Accident Detail Receipt
Date And Time 02-Feb-2018 / 9:00 pm
Place of Accident at betawad villege near yashwant pathak farm,on amalner road
CR NO/ TAR No/ SDE NO CR NO. 20/2018 IPC 304 (A), 279,337,338,427 MV ACT-184
Name of the Injured/ Deceased DEAD- BHARAT SUDHAKAR KOLI 22, AT- PIMPRAD TAL-SINDKHEDA INJURED- AKASH SANTOSH MAHALE, AT-ABOVE
Name of The Hospital to which he/she was removed PHC NARDANA
Number of vehicle and type of the vehicle MOTOR CYCLE NO- NIL
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. ABET FINAL

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