Accident Detail Receipt
Date And Time 07-Sep-2017 / 8:30 pm
Place of Accident SONDALE GAON SONGIR TO DONDAIVHA ON ROAD
CR NO/ TAR No/ SDE NO CR NO-67/2017 IPV-279 337 338 MV ACT-184 134/177
Name of the Injured/ Deceased 1)JABIR SHAH HALIM SHAH 2)CHOTU SHAH 3)NARGIS SHAH 4)SHAINAJABI 5)
Name of The Hospital to which he/she was removed DR.PANKAJ DEVRE HOSPITAL DATT MANDIR DHULE
Number of vehicle and type of the vehicle 1) APE RIKSHA NO. MH-02CE-4541 2)TRUCK NO. AP-16TY-8037
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. MUKTESHWAR RAO V KANTESHWAR RAO AGE-28 LICENSE NO-BALFAP316158610 STATE-AANDRAPRADESH
Name of the owner of the vehicle as it stand on the date of the accident JABIR SHAH HALIM SHAH ADD-DONDAICHA TAL-SHINDKHEDA
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. future general total innsurance solutations policy no- 2016-v4783525-fcv
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate policy no- 2016-v4783525-fcv validiy-7/12/2017
Action Taken if any, and the result thereof. CR NO.- 67/2017
Download Document 3

Copyright © 2018 ® All Rights Reserved                Visit Counter : Developed By : Siddhi Software Solutions