Accident Detail Receipt
Date And Time 10-Jul-2017 / 1:30 am
Place of Accident DHULE TO DONDAICHA ROAD NEAR DARANE FATA
CR NO/ TAR No/ SDE NO CR NO. 87/2017 IPC ACT-304A 279 427 MV-184 119/177 134/177
Name of the Injured/ Deceased 1)SATISH VINAYAK PAWAR AGE-25 ADD-DARANE TAH-SGINDKHEDA 2)KHANDU PUNJU PATIL AGE-49 ADD-GHARKUL DABRI DONDAICHA TAH-SHINDKHEDA
Name of The Hospital to which he/she was removed RURAL HOSPITAL SHINDKHEDA
Number of vehicle and type of the vehicle 1)BUS NO. MH-20BL-2303 2)MH-18AAF-0883
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. JITENDRA HIRAMAN SURYAVANSHI LICENSE NO-MH-1820080010204
Name of the owner of the vehicle as it stand on the date of the accident 10/6/2017
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. -------------------
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate -----------------------
Action Taken if any, and the result thereof. CR NO-87/2017
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