Accident Detail Receipt
Date And Time 11-Jul-2017 / 10:30 am
Place of Accident Navlane to dusane way
CR NO/ TAR No/ SDE NO 01/2018
Name of the Injured/ Deceased Sunanda barku gaykvad, age. 30, at. Dusane, tal. Sakri, dist. Dhule
Name of The Hospital to which he/she was removed Shirdi saibaba hoshpital
Number of vehicle and type of the vehicle TVS Sport motar cycal Mh 18 ag 2290
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. Barku raysing gaykwad, at. DusNe , dist. Dhule
Name of the owner of the vehicle as it stand on the date of the accident Barku raysing gaykwad, at. Dusane, 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. 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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