M%&%O%'% No% ()*+, BET-EEN#. 1. Veluthurla Venkata Reddy S/o.Late Ramana Reddy, aged about 27 years, Business, 2. Ambati Venkata Ratnam W/o.o!inda Reddy, Aged about 2" years, #ouse Wi$e, %. Veluthurla &rishna Reddy S/o.Late Ramana Reddy, aged about 22 years, Army 'm(loyee, )etitioners 1 * % are residents o$ &uri+hedu Village and ,andal, )rakasam -istri+t and 2 nd (etitioner is the resident o$ Lakshmi .arayana )uram Village, -arsi ,andal, )rakasam -istri+t. /..'etitioners 0heir address $or ser!i+e is that o$ their 1ounsel, Sri Abburi Venkateswarlu and Vemula Venkata Pavan Kumar, Ad!o+ates, 2ngole.
AND 1. 0.Ra3a Ramesh Babu S/o.Satyanarayana, #indu, aged about "4 years, R/o.-..o.%526%, " th line, Satyanarayana(uram, 2ngole542%661, )rakasam -istri+t. 27ner o$ lorry bearing .o.A) 27 8 6169 2. Royal Sundaram Allian+e :nsuran+e 1o.Ltd., Re(.by its Bran+h ,anager, 1 st ;loor, &ai<en #ights, Sunday ,arket, andhi .agar, .ellore542"661. =1o!er .ote .o.62>9>7> !alid $rom 265675261% to 1?5675261"@. 0heir addresses $or ser!i+e are the same as abo!e. /%%Res0ondents C$AIM A''$ICATION FI$ED UNDER ECTION +11 2+32c3 4 +15 OF MOTOR &EHIC$E ACT6 +755 1. .ame and $atherAs name o$ the B Veluthurla Adhi Lakshmi, (erson/dead B W/o.Late Ramana Reddy, 2. ;ull address o$ de+eased B Veluthurla Adhi Lakshmi, W/o.Late Ramana Reddy, &uri+hedu =V@ * =,@ )rakasam -ist. %. Age o$ the de+eased B "4 years ". 2++u(ation o$ the de+eased B Agri+ulturist 1 4. .ame and address o$ the B Self Employed em(loyer, i$ any o$ the de+eased.
>. ,onthly :n+ome o$ the (erson de+eased B Rs.>,666/5 (er month 7. Whether the (erson in res(e+t o$ 7hom +om(ensation is +laimed (ays in+ome B 55.o55 taC = to be su((orted by do+umentary e!iden+e@ 9. )la+e, date, time o$ the a++ident B 2n 2>56>5261" at about 615"6 hours, at Boddu!ari(alem on .#51>, &oda!alur =V@, .ellore -t. ?. .ame and address o$ the ).S. in 7hose 3urisdi+tion the a++ident B 1r..o.164/261" o$ &oda!alur ).S. took (la+e or 7as registered. D/s.%6"5A, %%7 :)1.
16. Was the (erson in res(e+t o$ B 7hom +om(ensation is +laimed tra!eling by the !ehi+le in!ol!ed .ot tra!elling in 1rime Vehi+le in the a++ident. :$ so state the name o$ (la+e or starting o$ 3ourney and destination.
11. .ature o$ the in3uries, sustained B -eath 2++urred. and the +ontinuing e$$e+t, i$ any, o$ the in3uries. 12. .ame and address o$ the ,edi+al B -SR o!t. #os(ital, .ellore 2$$i+er/)ra+titioner i$ any 7ho attended on the in3ured. 1%. .ature o$ and (eriod o$ treatment and eC(enditure, i$ any in3ured B -eath 2++urred thereon = to be su((orted by do+umentary e!iden+e@ 1". -isability $or 7ork i$ any +aused B -eath 2++urred 14. Registration number and ty(e o$ B Lorry bearing .o.A) 27 8 6169 the !ehi+le in!ol!ed in the a++ident. 1>. .ame and address o$ the B R51 is the 27ner o$ Lorry 27ner o$ the !ehi+le.
17. .ame and address o$ the insurer B R52 is the :nsurer o$ Lorry o$ the !ehi+le. 19. #as any +laim been lodged 7ith the 27ner/insurer o$ the !ehi+le B 55.o55 and i$ so 7ith 7hat resultE 1?. Whether the (erson in3ured 7as 2 in!ol!ed in any road a++ident B 55.o55 earlier =in +ase he 7as details o$ the a++ident should be set out@ 26. Whether the (erson in3ured had (re$erred +laim $or damages in B 55.o55 any +ase earlier and i$ so 7ith that resultE 21. Whether he is related to $or has kno7 to the de$endant and i$ B 55.o55 so ho7E 22. .ame and address o$ a((li+ants B Sho7n as (etitioners in +ause title. 2%. Relationshi( 7ith the de+eased B Sons * -aughter o$ the de+eased. 2". 0itle to the (ro(erty in3ured B L.RAs o$ de+eased. 24. Amount o$ +om(ensation +laimed 1. )e+uniary damages. Rs. B Rs.7,66,666/5 =Ru(ees Se!en lakhs only@ 2. .on5)e+uniary damages Rs. 2>. A.8 20#'R :.;2R,A0:2. 0#A0 ,A8 B' .'1'SSAR8 2R #'L);DL ;2R 0#' -:S)2SAL 2; 0#' 1LA:,. The 1 st petitioner is the Elder Son, the 2 nd petitioner is the daughter, and the 3 rd petitioner is the younger son of the deceased, V.Adhi Lakshmi. The husband of the deceased was also died in the same accident. The Deceased had been woring as Agriculturist and she used to get an income of !s.",###$% per month and contributing the same her family i.e., petitioners. The deceased was hale and healthy prior to accident. The deceased was aged about &' years at the time of accident. (hile so, on 2'%#"%2#1& at about )%## p.m., the deceased herein and her husband *.+arayana !eddy, her sons ,1 - ,3 and her daughter, i.e., 2 nd petitioner herein and 2 nd petitioner.s daughters namely /ita and 0eerthi, Ambati /o1inda !eddy, who is husband of the 2 nd petitioner and their relati1es, /angireddy 0asamma, Syamala Srihari, % *.Aswini were started at 0urichedu *illage on 2he1rolet 2ar bearing +o.A, 23 T( 124# to go to Tirumala and at about #1%3# a.m., on 2"%#"%2#1& when the car reached near Boddu!ari(alem =V@ on .#51>, &oda!alur ,andal, .ellore -istri+t, due to de+rease o$ air to the +ar tyres, the inmates o$ the +ar get do7n $rom the +ar and waiting on the left side road margin and the dri1er of said car taen out the car for 5lling up air to the car tyres and in the meantime, the dri1er of 6orry bearing +o.A, 23 7 #1#) dro1e the same with rash and negligent manner in high speed without blowing horn and without obser1ing the persons who were on the left side road margin and went e8treme left and dashed against the deceased and petitioners 1 to 3 and others, while proceeding towards +ellore side. Due to that hit, the deceased herein, *.!amana !eddy, and /angireddy 0asamma were died on the spot and the other persons were shifted to DS! /o1t. 9ospital, +ellore for treatment and one Syamala Sri 9ari S$o.*enateswarlu was succumbed to the in:uries while undergoing treatment. The accident was occurred solely due to rash and negligent dri1ing of dri1er of 6orry bearing +o.A) 27 8 6169, during the course of his employment under the 1 st respondent and the same was insured with the 2 nd respondent. After the accident the 2 nd petitioner ga1e report to the ,olice and the same was registered as in 2r.+o.1#'$2#1&, ;$s.3#&%A, 333 <,2 of 0oda1alur ,.S. +ellore District. The family members lost their bread winner. The petitioners 1 - 3 are the sons, the 2 nd petitioner is the daughter of the deceased and they are su=ering with loss of lo1e and a=ection and they lost their bread winner and they are su=ering with lot of mental agony due to immature death of the deceased and lost their future plans and future earnings of the deceased. !%1 is the >wner of the 6orry bearing +o.A, 23 7 #1#) and R52 is the insurer o$ the said 6orry bearing +o.A, 23 7 #1#) and " hence both the respondents are :ointly and se1erally liable to pay the compensation claimed by the petitioners. The petitioners did not 5le any other petition in any other Tribunal e8cept this claim petition. A case was registered in 2r.+o.1#'$2#1& u$s.3#&%A <.,.2 of 0oda1alur ,.S. 9ence, the petitioners are claiming compensation of !s.3,##,###$%. 27. A court fee of !s.",3"#$% is paid under rules &3' of ?.*. !ules on compensation of !s.3,##,###$% dt. %#)%2#1& on S.@.<, District 2ourt @ranch, >ngole. )5% 'RA8ER#. 0he (etitioners there$ore (ray that the #onAble 1ourt may be (leased to (ass a de+ree and Fudgment in $a!our o$ the (etitioners and against the res(ondents 7ith 3oint and se!eral liabilityG i@ $or +om(ensation o$ Rs.7,66,666/5 ru(ees Se!en lakhs onlyG ii@ $or subseHuent interest at 12I (.a. $rom the date o$ (etition, till the date o$ reali<ationG iii@ $or +osts o$ the (etitionG and i!@ $or su+h other and $urther relie$s in the interests o$ 3usti+e. AD&OCATE FOR 'ETITIONER 'ETITIONER 0he $a+ts stated abo!e are true to the best o$ my kno7ledge, belie$ and in$ormation. 4 ON"O$E, 'ETITIONER Dt#. .*5.)*+, $ist of Documents#. 1. JeroC +o(y o$ ;.:.R% in 2r.+o.1#'$2#1& u$s.3#&%A, 333 <.,.2 of 0oda1alur ,.S. 2.JeroC +o(y o$ :nHuest Re(ort, relating to de+eased, V.Ramana Reddy, %.JeroC +o(y o$ ).,. 1erti$i+ate relating to de+eased, V.Ramana Reddy. Ad9ocate for 'etitioners A%&% 'etitioners B';2R' 0#' ,202R A11:-'.0S 1LA:,S 0R:BD.AL :. 0#' 12DR0 2; 0#' -:S0R:10 FD-' BB2.2L'BB ,.V.2.)..o. /261" C$AIM A''$ICATION FI$ED ON BEHA$F OF THE 'ETITIONER UNDER ECTION +11 2+32c3 4 +15 OF M%&%ACT6 +755 > FILED BY:- Sri.ABBDR: V'.&A0'SWARLD, Sri.V.V.)AVA. &D,AR, A-V21A0'S, 2.2L'. 7