Accident Detail Receipt
Date And Time 19-Nov-2017 / 3:00 pm
Place of Accident NEAR SANGVI GOAN , MUMBAI TO AGRA HAIGWAY ROAD , OPP.NARCERY, SENDHAWA TO SHIRPUR ROAD LANE.
CR NO/ TAR No/ SDE NO 90/2017 IPC 279,337,338,427,R/W MV ACT 184
Name of the Injured/ Deceased SAKHARAM ANAJYA PAWRA ADD- SANGVI TAL SHIRPUR DIST DHULE
Name of The Hospital to which he/she was removed 1) COTTAGE HOSPITAL SHIRPUR 2) HIRE MEDICAL COLLEGE DHULE
Number of vehicle and type of the vehicle MP 40 GA 0230 TATA 1109 MODEL VEHICAL
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. RAFIQ CHOTE KHAN ADD- 182 APNA GHAR COLONY , BHODAPUR GWALIOR LICENCE NO- MP0720070123380 ISSUNG AUTHORITY- MP07DLR000220822017
Name of the owner of the vehicle as it stand on the date of the accident RAFIQ CHOTA KHAN ADD- LOHA MANDI KILA GATE GWALIAR
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. UNITED INDIA GCVPUBLIC CARRIER OTHER THAN 3 WHEELER PACKAGE POLICY SHEDULD
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 1908003117P101412733 VALID DATE- 19/04/2018
Action Taken if any, and the result thereof. SUBMITED CHARGESHEET TO COURT RESULT COURT PEANDING
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
MEDICAL CERT. Download Document 3

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