Accident Detail Receipt
Date And Time 04-Nov-2017 / 11:30 pm
Place of Accident Behind shevali village national highway no 06
CR NO/ TAR No/ SDE NO Cr No 133/2017 IPC 304(A) 279,337,427 MVA 184
Name of the Injured/ Deceased KISHOR DAULATRAO DESLE 52 YEAR OLD AT POST- KASARE TAL-SAKRI DIST-DHULE
Name of The Hospital to which he/she was removed RURAL HOSPITAL SAKRI
Number of vehicle and type of the vehicle HM-18-W-7338
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. TUKARAM PUNAJRAM PATIL 24 YEAR OLD AT POST-DEVALI TAL-CHALISAGAON DIST-JALGAON
Name of the owner of the vehicle as it stand on the date of the accident MRS. MANISHA VISHWASRAO AHIRE AT POST - PLOT NO 63 SHRADHA NAGARA OPP SHARADA NETRALAY NAKAANE ROAD DEOPUR DHULE 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. ICICI LOMBARD HOUSE ADDRESS- 414 VEER SAVARAKARA MARG NEAR SIDDHIVINAYAK TEMPLE PRABHADEVI MUMBAI 400025
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 3001/MI-04235458/00/0000
Action Taken if any, and the result thereof. THE ACCUSED WAS ARRESTED
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