Accident Detail Receipt
Date And Time 31-Jan-2018 / 5:30 am
Place of Accident Near Visava Hotel, Malich Fata On NH-3 Public Place Tal Shindkheda Dist Dhule
CR NO/ TAR No/ SDE NO 09/2018 SDE NO 16/ 15: 45 IPC 304 (A) , 279, 337, 338, MV ACT- 184, 134/177
Name of the Injured/ Deceased 1) Bhatu Pundlik Patil Age 36, A/P Bhokar, Tal & Dist - Dhule ( Death) 2) Jaysing Kevalsig Thakur - Dhule ( Injured ) 3) Dhiraj Bhagvan Chaudhary - Dhule( Injured) 4) Pramod Sukdev Patil - Dhule ( Injured)
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 1) Swift Car No- MH- 18-BC-7892 2) Trailar No- MH- 15-DK-1773
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. 1) Bhatu Pundlik Patil Age 36 A/P- Bhokar Tal & Dist Dhule(Swift car) 2) Gaous Sharpoddin Sayed Age 31, Ad- A/P Dongargaon , Tal Mukhed, Dist- Nanded
Name of the owner of the vehicle as it stand on the date of the accident 1) Bajirao Dashrath Bhamare (MH-18-BC -7892) Ad- Near Pirbaba Darga, Dhule, Mehargaon, Dhule- 424001 2) Ratndeep Enterprises ( MH 15- DK-1773 ) A/P- No 382 Jamutake, Dindory , Dist Nashik 422202
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. 1) ICICI Lombard General Co. ltd Ad- Ground First, Second and Third ICICI Lombard House veer sawarkar Marg Mumbai Prabhadevi Maharashtra- 400025
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 1) Policy no 3001/M1-05398410/00/000 Validity - 21/12/2017 to 20/12/2018 ( Swift Car) 2) Policy No- 15080231170100001496 (Trailar ) Validity - 12/06/2017 to 11/06/2018
Action Taken if any, and the result thereof. Uder Investigation

Copyright © 2018 ® All Rights Reserved                Visit Counter : Developed By : Siddhi Software Solutions