Accident Detail Receipt
Date And Time 27-Jun-2018 / 7:30 pm
Place of Accident RAMNAGAR IN FRONT OF PLOT NO 110 ON ROAD
CR NO/ TAR No/ SDE NO CR NO 87/2018 IPC 325,279,337,338
Name of the Injured/ Deceased ROHIT SANJAY THAKARE AGE.27 ADD.36 D.D.C.C.BANK COLONY NEAR RAM NAGAR WATER TANK DEOPUR DHULE
Name of The Hospital to which he/she was removed SIDHESHWAR MULTYSPECILIST HOSPITAL DEOPUR DHULE
Number of vehicle and type of the vehicle 2 TWO WHELLER MH 18 BF 6585,MH 18 AU 8432
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. CHETAN KISHOR KAPADNEKAR ADD.77 NATESHWAR COLONY NEAR MAHADEV MANDIR DHULE
Name of the owner of the vehicle as it stand on the date of the accident CHETAN KISHOR KAPADNEKAR ADD.77 NATESHWAR COLONY NEAR MAHADEV MANDIR DHULE
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. ICICI GENERAL INSHURANCE COMPANY LTD.MUMBAI
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 3005/RF-11857692/00/000 VALIDITY-28/08/2018
Action Taken if any, and the result thereof. CR.NO87/2018 IPC 325,279,337,338
FIR Download Document 1
PANCHANAMA Download Document 2
MEDICAL CERTIFICATE Download Document 3

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