Accident Detail Receipt
Date And Time 30-Aug-2017 / 4:00 pm
Place of Accident Borkund to ratnpura road tal/dist dhule
CR NO/ TAR No/ SDE NO CR NO - 273/2017 SDE 22/17.33 IPC 279.338
Name of the Injured/ Deceased 1.Kalabai krushana kubhar
Name of The Hospital to which he/she was removed Civil hospital dhule
Number of vehicle and type of the vehicle 1.Matador MH-04-7527
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. Suresh vedu bhadane
Name of the owner of the vehicle as it stand on the date of the accident Suresh vedu bhadane
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 -273/2017

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