Accident Detail Receipt
Date And Time 20-Mar-2018 / 11:00 am
Place of Accident Near balaji hotel besides National high way no 3 palasner tal shirpur
CR NO/ TAR No/ SDE NO 26/2018 IPC 279,337,338, r/w MV act 134/177
Name of the Injured/ Deceased Darji sankar pawara age 65 add. Talavpada palasner tal shirpur
Name of The Hospital to which he/she was removed Deore accident hospital dhule
Number of vehicle and type of the vehicle Force mp 11 ae 5424
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. Nur hasan nur khan / umar Khan age 33 add.nursing Board colony pithampur dist dhar MP
Name of the owner of the vehicle as it stand on the date of the accident District health officer dhar MP
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Bajaj allianz general insurance limited yerwada pune
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Dy 1303675445 Valid 29.04.18
Action Taken if any, and the result thereof. Filed chargeshit to court
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