Accident Detail Receipt
Date And Time 28-Sep-2017 / 7:30 pm
Place of Accident Vehergav way to khari nalya near
CR NO/ TAR No/ SDE NO 84/2017
Name of the Injured/ Deceased Sakharam lahanu bachkar, at. Gokul nagari, tal. Sakri, dist. Dhule
Name of The Hospital to which he/she was removed Phc , Jaitane , tal. Sakri, dist. Dhule
Number of vehicle and type of the vehicle Motar cycal, Mh 18 AR 8556
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. Dilip Aanna goykar , at. Waghapur, at .sakri, dist. Dhule
Name of the owner of the vehicle as it stand on the date of the accident Dilip Aanna goyekar, at. Waghapur, dist. Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Nil
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Nil
Action Taken if any, and the result thereof. Court pending

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