Accident Detail Receipt
Date And Time 17-Jan-2018 / 12:30 am
Place of Accident BORADI TO SHIRPUR ON ROAD , NEAR BORADI GHAT, TAL -SHIRPUR DIST- DHULE
CR NO/ TAR No/ SDE NO 08/2018 IPC 304 A,279,R/W MV ACT 184 ,134/177
Name of the Injured/ Deceased MANO DEVIDAS NIKUM (KOLI) ADD- WARUL, TAL SHIRPUR, DIST -DHULE
Name of The Hospital to which he/she was removed COTTAGE HOSPITAL SHIRPUR
Number of vehicle and type of the vehicle 1) MH 18 W 3829 MAHENDRA SQARPIO (ACCUSE) 2) MH 18 AR 0478 MOTOR CYCLE
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. KAMARO JAMMA JAMIR SHEKH ADD- A/P-390/436JANASHIKSHAN CHALIGONROAD MOTIVIHIR DHULE DIST DHULE ISSUING AUTHORITY- MH18 2015120 RTO DHULE
Name of the owner of the vehicle as it stand on the date of the accident 1) RAKESH ASHOK UCHALE ADD- MALEGOAN ROAD GURUDWARA , UCHALE WASTI MOHADI DIST- DHULE
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. CHOLE MS GENRAL INSURANCE
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 3362/01459719/000/00
Action Taken if any, and the result thereof. FILLUP TO CHARGESHEET TO COURT RESULT PEANDING TO COURT
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PANCHNAMA COPY Download Document 2
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