Accident Detail Receipt
Date And Time 10-Dec-2017 / 9:30 am
Place of Accident Sarwad Area National Highway Mumbai Agra-03 Sarwad Phata distance From songir police station 4 k.m
CR NO/ TAR No/ SDE NO 138/2017 IPC 279,427,MVACT 184
Name of the Injured/ Deceased No.
Name of The Hospital to which he/she was removed No.
Number of vehicle and type of the vehicle 1) S.T.Bus No. MH-14 BT 2109 2)Max good Vehicle MH-18 X 3235
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. Pranil Vishram Thakre age 39 at post dhule Bhimnagar
Name of the owner of the vehicle as it stand on the date of the accident Government S.T.Bus.
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. Pranil Vishram Thakre Notice For C.R.C.41(A)
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