Accident Detail Receipt
Date And Time 06-Oct-2018 / 8:00 am
Place of Accident Ubharandi villege near tal sakri dist. Dhule
CR NO/ TAR No/ SDE NO Cr no 40/18 IPC 304(A), 279
Name of the Injured/ Deceased Deceased- Arun Ravindr Landge, age. 7 year, at. Dusane, Dist. Dhule
Name of The Hospital to which he/she was removed Chivil hospital Sakri, Dist. Dhule
Number of vehicle and type of the vehicle Number of vehical - 1 - MH 18 BG 2769 VEHICAL of type - TATA COMPANY Appe vehical
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. Drivar- Ravindra Hiraman Nyahalde, age 31, at. Jaitane, tal. Sakri, Dist. Dhule DL no. MH 18 20100027022
Name of the owner of the vehicle as it stand on the date of the accident Dadabhai shivdas mujge, age. 28, at. Jaitane , tal. Sakri, dist. Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Icici lembard janaral inshurance at. Graund 123 icici lembard hause veer savarkar marg prabahdevi mumbai 400025
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 18 march 2018 to 17 march 2019 1
Action Taken if any, and the result thereof. Police Inqary
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