Accident Detail Receipt
Date And Time 22-Jul-2017 / 5:30 am
Place of Accident NEAR DABHASHI VILLEGE, TAPI RIVER BRIGE SOUTHERN SITE ON NATIONAL HIGHWAY NO.3
CR NO/ TAR No/ SDE NO CR.NO 60/2017 IPC 304(A) 279,337,338, MV.ACT 184, 134/177
Name of the Injured/ Deceased 1. DECEASED- DINESH YUVRAJ CHAUDHARI AGE-27, AT-VARSHI, TAL-SHINDKHEDA, DIST- DHULE 2. INJURED - KANTILAL RAGHUNATH CHAUDHARI, AT- NANDRI, TAL- AMALNER, DIST- JAILGAON
Name of The Hospital to which he/she was removed 1.COTTEGE HOSPITAL, SHIRPUR DIST-DHULE 2.SEVA HOSPITAL DHULE
Number of vehicle and type of the vehicle TRUCK NO. MP 09/HH 2449 TWO WHEELER NO. MH 19/ BY 3205
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. NAWABSINGH ARJUNSINGH KUSHAW AT- BHITARWAR DIST- GWALIOR MP
Name of the owner of the vehicle as it stand on the date of the accident MR. RAKESH GUPTA S/O SHRI HARI PRASAD GUPTA C/O PRAKESH SHARMAS S/O SHRI MANGILAL, 38 PROFESAR COLONY INDORE (MP)
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. THE NEW INDIAN ASSURANCE CO.LTD ADD. HAZI SANNU BUX MARKET AB ROAD SHIVPURI (MP) DIV OFF. MR. MANOJ KUMAR MATHUR
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate POLICY NO. 45190731170100001683 VAL- 05/06/2017 TO 04/06/2018
Action Taken if any, and the result thereof. ACCUSED WAS ARREST AND SEND TO JMFC COURT SHINDKHEDA DIST- DHULE

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