Accident Detail Receipt
Date And Time 14-Apr-2018 / 1:30 pm
Place of Accident shirpur to shahada road Vikharan village tal shirpur dist dhule
CR NO/ TAR No/ SDE NO shirpur cr no 87/2018 IPC 279.337.338.427. MV ACT 184.134/177
Name of the Injured/ Deceased Yogesh devidas Marathe age 25 add Torkheda tal shahada dist Nandurbar
Name of The Hospital to which he/she was removed Cottage hospital shirpur and deore Hospital deopur dhule
Number of vehicle and type of the vehicle TATA Masic MH-20-CH-4369 2. appe Rishha MH-39-8453
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. Yogesh devidas Marathe add torkheda tal shahada dist nandurbar
Name of the owner of the vehicle as it stand on the date of the accident Ajabsing Mansurya More add padalpur tal taloda dist nandurbar
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. IFFCO TOKIO GENERAL INSURANCE CO LTD ADD-
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 1-1PGR2XH P400 81776580 Valid- 02/12/2012 to 24/10/2013
Action Taken if any, and the result thereof. in
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