Accident Detail Receipt
Date And Time 21-May-1917 / 2:00 pm
Place of Accident Shingave Please Waghadi T-point road Shirpur Tal shirpur dist.dhule
CR NO/ TAR No/ SDE NO Shirpur PS CR NO-167/2017 IPC 279,337,338,427 MV Act.184/177
Name of the Injured/ Deceased Bansi Dalsing Bhil 52 age add- Arthe
Name of The Hospital to which he/she was removed Cottage Hospital shirpur and Sadguru hospital shirpur dist.dhule maharashtra
Number of vehicle and type of the vehicle HW- Track MH-18-Q-4151 M/C-MH-18-2948
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. Ramesh Bhikaji Jadhav Age-26 add-dahiwad Tal shirpur Dist.dhule RTP- Dhule L NO-MH1820110012995 valid-03/09/2019
Name of the owner of the vehicle as it stand on the date of the accident Ashok Namdeo choudhari ADD- Ramsing Nagar shirpur dist.dhule (ms)
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. New India inssurannce com ltd. Add-yashovallabh shopping complex near muncipal council dhule maharashtra 424001
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 16080031160100001097 valid-09/09/2016 to 08/09/2017
Action Taken if any, and the result thereof. -
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