Accident Detail Receipt
Date And Time 12-Mar-2018 / 5:30 pm
Place of Accident N H-3 Mimbai agra haiway shirpur Tol naka near face to Galex ji Hotel
CR NO/ TAR No/ SDE NO shirpur ps cr no-59/2018 IPC-279,337,338 M V Act.184, 134/177
Name of the Injured/ Deceased Ritesh Naharsing Bhil AGe-20 Add- Madnikhurd Tal Bhagvanpura dist.Khargon (MP)
Name of The Hospital to which he/she was removed Indira Hospital Shirpur Dist.dhule (MS)
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. 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. invigation
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