Accident Detail Receipt
Date And Time 08-May-2018 / 1:10 pm
Place of Accident NEAR KALMADI FATA ON NH 03
CR NO/ TAR No/ SDE NO CR NO 29/2018 IPC 304(A),279 MV ACT 184
Name of the Injured/ Deceased DEAD- DIPAK MACHINDRA KUVAR AT- MORANE TAL DIAT DHULE
Name of The Hospital to which he/she was removed PHC NARDANA
Number of vehicle and type of the vehicle MO.CYCLE NO MH 18 AB 4054
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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