Accident Detail Receipt
Date And Time 22-Jun-2017 / 8:30 pm
Place of Accident karvand to shirpur road bay krishna Walli conlony shirpur
CR NO/ TAR No/ SDE NO Shirpur PS 199/2017 IPC 304(A)279,337,338,427 MC ACT-184,134/177
Name of the Injured/ Deceased Mahendra jijabrao pati 35 year add karvand tal shirpur dist.dhule
Name of The Hospital to which he/she was removed koteja hospital shirpur dist. dhule
Number of vehicle and type of the vehicle motar Caykar MH-18-AD-4726 AND BAJAJ PULSAR MH.19.BS.4548
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. MOTAR VEHECLE BAJAJ PULSAR MH-19-BS-4548 adnyat
Name of the owner of the vehicle as it stand on the date of the accident Rajendra Sharad patil A/P Dalvel Tal. parola dist jalgaon maha.
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Chola insurance distribution services private limited
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 3361/00591172/000/00
Action Taken if any, and the result thereof. STC/NO/908/17 DATE-26/09/2017
Download Document 1
Download Document 2

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