Certificate Valid Till
Road tax
Spot Verification
Intimation / Claim form spot location matching?? Yes
If No kindly provide the proper Loss location
Not Applicable
details.

Spot Witness Name _1

NA
(Spot AVR is enclosed with report)
Spot Witness Name _2
Any Other details regarding the Spot Photographs enclosed.
Hospital Police Station
Vehicle Photographs
 Insured Mrs. Anamika Priyadarshini

Insured’s husband Mr. Anjay Kumar Singh Insured’s husband GPS timeline
 Marriage Invitation via mail Photo clicked at wedding destination

FAS Tag details

Injured Details
Injured Name Age Marital Status Occupation Nature of injuries
NA NA NA NA NA

Visit to hospital verification NA

Death Details
Died Person Name AGE OCCUPATION ADMISSION DT HOSPITAL NAME DEATH DATE PM DT
 NA NA NA NA NA NA NA
Written Statement Collect
Name and Relation with the Statement Version
insured

NA NA
(Written statement of insured’s husband/driver is enclosed with report)
Observation / Findings During investigation
As per our investigation & enquiry we found that IV bearing Reg. no. HP24D3350 met an accident on
20.05.2023 at Hira Nagar.

Accident occurred When insured’s son was crossing Hira Nagar ( Jammu Highway ) at around 5:00 – 5:30 PM, a
car going ahead started reversing. As insured’s son was on the highway, he also tried to stop but it hit the rear of
the vehicle ahead of him. Due to the impact insured’s car rotated and airbag also opened and his son got
unconscious but he didn’t receive any injury due to airbags.

We found insured’s son Mr. Aryan Chandel possess a valid DL to drive the insured vehicle. We also checked his
DL status in online RTO site and found it is valid to drive insured vehicle.

During our investigation we also checked the GPS timeline of IV User’s handset and found it showed same travel
history as brief by insured and also at the time of accident it showed his presence at Hira Nagar.
Insured stated his son got unconscious but he didn’t receive any injury due to airbags.

According to the insured, there was no FIR registered regarding this accident.

Reminder Letter / Document Deficiency Letter

St
1 Letter Date Not Applicable

2nd Letter Date Not Applicable

Document Deficiency List Not Applicable

Conclusion
Considering our investigation and enquiries we found that the accident of insured vehicle is Genuine.

We found insured’s son Mr. Aryan Chandel possess a valid DL to drive the insured vehicle.

During our investigation we also checked the GPS timeline of IV User’s handset and found it showed same travel
history as brief by insured and also at the time of accident it showed his presence at Hira Nagar.

According to the insured, there was no FIR registered regarding this accident.

The claim hence be dealt as per terms and conditions of policy issued by you and DL extract.
Investigation Agency Name Eagle Investigation Agency
Report Submission Date 06.06.2022
Seal and Stamp-

The report is being issued strictly without Prejudice, Strictly Confidential and Strictly for the purpose of Insurance
Company’s claim settlement purpose only.

Our bill for the services rendered is being enclosed herewith for your early clearance

Thanking you
Yours Sincerely,

For Eagle Investigation Agency

R. P. Tiwari - Compiled by: Abhishek Kumar