Accident Detail Receipt
Date And Time 02-Oct-2017 / 5:30 am
Place of Accident Burjhad area Lamkani Songir road distance from Songir police station 17 k.m.
CR NO/ TAR No/ SDE NO 105/2017
Name of the Injured/ Deceased 1)Death- Pramila dyaneshwar Gawade age 28 at Post bhamere Sakri Dist Dhule
Name of The Hospital to which he/she was removed Civil Hospital dhule
Number of vehicle and type of the vehicle Two Wheeler MH-18 AV 8338
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. Vikas Ashok Gawale age 23 at post Bhamer tal Sakri dist Dhule
Name of the owner of the vehicle as it stand on the date of the accident Vikas Ashol Gawale age 23 At post Bhamer Tal Sakri Dist Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. --
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. Vikas AShok Gawale age 23 Arrest him 12.10.2017 12.31
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