Accident Detail Receipt
Date And Time 18-Feb-2018 / 11:30 am
Place of Accident Dakshata police petrol pump samor Roadvar
CR NO/ TAR No/ SDE NO Dhule city CR no. 30/2018 IPC 279,337,338,427 MV act 184,134/177
Name of the Injured/ Deceased Mohasin shekh rahim age 28 add. Tiraga chouck 80 futi Road Dhule
Name of The Hospital to which he/she was removed Patil accident Hospital Dhule
Number of vehicle and type of the vehicle Riksha no.MH 18 AP 0415 mosa no. MH 15 DA 1994
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. UNKNOEN
Name of the owner of the vehicle as it stand on the date of the accident UNKNOWN
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. ------------------------------

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