Accident Detail Receipt
Date And Time 04-Apr-2018 / 7:30 pm
Place of Accident National highway no3 , near dahiwad gaon tal shirpur dist dhule
CR NO/ TAR No/ SDE NO CR 29/2018 IPC 304a,279,337 R/w MV act 184,177
Name of the Injured/ Deceased Bisen Harda pawar age 52 fuljvari tal newali dist badnami (mp)
Name of The Hospital to which he/she was removed Cotej hospital shirpur dist dhule
Number of vehicle and type of the vehicle Unknown
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. Unknown
Name of the owner of the vehicle as it stand on the date of the accident Unknown
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Nil
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Nil
Action Taken if any, and the result thereof. Filed chargshit to court
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Pm notes Download Document 3

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