|Accident Detail Receipt
| Date And Time
||22-Feb-2017 / 7:15 pm
|Place of Accident
||OLD MUMBAI-AGRA ROAD DATTA MANDIR CHOUK DEOPUR DHULE
|CR NO/ TAR No/ SDE NO
||78/2017 IPC 279, 337, 427 WITH MV ACT 184, 134/177
|Name of the Injured/ Deceased
||INJURED- 1) DEVIDAS TRINBAK CHOUDHARY AGE-60 RES. SHARADA NAGAR DEOPUR DHULE
|Name of The Hospital to which he/she was removed
||OMKAR CLINIC DEOPUR DHULE
|Number of vehicle and type of the vehicle
1) ACTIVA MOTOR CYCLE- MH/18/AL/8719
2) HERO HONDA MOTOR CYCLE NO.- MH/18/AV/9982
|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.
||HERO HONDA MOTOR CYCLE DRIVER- MANOJ MANGALSING GIRASE AGE-24 RES. TAMTHARE TAL. SHINDKHEDA DIST. DHULE
|Name of the owner of the vehicle as it stand on the date of the accident
||GULAB EKNATH CHOUDHARY AGE-52 RES.- MUKTI TAH.DIST. DHULE
|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
|Action Taken if any, and the result thereof.
||ACCUSED GIVE NOTICE CRPC 41