Accident Detail Receipt
Date And Time 26-Aug-2017 / 1:30 pm
Place of Accident Deshirvade to pimpalner road dilip bhaorao patils farmside
CR NO/ TAR No/ SDE NO 78/2017 ipc 279,337,338,427,n MV act 184/177etc
Name of the Injured/ Deceased Imjured name-mangesh subhash more
Name of The Hospital to which he/she was removed PHC Pimpalner
Number of vehicle and type of the vehicle Motarcycle no MH 15B C 3781
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 15 B C 3781 deshirvade dist sakri
Name of the owner of the vehicle as it stand on the date of the accident No
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. No insurance
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate No
Action Taken if any, and the result thereof. Arest n court

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