G. B. PATTANAIK, J.

( 1 ) THIS is an appeal under S. 110-D of the Motor Vehicles Act against the order of the Second Motor Accidents the Claims Tribunal rejecting the claim of the appellant. The appellant filed an application claiming compensation on account of the death of her husband Ratnakar Behera and it was alleged in the application that the death occurred on account of the accident caused by Bus No. ORD 3521 at 10 a. m. at Cuttack-Sambalpur National Highway. In the prescribed form provided for under the relevant Rules as against Column 18, the appellant gave her name and address and as against column 22 which provides for the names of other legal representatives of the injured and their relationship, no mention was made, but in Column 23, where any other information that may be necessary or helpful for disposal of the claim is to be given, it is mentioned "separate sheet attached" and in that sheet it has been clearly stated that the deceased had four sons and two daughters. Rest of the facts in the separate sheet are not necessary to be discussed in view of the points arising for consideration. After the application was admitted for enquiry and notice was issued, the owner