Accident Detail Receipt
Date And Time 12-Mar-2017 / 6:05 pm
Place of Accident On Dondaicha To Shindkheda Road In Shiwar Of Bamhane
CR NO/ TAR No/ SDE NO CR No. 150/2017 IPC 304(A), 279,337,338,427 MV Act 184
Name of the Injured/ Deceased Deceased - Kancheshwar Narayan Patil A/P Bamhane Tal Shindkheda Dist Dhule Injured - Bhaskar Rajaram pawar A/P Amalthe Tal. Shindkheda Dist - Dhule
Name of The Hospital to which he/she was removed Civil Hospital Dondaicha, Tal Shindkheda Dist Dhule
Number of vehicle and type of the vehicle MH- 19 - DA - 9048 Bajaj Platina Motor Cycle
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. Bhaskar Rajaram Patil A/P Amalthe Tal- Shindkheda Dist - Dhule
Name of the owner of the vehicle as it stand on the date of the accident Shashikant Arun Patil, A/P PL No. 20 Sanjivani Nagar Chopda Tal- Chopda Dist Jalgaon
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Bajaj Allianz General Insurance Company Limited 2 nd Floor Panna Heights, Opp. Omkareshwar Mandir Jay Nagar Jalgaon
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate OG - 18 - 2002 - 1802 - 00008283 02 Oct - 2017 To 01 Oct - 2018
Action Taken if any, and the result thereof. Issued Notice Of CRPC 41 (1)(a) To Accused

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