Accident Detail Receipt
Date And Time 05-Dec-2017 / 5:30 am
Place of Accident ON OLD NH-3, NEAR DABHASHI VILLAGE, NEAR HALF KILOMETER EAST OF PATRA fACTORY TAL- SHINDKHEDA, DIST- DHULE
CR NO/ TAR No/ SDE NO 102/2017 SDE NO-17/17:39 IPC 304 (A),279,337,338, MV ACT-184
Name of the Injured/ Deceased 1) Sarubai Dashrath Bhil Age- 60 (Death) Ad- Kuve ,Tal Shirpur Dist- Dhule 2) Vinubai Dashrath Bhil Age- 67 (Injured) Ad- Kuve, Tal- Shirpur, Dist- Dhule 3) Lilabai Narsing Bhil Age-52 (Injured) Ad- kuve, Tai- Shirpur, Dist- Dhule 4) Kasturabai Vijay Bhil Age- 53 (Injured) Ad- Kuve. Tal Shuirpur, Dist- Dhule
Name of The Hospital to which he/she was removed Rural Health Centerl, Shindkheda Tal- Shindkheda Dist- Dhule
Number of vehicle and type of the vehicle 1.PIAGGIO VEHICAL MH-18-AJ-3354
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. Dnyaneshwar Ashok Gujar (Patil) Ad- Kuve, Tal Shirpur, Dist- Dhule Licence No-MH1820140012491 RTO- Dhule
Name of the owner of the vehicle as it stand on the date of the accident Dnyaneshwar Ashok Gujar (Patil) Ad- kuve, Tal Shirpur, Dist- Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Unitad India Insurance Company Ltd Division Office- Dhule, Second Flour Shri. Dinesh Complex Aagra Road Deopur Dhule
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Policy No- 2313003117P105216597 Vilidity- 08.07.2017 to 07.07.2018
Action Taken if any, and the result thereof. Investgation

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