Accident Detail Receipt
Date And Time 30-Mar-2018 / 8:30 am
Place of Accident shirpur city please face to Rayal Beckri shirpur dist dhule
CR NO/ TAR No/ SDE NO shirpur cr no 80.18 Ipc 279.337.338.427 mv Act 184.134/177
Name of the Injured/ Deceased Nilesh Dhakad age add-36B New Ganesh colony Nimzri naka Near TV Tavar shirpur dist dhule
Name of The Hospital to which he/she was removed Sadguru Hospital shirpur & dr Vipul Bafana Hospital shirpur dist dhule
Number of vehicle and type of the vehicle Suzuki Baloni Delta MH-12-NU-7601 M/C MH-18-AG-9345
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. Manohar Asaram Suryavanshi age 48 add Dighi Milrti Com pune 15 L NO-MH-12/06/741745 RTO - PUNE Valid -31/05/2020
Name of the owner of the vehicle as it stand on the date of the accident Manohar Asaram Suryavanshi add dighi milrti com pune 15
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. SBI Genral Insurance company limited add- Natraj 101.201. &301 junction Of western Express Highway & Andheri kurla east Mumbai
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 900257573/R56455694 valid- 14/03/2018 to 13/03/2019
Action Taken if any, and the result thereof. Hering
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