Accident Detail Receipt
Date And Time 04-May-2018 / 1:30 pm
Place of Accident NAKANE ROAD BIJALI NAGAR IN FRONT ELECTRIC POLE DEOPUR DHULE
CR NO/ TAR No/ SDE NO CR NO 65/2018 IPC 279,337,338,427, MV ACT 184
Name of the Injured/ Deceased RAJANIKANT ANANDA BORSE ADD.KIRAN SOCIETY NAKANE ROAD DEOPUR DHULE
Name of The Hospital to which he/she was removed SUDHA MULTYSPECILIST HOSPITAL DEOPUR DHULE
Number of vehicle and type of the vehicle MH 04 .CA 6950 ICER TRUCK
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. Rahul RAJENDRA PATIL AT. PO.NAKANE TAR.DIS.DHULE
Name of the owner of the vehicle as it stand on the date of the accident HEMANT KISHOR GAVALI ADD. NAKANE ROAD 50/A KELE NAGAR DEOPUR DHULE
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. TATA AGE GENERAL INSHURANCE COMPANY 2ND FLOOR KAPADIA COMPLEX OLD AGRA TO NASIK
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Cert no.0184010700/000000/00 Validity 20/03/2019
Action Taken if any, and the result thereof. CR NO 65/2018 PIC 279,337,338,427 MV ACT 184
FIR Download Document 1
PANCHANAMA Download Document 2
MEDICAL CERTIFICATE Download Document 3

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