Accident Detail Receipt
Date And Time 23-Sep-2017 / 2:00 pm
Place of Accident NH -6 dhule to sakri road kudane village shivar tal/dist dhule
CR NO/ TAR No/ SDE NO CR NO-298/2017 SDE NO IPC 304 A.279
Name of the Injured/ Deceased 1.Unknown 2.Shataram mali 3.Raghunat patil 3.Rohidas pavra 4.Nitin suryvanshi
Name of The Hospital to which he/she was removed Civil hospital dhule
Number of vehicle and type of the vehicle 1.MH-18-Z-7021 2.MH-18-W-7242
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. Yashawant Mansaram watssale
Name of the owner of the vehicle as it stand on the date of the accident -
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. REGI CR NO - 298/2017

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