Accident Detail Receipt
Date And Time 12-Dec-2017 / 7:00 am
Place of Accident GONDUR ROAD NEAR DHULE STEDIUM CERCAL DEOPURE DHULE
CR NO/ TAR No/ SDE NO CR.NO139/2017 IPC 279,337,338,427 MV.ACT 184
Name of the Injured/ Deceased REKHA RAVINDRA PATIL ADD.PLOT.NO.29 A SHRIGURU COLONY DEOPUR DHULE MO.NO.8308815034
Name of The Hospital to which he/she was removed SAI MANAVTA HOSPITAL GONDUR ROAD WALWADI DHULE
Number of vehicle and type of the vehicle 1 TWO WHELEER MH 18 L 4154 1 TWO WHELEER MH 18 AR 3607
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. JAGDISH SHANTILAL RATHOD ADD. SHRAMDAFALYA COLONY WALWADI DHULE
Name of the owner of the vehicle as it stand on the date of the accident SHANTILAL GULAB RATHOD ADD.PADALDE TAL DIST DHULE
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. NILL
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate NILL
Action Taken if any, and the result thereof. CR.NO 139/2017 IPC 279,337,338,427 MV.ACT 184
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