Accident Detail Receipt
Date And Time 18-Jun-2017 / 9:00 am
Place of Accident OLD MUMBAI AGRA ROAD FRONT OF NUR NAGAR BOARD DEOPUR DHULE
CR NO/ TAR No/ SDE NO 65/2017 IPC 279,338 WITH MV ACT 184
Name of the Injured/ Deceased INJURED- 1) ABARAR SHAIKH ISMAIL SHAIKH AGE- 14 RES- CHANDRAMANI CHOUK VADJAI ROAD DHULE
Name of The Hospital to which he/she was removed CIVIL HOSPITAL DHULE
Number of vehicle and type of the vehicle THREE WHEELER RIKSHOW NO - MH/18/N/1976
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. YOGESH DATTATRAY BADGUJAR AGE- 35 RES, VITABHATTI DEOPUR DHULE
Name of the owner of the vehicle as it stand on the date of the accident YOGESH DATTATRAY BADGUJAR
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. NO
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate NO
Action Taken if any, and the result thereof. ACCUSED GIVE NOTICE CRPC 41

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