Accident Detail Receipt
Date And Time 09-Aug-2018 / 3:00 pm
Place of Accident Near Doodh Dairy on the shirpur kalmsare way karwand
CR NO/ TAR No/ SDE NO Shirpur City CR No 214/2018 IPC 279,337,338 M V Act 184]134/177
Name of the Injured/ Deceased Tulsidas Ramdas Pavara Add. Shemlya Tal Shirpur Dist Dhule
Name of The Hospital to which he/she was removed Ganpati Hospital Add. B M Complex 1st Floor near Bus stand Main Road Shirpur
Number of vehicle and type of the vehicle MH 18 V 619
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. Nil
Name of the owner of the vehicle as it stand on the date of the accident Nil
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Nil
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Nil
Action Taken if any, and the result thereof. Investigation

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