Accident Detail Receipt
Date And Time 03-Jun-2018 / 5:00 pm
Place of Accident On Shahada To Dondaicha Road Near Nimgul Village
CR NO/ TAR No/ SDE NO CR No. 23/2018 IPC 304(A), 279,337,338,427 MV Act 184
Name of the Injured/ Deceased Deceased - Prakash Devidas koli Age 30 A/P Pimparde, Aslod Tal Shahada Dist Nandurbar
Name of The Hospital to which he/she was removed Civil Hospital Dhule
Number of vehicle and type of the vehicle Victims - Motor Cycle No. MH - 18 - AD - 5429 Accused - Hero HF Deluxe MH - 39 - AA- 2736
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. Mangulal Shankar Marathe A/P Pimparde Aslod Tal Shahada Dist Nandurbar
Name of the owner of the vehicle as it stand on the date of the accident Subhash Khandu Khandu Marathe A/P Pimparde Aslod Tal Shahada Dist Nandurbar
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. ICICI Lombard
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 3005/37433686/10678/000 25/07/2017 To Dt. 24/07/2019
Action Taken if any, and the result thereof. Investigation On Progress

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