Accident Detail Receipt
Date And Time 10-Dec-2017 / 11:30 am
Place of Accident AT MHALSAR VILLEGE, IN SUNIL DEVIDAS PATIL FARM BLOCK NO.236
CR NO/ TAR No/ SDE NO CR.NO 10/2018 IPC 304(A), 279
Name of the Injured/ Deceased DECEASED- SURESH RAJENDRA WADAR , AGE-38, AT- MUDAWAD, TAL- SINDKHEDA, DIST DHULE
Name of The Hospital to which he/she was removed PRIAMARY HEALTH CENTER, NARDANA TAL- SINDKHEDA, DIST-DHULE
Number of vehicle and type of the vehicle 1. SWARAJ TRACTOR NO. MH 18/ BC 3078
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. DNYANESHWAR SHREERAM WARUDE AT- MHALSAR, TAL- SINDKHEDA, DIST- DHULE ISSUING- RTO DHULE
Name of the owner of the vehicle as it stand on the date of the accident SUNIL MADHUKAR PATIL AT- MHALSAR HE STAND AT HOME
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. MAHINDRA @ MAHINDRA LIMITED SWARAJ DIV. IFFICO TIKIO GEN INS CO LTD BCTS NO. 30412/2 RAJYOG TOWER NEAR SHER-E-PUNJAB HOTEL PAANCH KANDIL CHOWK DHULE DIV. OFF- SONAWANE DHIRAJ CHANDRAKANT
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate POLICY NO. JMTWI2K 27898574 VALIDTY- 07/11/2017 TO 06/11/2018
Action Taken if any, and the result thereof. ACCUSED WAS ARRESTED AND HIS SEND TO JMFC SINDKHEDA COURT DIST- DHULE

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