Accident Detail Receipt
Date And Time 13-Jul-2017 / 5:30 am
Place of Accident Lamkani- Sarwad road nandane village area near kalba maharaj mandir tal dist dhule distance from songir ps western 15 km
CR NO/ TAR No/ SDE NO 68/2017
Name of the Injured/ Deceased 1) kishor manor yewale age 48 2) kishor manohar yewale age 22 at post lamkani
Name of The Hospital to which he/she was removed civil hospital dhule
Number of vehicle and type of the vehicle 1) Alto car MH-18 W 1801 2) pickup Van MP GA 1403
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. Shreeram Tulshiran pawar age 31 at 775 Ward no 19 chhaigaon makhan khadwa tal dist khandwa
Name of the owner of the vehicle as it stand on the date of the accident 1) manohar Attaram yewale age 48 at post Lamkani tal dist dhule 2)shreeram Tulshiram pawar age 31 at 7 7 7 Ward no 19 chhaigaon makhan khadwa tal dist khandwa
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. chala mandam Kandwa
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 3379/1536665/000/00
Action Taken if any, and the result thereof. arrest him songir police station date 14/07/2017,13.41
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