Accident Detail Receipt
Date And Time 19-Feb-2018 / 4:01 pm
Place of Accident From Malich And Gorane Chaufuly to Nardana near above 1 k.m Tal- Shindkheda, Dist- Dhule
CR NO/ TAR No/ SDE NO 14/2018 SDE NO- 16:01 IPC 304 (A), 279,337,338 MV Act 184,134/177
Name of the Injured/ Deceased Bhika Narayan Bagul Age- 50 A/P- Varkhedi Tal & Dist- Dhule
Name of The Hospital to which he/she was removed P.H.C Nardana Tal- Shindkheda Dist- Dhule
Number of vehicle and type of the vehicle 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 Unknown
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Unknown
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Unknown
Action Taken if any, and the result thereof. Under Investigation

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