Accident Detail Receipt
Date And Time 28-Jul-2017 / 4:00 am
Place of Accident NEAR PALASNER GOAN , MUMBAI TO AGRA HAIGWAY ROAD , JAY MATA DI HOTEL OPP.
CR NO/ TAR No/ SDE NO 61/2017 IPC 034 A, 279, R/W MV ACT 184,134/177
Name of the Injured/ Deceased MOHAN NANA WASKALE AGE 55 ADD- MHESHWARI TAL& DIST BADWANI
Name of The Hospital to which he/she was removed COTTAGE HOSPITAL SHIRPUR DHULE
Number of vehicle and type of the vehicle UNKNOWN VEHICLE
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. UNKNON VEHICLE
Name of the owner of the vehicle as it stand on the date of the accident UNKNOWN VEHICAL
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. NO DOCUMENT
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate NO DOCUMENT
Action Taken if any, and the result thereof. FILL UP CHARGESHEET TO COURT
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
PM NOTES COPY Download Document 3

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