Accident Detail Receipt
Date And Time 15-Dec-2017 / 4:00 pm
Place of Accident work on construcation a bridge on National high no 6 Tamasawadi Shivar
CR NO/ TAR No/ SDE NO Cr NO 147/2017 IPC 304 (A),279,337,338,427, MVA 184,134/177
Name of the Injured/ Deceased LOTAN PANDHARINATH ADEVARE 52 YRS OLD AT POST- KAPADANE TAL DIST-DHULE
Name of The Hospital to which he/she was removed CIVIL HOSPITAL DHULE
Number of vehicle and type of the vehicle 1) TRUCK NO GJ-01-CZ-3585 2)TRUCK NO MH-18-M-1596
Name of address of driver of the vehicle with perticuler ordriving license of the said driver and the address of the issuing Authority of the said driver license. The number of badge in case of public service vehicle and the address of the issuing Authority of the said badge. 1) TRUCK NO GJ-01-CZ-3585 HASMUKKH VIJAYRAM JOSHI 36 YRS OLD AT POST- GANDHIDHAM KACCHA TAL-DIST-BHUJ (GUJARATH) LICENCE NO GJ1220020503981 (UNION OF INDIA STATE GUJARAT)
Name of the owner of the vehicle as it stand on the date of the accident 1)TRUCK NO GJ-01-CZ-3585 OWNER NAME - BHABHUTGIRI B GIRI AT -BARVALA BAVISHI TAL-KUKAVAV-DIST AMRELI (GUJARAT) 2) TRUCK NO MH-18-M-1595 OWNER NAME- GOPICHAND RAJARAM PATIL AT POST-LOKHEDI TAL-DIST-DHULE
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. 1) TRUCK NO GJ-01-CZ-3585 INSURANCE :- IFFCO TOKIO GENERAL INSURANCE CO LTD. ADDRESS :- 301 3RD FOLOOR INDARAL OK ARACADE TALAV GATE JUNAGADHA GUJARATH 2) TRUCK NO MH-18-M-1595 INSURANCE :-ORIATAL INSURANCE CO LTD ADDRESS:- SAHAJEEVAN NAGARA MALEGAON ROAD DHULE TAL DIST-DHULE
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 02
Action Taken if any, and the result thereof. 1) THE ACCUSED WAS ARRESTED DATE ON 15-12-2017
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