Accident Detail Receipt
Date And Time 27-May-2017 / 5:00 pm
Place of Accident OLD MUMBAI AGRA ROAD FRONT BURHANI COMPLEX DEOPUR DHULE
CR NO/ TAR No/ SDE NO 53/2017 IPC 279, 337, 338, 427 MV ACT 184
Name of the Injured/ Deceased DECEASED- 1) ASHOK PANDIT KHAIRNAR AGE- 52 RES. TARWADE TAH. CHALISGAON DIST. JALGAON INJURED- 2) MINAKSHI MACHCHHINDRA KHAIRNAR AGE- 35 RES. SAMATANAGAR TAKLI ROAD NASHIK
Name of The Hospital to which he/she was removed SIDDHESHWAR HOSPITAL DEOPUR DHULE
Number of vehicle and type of the vehicle 1 MOITOR CYCLE & 1 FOUR WHEELER 1) MOTOR CYCLE NO MH/18/AD/0605 2) TATA 407 TEMPO NO MH/43/F/3699
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. DRIVER NAME- NARESH NANADAS BAIRAGI AGE-28 RES. KHEDA TAH. DIST. DHULE
Name of the owner of the vehicle as it stand on the date of the accident DHANRAJ BHIMRAO SONVANE AGE-35 RES. BADGUJAR COLONY DEOPUR 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 LTD DHULE
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate INSURANCE POLICY NO- 182600/31/2017/7775 VALIDITY- 27/03/2017 TO 26/03/2018
Action Taken if any, and the result thereof. ACCUSED GIVE NOTICE CRPC 41

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