Accident Detail Receipt
Date And Time 13-Oct-2017 / 1:30 pm
Place of Accident Shiprur Shahada Raod Bihind The Sonawane Wakil Bangla
CR NO/ TAR No/ SDE NO Shirpur Ps cr no 320/17 IPC 279,337,338, MV ACT 184/177
Name of the Injured/ Deceased Ramesh Lotan Badgujar 60 years old ADD- Nandurbar
Name of The Hospital to which he/she was removed Shirpur Cottege Hospital Then Ganpati Hospital Shirpur Bus Stand Road
Number of vehicle and type of the vehicle Maruti Sujki Swift MH 14 DA 8247
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. Labhu kisan Charan at post sendhwa dist Badwani
Name of the owner of the vehicle as it stand on the date of the accident Labhu kisan Charan at post sendhwa dist Badwnai
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. United India Insuransece Company limited Shri Dinesh complex Agra Road devpur Dhule
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 2313003117P104763733
Action Taken if any, and the result thereof. Prosses in investigation Cr No 320/17 in Shirpur Ps
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