Accident Detail Receipt
Date And Time 07-Feb-2017 / 7:30 am
Place of Accident Ashok Damodar Kolapkar Farm On the Ajande Khurde Village Road , Tal - Shindkheda, Dist Dhule
CR NO/ TAR No/ SDE NO 75/2017 SDE NO : 16: 35 IPC 304(A), 279,337,338 MV ACT- 184
Name of the Injured/ Deceased Ranjit Aappa Dhangare Age-19 At post- Ajande Khurde, Tal Shindkheda ,Dist- Dhule ( Death Person)
Name of The Hospital to which he/she was removed P.H.C Nardana Tal Shindkheda Dist- Dhule
Number of vehicle and type of the vehicle Motar Cycle - MH-15-BA-8447
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. Ranjit Aappa Dhangare At Post - Ajande, Tal Shindkheda, Dist Dhule (Death Person)
Name of the owner of the vehicle as it stand on the date of the accident Ranjit Aappa Dhangare At- Post Ajande Khurde , Tal Shindkhadea, Dist- Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. No Insurance
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate No Insurance
Action Taken if any, and the result thereof. Abet Sammary

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