Accident Detail Receipt
Date And Time 06-Aug-2017 / 9:15 am
Place of Accident SQUARE OF DAHIWAD NATION HAIGWAY NO THREE ON ROAD
CR NO/ TAR No/ SDE NO 63/2017 IPC 279, 337, 427 R/W MV ACT 184,134/177
Name of the Injured/ Deceased JAGDISH BHIMRAO PATIL ( ST DRIVER) ADD- NARDANA TAL - SHINDKHEDA, DIST DHULE
Name of The Hospital to which he/she was removed COTTEGE HOSPITAL SHIRPUR
Number of vehicle and type of the vehicle 1) HR 74 A 7490 ACUSED 2) MH 06 S 8654 (COMPLENANT)
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) AJIJ FATEH KHAN ADD UTENKA MEWAT HARIYANA ISSUING AUTHORITY - MEWAT RTO (NUH)
Name of the owner of the vehicle as it stand on the date of the accident 1) HR 74 A 7490 - OWNER JAHIRKHAN NUH KHAN ADMEWAT HARIYANA (ACUSE) 2) MH 06 S 8654 ST BUS
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. MOTOR VEHICLE INSURANCE COVERNOTE NO
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate NOTE NO 1364 63 ISSUING ATHURRITY- 133920
Action Taken if any, and the result thereof. SUBMITED TO CHARGESHEET RESULT- COURT PEANDEING
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
MEDICAL CERT. Download Document 3

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