Accident Detail Receipt
Date And Time 08-Jul-2018 / 10:30 am
Place of Accident Near Kurkhali Village Tal Shirpur Dist Dhule Mumbai Agra Highway
CR NO/ TAR No/ SDE NO Shirpur City CR No 168/2018 IPC 279,427
Name of the Injured/ Deceased No
Name of The Hospital to which he/she was removed No
Number of vehicle and type of the vehicle 1) HR 47 B 8324 2) MH 20 BL 0920
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. 1) Ramnath Brirsalalsing Add. Lavani Tal Dist Bhiwani Haryana RTO Add. Bhiwani Haryana 2) Mukesh Muralidhar Sonawane Add Doodh Dairy Colony Shirpur Dist Dhule RTO Add. Dhule Maharashtra
Name of the owner of the vehicle as it stand on the date of the accident 1) Manoj Kheri Dalu sing Dist Rewari 2) State Of Maharashtra
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. 1) Cholamandalam MS General Insurance Company Add. S.C.O.2463-2464 II Floor Sector 22-C Chandigarh
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Number oF Policy 3379/01599171/000/01, Insu.Date 02/01/2018 to 01/01/2019
Action Taken if any, and the result thereof. Investigation
FIR Download Document 1
PANCHANAMA Download Document 2

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