Accident Detail Receipt
Date And Time 11-Mar-2017 / 5:00 pm
Place of Accident Fhofhare village , tal. Sakri, dist. Dhule
CR NO/ TAR No/ SDE NO 56/2017
Name of the Injured/ Deceased Yash santosh masule, age. 08 year, at. Fhofhare, tal. Sakri, dist. Dhule
Name of The Hospital to which he/she was removed Shree vighnaharta superspeciality hoshpital dhule
Number of vehicle and type of the vehicle Bolero mh 39 d 1761
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. Eliyas sabbir saiyyad, age. 35, at. Fhofhare tal. Sakri, dist. Dhule
Name of the owner of the vehicle as it stand on the date of the accident Elliyas sabbir saiyyad, age. 35, at. Fhofhare, 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. Chola MS General Insurance
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Number of insurance policy/ insurance :- 1 Insurance certifcate and date of validity :- 03/02/2017 to 02/02/2018
Action Taken if any, and the result thereof. Court pending
FIR Download Document 1
Punchnama Download Document 2
Injury certificate Download Document 3

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