Accident Detail Receipt
Date And Time 04-Apr-2017 / 9:00 am
Place of Accident vikharan tal.shirpur near prabhat patil farmar
CR NO/ TAR No/ SDE NO Shirpur PS-CR NO- 106/2017 IPC-304A 279,337,338,427 MVACT 184
Name of the Injured/ Deceased Magan Parsing Pavra 50year mukhed tal shirpur dist dhule
Name of The Hospital to which he/she was removed Kotej hospital shirpur and siwhil hospital dhule
Number of vehicle and type of the vehicle Trakctar MH-18-AW-0108
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. Sanjay dayaram patil plece vikharan tal shirpur dist dhule Trakctar MH-18-AW-0108
Name of the owner of the vehicle as it stand on the date of the accident trakctar MH-18-AW-0108
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. NILL
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate NILL
Action Taken if any, and the result thereof. on invetetion proses
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