Accident Detail Receipt
Date And Time 01-Jan-1970 / 5:30 am
Place of Accident On Dondaicha To Nandurbar Road Near MSEB Sub Station On Turning
CR NO/ TAR No/ SDE NO CR No. 10/2018 IPC 279,337,338 MV Act 184,134/177
Name of the Injured/ Deceased Injured - Dinesh Shriram Patil Age - 48 A/P Plot No 48 Vidyanagar Dondaicha Tal Shindkheda Dist Dhule
Name of The Hospital to which he/she was removed Sudha Hospital, Dhule
Number of vehicle and type of the vehicle Honda CD 110 Dream DX No. MH 39 X 3051
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. Eknath Sakharam Mali Age 39 A/P Nyahali Tal Nandurbar Dist Nandurbar
Name of the owner of the vehicle as it stand on the date of the accident Hari Ramji Mali Age 53 A/P Nyahali Tal nandurbar 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 3005/2010794454/00/0000007870 Dt. 14/02/2017 To Dt. 13/02/2018
Action Taken if any, and the result thereof. Accused Produced Before Court

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