Accident Detail Receipt
Date And Time 08-May-2017 / 8:50 pm
Place of Accident On Dondaicha To Shindkheda Road Near Madhukar Omkar Badgujar Farm
CR NO/ TAR No/ SDE NO Cr No. 114/2017 IPC 279,337,338,427 MV Act 184
Name of the Injured/ Deceased Injured - Ashok Tarachand Shisode A/P Sant Tukaram Nagar Pimpri Pune
Name of The Hospital to which he/she was removed Patil Hospital Dhule Seva Hospital Dhule
Number of vehicle and type of the vehicle MH- 18 W- 4150 Ape Rikshaw
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. Ashol Lakshman Tambe A/P Mahadevpura Dondaicha Tal Shindkheda Dist Dhule
Name of the owner of the vehicle as it stand on the date of the accident Ashok Lakshman Tambe A/P Mahadevpura Dondaicha Tal Shindkheda Dist Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. The New India Assurance Company Nandurbar Branch Plot No. 01 Saraswati Colony Girivihar Gate Nandurbar
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 16080231160200000989 19/09/2016 To 18/09/2017
Action Taken if any, and the result thereof. Issued Notice Of CRPC 41 (1)(A) To Accused

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