Accident Detail Receipt
Date And Time 09-Aug-2017 / 8:15 pm
Place of Accident shirpur city Khanderao Mandir Near old Jakat naka shirpur dist.dhule maharashtra
CR NO/ TAR No/ SDE NO shirpur ps -cr no-277/2017 IPC-279,337, MV Act-184
Name of the Injured/ Deceased Bhaskar Shankarrao Marathe age 66 old add Utavad tal shirpur dist dhule
Name of The Hospital to which he/she was removed Indira Hospital shirpur and Cottage hospital shirpur dist dhule (MS) ,Sidhdeshawar Hospital dhule (MS)
Number of vehicle and type of the vehicle CHESES - UP 32-ATC-1857
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. Siddik Mohammad Sabbri khan 27 age Tal pachokhara Tal dist jalaun (UP) RTP- jalaun D L NO-up9220120000783 Valed-(nt)24/01/2032 (tr)15/03/2018
Name of the owner of the vehicle as it stand on the date of the accident chassis vehicle company tata motora limited plot no t1 & t2 chinhat industrial areal lucknow
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 L228920mh1945plc004520 30.08.2017 to
Action Taken if any, and the result thereof. Hering
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