FORM-II FORM OF NOTICE

FORM-II

FORM OF NOTICE

[See rule 9(1)]

By Registered post acknowledgement due

From* __________________________________ __________________________________ __________________________________

To __________________________________ __________________________________ __________________________________

Notice under clause (b) of Section 18 of the Public Liability Insurance Act, 15991:

Whereas it appears to me/us that an offence under the Public Liability Insurance Act, 1991 (6 of 1991) has been committed/is being committed by**_ __________________________________ __________________________________ __________________________________ __________________________________

I/We hereby give notice of sixty days under clause (b) of section 18 of the Public Liability Insurance Act, 1991 of my/our intention to file a complaint in the Court against (2)

for violation of section of the Public Liability Insurance Act, 1991.

I/We, in support of this notice, hereby enclose the following documents*** as evidence of proof of violation of the Public Liability Insurance Act, 1991:-

Place ______________

Date ______________ Signature(s)

*In case the notice is given in the name of a company, documentary evidence authorising the person to sign the notice shall be enclosed to this notice.

** here give the name and address of the alleged offender. In ease of a handling/manufacturing/processing/operating unit indicate the name of the unit/location/and nature of activity.

*** Documentary evidence includes photographs/technical reports/health reports of the area; etc., relating to the alleged violation/offence.] ------------------------------------------------

1 Extract from the Gazette of India:Part II, Sec 3, Sub-sec.(ii) dated 15-5-91.

2 Inserted by G.S.R. 596 (E) dt. 20-9-1991.

3 Inserted by G.S.R. 596(E) dt. 20-9-1991