Accident Detail Receipt
Date And Time 09-Jan-2018 / 8:00 pm
Place of Accident BEHED TO SAKRI ROAD NADWAN VILLAGE BEHAND UNDER CONSTRUCATION BRIDGE
CR NO/ TAR No/ SDE NO CR NO 04/2018 IPC 304(A) 279 337 338 MVA 184
Name of the Injured/ Deceased SHANKUTALABAI CHITAMAN TORAWANE 58 YEAR OLD AT POST BEHED TAL-SAKRI DIST-DHULE
Name of The Hospital to which he/she was removed 1) RURAL HOSPITAL SAKRI 2) K.E.M. HOSPITAL MUMBAI
Number of vehicle and type of the vehicle 1) MH-18-X-9873
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. DIPAK CHITAMAN TORAWANE 40 YEAR OLD AT POST -BEHED TAL-SAKRI DIST-DHULE
Name of the owner of the vehicle as it stand on the date of the accident DIPAK CHITAMAN TORWANE 40 YEAR OLD AT POST-BEHED TAL-SAKRI DIST-DHULE
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. THE ORIENTAL INSURANCE COMPANY LIMITED ADDRES- AFAK ALI ROAD NEW DELHI
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate PRO NO 154104
Action Taken if any, and the result thereof. THE ACCUSED WAS ARRESTED ON DATE 10/01/2018

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