Accident Detail Receipt
Date And Time 20-Oct-2017 / 12:30 pm
CR NO/ TAR No/ SDE NO CR NO-126/2017 IPC 304(A), 279, 337, 338, 427 WITH MOTER VEHICAL ACT SEC 184, 133/177
Name of the Injured/ Deceased MANOHAR GOPA MALACHE 35 Yr old A/P- Chhadavel(p) Tal- Sakri Dist - Dhule
Name of The Hospital to which he/she was removed Rural Hospital Sakri Tal-Sakri Dist-Dhule
Number of vehicle and type of the vehicle 2 vehicle 1) MH-43-U-8871 2) MH-18-AB-770
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. MH-43-U-8871 NAME OF DRIVER:- SUNIL SHANTARAM MURE A/P- KUREPANCHE TAL-BHUSAL DIST- JALOAN
Name of the owner of the vehicle as it stand on the date of the accident SUNIL SHANTARAM MURE A/P- KUREPANCHE TAL-BHUSAWAL DIST-JALGOAN
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 RED OFFICE:- IFFCO sadamn C1 Distt Cener saket new delhi 110017
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 01 date of period :- 24/06/2017 to period of insurance 23/06/2018 midnight
Action Taken if any, and the result thereof. Accused was arrested on 21/1/2017 DAR form fulfill and send to hon'ble court
FORM COMP AA Download Document 1
FIR AND PM NOTES Download Document 2

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