Accident Detail Receipt
Date And Time 02-Apr-2018 / 8:00 am
Place of Accident Between mohida and panakhed gaon near vijayshing bharat pawars farm
CR NO/ TAR No/ SDE NO 30/2018 IPC 304(a) ,279 r/w m v act 184
Name of the Injured/ Deceased Subhadar bhimshing pawara age 32 add. Shemlya tal . Shirpur dist dhule
Name of The Hospital to which he/she was removed Cottege hospital shirpur
Number of vehicle and type of the vehicle 1. Motor cycle mp 46 mb 0605
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. Nil
Name of the owner of the vehicle as it stand on the date of the accident Subhadar bhimsing pawara add shemlya
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. No
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate No
Action Taken if any, and the result thereof. Filed chargeshit to the Court
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