Accident Detail Receipt
Date And Time 05-Apr-2017 / 11:30 am
Place of Accident NH-3 AGRA-MUMBAI NATIONAL HIGHWAY NEAR AKSHADA MANGAL KARYALAYA DEOPUR DHULE
CR NO/ TAR No/ SDE NO 37/2017 IPC 304 (A), 279 WITH M V ACT 184, 134/177
Name of the Injured/ Deceased KUNAL SANJAY BHAVSAR AGE-25 RES. PLOT NO 35 TELEPHONE COLONY DEOPUR DHULE
Name of The Hospital to which he/she was removed SEVA HOSPITAL DHULE
Number of vehicle and type of the vehicle 1 MOTOR CYCLE NUMBER- MH/15/CY/3888
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. KUNAL SANJAY BHAVSAR PLOT NO 35 TELEPHONE COLCONY DEOPUR DHULE RTO NASHIK
Name of the owner of the vehicle as it stand on the date of the accident KUNAL SANJAY BHAVSAR
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. NOT KNOWN
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate NOT KNOWN
Action Taken if any, and the result thereof. IN THIS CRIME VEHICLE DRIVER DEATH ON THE SPOT

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