Accident Detail Receipt
Date And Time 20-Jun-2017 / 3:30 pm
Place of Accident MUMBAI AGARA HIGHWAY NO 3 IN FRONT OF KOYAL PETROLPAMP NAGAO TAL.DIST.DHULE
CR NO/ TAR No/ SDE NO CR.NO.72/2017 IPC 279,337,338 M V ACT 184
Name of the Injured/ Deceased 1)VIJAYKUMAR ANANDRAO PATIL .AGE.42 PROFSSION .FARMER .ADD.MAYUR COLONY PLOT.NO.8 DEOPURE,DHULE 2)MANOJ PATIL
Name of The Hospital to which he/she was removed SUDHA HOSPITAL DEOPURE DHULE
Number of vehicle and type of the vehicle TWO WHELLER-MH 18 AH 1277 FOUR WHELLER UNKNOWN VEHICLE
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. UNKNOWN
Name of the owner of the vehicle as it stand on the date of the accident VIJAYKUMAR ANANDRAO PATIL ADD.MAYUR COLONY PLOT NO 8 DEOPURE DHULE MO.NO.9420536836
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. CR.NO.72/2017 IPC 279,337,338,427 MV.ACT 184,134/177
FIR Download Document 1
PANCHANAMA Download Document 2
MEDICAL CERTIFICAT Download Document 3

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