Accident Detail Receipt
Date And Time 25-Feb-2018 / 7:00 pm
Place of Accident Tembepada to Nimzari road tembepada T point nimzari sait 1km distion Ramlal Ziga Pavra formar nearsait foad shirpur dist.dhule maharashtra
CR NO/ TAR No/ SDE NO shirpur PS CR NO.50/2018 IPC 279,337,338 MV ACT.184
Name of the Injured/ Deceased 1. Rajaram kisan pavra 29 Age 2. Janvi rajaram pavra 10 Age 3. Mina rajaram Pavra 10 Age add. Swami Narayan mandir shirpur dist dhule
Name of The Hospital to which he/she was removed Indra ghandi memorial Hospital shirpur dist dhule
Number of vehicle and type of the vehicle Two vehicle 1. TVS MH-18-AU-2698 2.Hiro Honda MP-46-MA-7219
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. Sunil Ramesh chouhan add. vagra Tal pansemal dist Badwani M P RTO- NIL L NO- NIL Vaidi- nil
Name of the owner of the vehicle as it stand on the date of the accident Ramesh retem Chouhan Add- vill vangra Tael pansemal Dist Badwani
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. .
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