Accident Detail Receipt
Date And Time 01-Sep-2017 / 10:30 pm
Place of Accident shirpur NimZari Raod Nimzari village Ashram School Get near by road shirpur dist.dhule maharashtra
CR NO/ TAR No/ SDE NO shirpur PS 291/2017 IPC 304A ,279,337,338,427, M V ACT 184,134/177
Name of the Injured/ Deceased Annon
Name of The Hospital to which he/she was removed Cottage Hospital shirpur Dist - Dhule
Number of vehicle and type of the vehicle Annon
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. Annon
Name of the owner of the vehicle as it stand on the date of the accident Annon
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. ------------ annon
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate ----------- annon
Action Taken if any, and the result thereof. a fainal
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