Accident Detail Receipt
Date And Time 01-Jan-1970 / 7:30 pm
Place of Accident Thalner To Manjrod Road
CR NO/ TAR No/ SDE NO 20/2017
Name of the Injured/ Deceased Death Name - Bhagwan Soma Dhangar Injured Name - Vinod Machindra Koli
Name of The Hospital to which he/she was removed 1) Cottage Hospital,Shirpur 2) Shidhivinayk Hospital Mandal Road Shirpur
Number of vehicle and type of the vehicle 1) Motar Cycle No.MH 18 AV 8028 2) Ford Figo Four Wheeler No.MH - 15 CM 9324
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. 1) Aarif Bhudha Maule At.Post Bhaver Tal Shirpur Dist.Dhule RTO Dhule (Licence No.MH 1820100008813 2) Vinod Machindra koli At.Post.Manjrod Tal.Shirpur Dist.Dhule. RTO Dhule (MH 18/39109)
Name of the owner of the vehicle as it stand on the date of the accident Jahagir Bashir Shekh at.Post.Ajende Tal.Shirpur.Dist.Dhule. Accident Date 18/04/2017 (No Stand)
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. The New India Insurece Cor.Limited.Dr.Ambhedkar Road Near Nagarpalika C.T.S No.188/110 Navapur Dist.Nadurbhar
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Policy Number 16080431160200000213 Insurance Period - Date 02/11/2016 11:26:02:AM To Date 01/11/2017 11:59:59 P.M
Action Taken if any, and the result thereof. Criminal Arrest In 26/04/2017 In Present JMFC Court Shirpur. D.A.R.Report Send in Dhule Court,Insurence Company,vehical Owner and Criminal.

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