Paragraph 4
In the case of an accident causing the death or loss of, or serious bodily injury to, any person, the name and address of that person and the name and address of his employer and the nature of any injuries suffered by him.
In the case of an accident causing the death or loss of, or serious bodily injury to, any person, the name and address of that person and the name and address of his employer and the nature of any injuries suffered by him.