Accident Detail Receipt
Date And Time 25-Feb-2018 / 5:00 pm
Place of Accident DHULE city Kalika mata Mandir samor
CR NO/ TAR No/ SDE NO Dhule city CR no 21/2018 IPC 279,337,338,427 Mv ACT 184
Name of the Injured/ Deceased 1) kailas baliram patil age 52 add.loni Tal. parola Dist. Jalgaon 2)ushabai shivaji mahale age 32 add.borkund Tal.Dhule Dist.Dhule 3)sundabai rajaram sonvane age 60 add. aashtane Tal.sakri Dist. Dhule
Name of The Hospital to which he/she was removed Patil accident Hospital Dhule
Number of vehicle and type of the vehicle Riksha num. MH 18 S 1059 mosa num.MH 18 MW 3708
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. pravin wasant kedar age 30 add.ekvira nagar deopur Dhule
Name of the owner of the vehicle as it stand on the date of the accident pravin wasant kedar age 30 add. ekvira nagar Deopuar Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. ---------------------------
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate ---------------------
Action Taken if any, and the result thereof. -------------------------------------

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