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Chief Minister Naveen Patnaik expressed grief over the deaths and announced an ex-gratia of Rs 3 lakh each for the next of kin of the deceased.
The affected youth is identified as Karthi and has been transported to a nearby hospital.
Manoj, who fell on the road head first, was promptly rushed to the hospital but his injuries proved fatal.
The deceased, Ajay (23) and Santhosh (25), hailed from Kannimar Chola in Vandiperiyar.
Ummar reportedly fell asleep while driving, which caused him to lose control of the vehicle.
The accident took place at Khasab in Oman Saturday afternoon.
The bus was travelling from Kottarakkara to Sulthan Bathery while the container lorry was heading to Gujarat.
The elephant was crossing the railway track on its way back to the forest after drinking water from a nearby residential area.
The trio are the grandchildren of Karakurissi native Veerappu and Beeyathu.
The deceased was identified as Sreejith (36), a resident of Madathil Kalathil House, Punnur in Mannarasala.