The Affidavit of Self Accident is a crucial legal document used in Malaysia when an individual needs to provide a formal, sworn account of a vehicular accident in which they were involved. This type of affidavit is commonly required by insurance companies for processing claims, by legal authorities for accident investigations, or in court proceedings related to the accident. The document must comply with Malaysian legal requirements, particularly the Statutory Declarations Act 1960 and the Road Transport Act 1987. It includes essential details such as the accident's time, location, circumstances, resulting damages, and injuries. The affidavit must be sworn or affirmed before a Commissioner for Oaths to be legally valid. This document is particularly important in cases where there may be insurance claims, potential legal disputes, or when official documentation of the accident circumstances is required by authorities.
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1. Deponent Information: Personal details of the person making the affidavit including full name, NRIC number, occupation and address
2. Preliminary Statement: Standard affidavit opening stating that the deponent is of full age and capacity, swearing/affirming the truth of the statement
3. Accident Details: Specific information about when and where the accident occurred, including date, time, and exact location
4. Vehicle Information: Details of the vehicle involved including make, model, registration number, and insurance details
5. Incident Description: Detailed chronological account of how the accident occurred, including weather conditions, road conditions, and any relevant circumstances
6. Post-Accident Actions: Description of actions taken immediately after the accident, such as contacting authorities or seeking medical attention
7. Damages Statement: Description of damage to vehicle or property resulting from the accident
8. Declaration of Truth: Standard closing statement affirming that the contents are true and accurate
9. Execution Clause: Space for signature, date, and commissioner for oaths' attestation
1. Injury Description: Detailed description of any personal injuries sustained, to be included if the deponent suffered injuries in the accident
2. Witness Information: Details of any witnesses to the accident, including their names and contact information, if applicable
3. Police Report Details: Information about police reports filed, including report numbers and investigating officer details, if a report was made
4. Medical Treatment: Details of medical treatment received, including healthcare providers and dates, if medical attention was required
5. Loss of Income: Description of any loss of income or earning capacity due to the accident, if applicable
1. Exhibit A - Accident Scene Photographs: Photographs of the accident scene, vehicle damage, and surrounding area
2. Exhibit B - Sketch of Accident: Diagram showing the position of vehicles and point of impact
3. Exhibit C - Vehicle Registration Documents: Copies of vehicle registration card and insurance certificate
4. Exhibit D - Medical Reports: Copies of medical reports and bills if injuries were sustained
5. Exhibit E - Police Report: Copy of the police report if one was filed
6. Exhibit F - Repair Estimates: Documentation of vehicle repair estimates or invoices
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