Accident Detail Receipt
Date And Time 09-Feb-2018 / 5:30 am
Place of Accident jail road var Dhule
CR NO/ TAR No/ SDE NO Dhule city Cr. No. 55/2018 IPC 279,337, Mv act- 184,134/177
Name of the Injured/ Deceased Vshwanath Digambar Beldar age 63 add Arun kumar vaidya Nager Dhule.
Name of The Hospital to which he/she was removed Hire Medical Hospitel dhule.
Number of vehicle and type of the vehicle MH 18 BF 1168 MOSA
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. Unknoun
Name of the owner of the vehicle as it stand on the date of the accident Unknoun
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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