Accident Detail Receipt
Date And Time 04-Apr-2018 / 6:00 am
Place of Accident Relve crocing Javal Parmar lonce javal Road dhule
CR NO/ TAR No/ SDE NO CR NO 80/2018 IPC 279,337,338 MV Act 184,134/177
Name of the Injured/ Deceased Mithilesh Ramu yadav 31 ra. Mohadi Upnagar dhule.
Name of The Hospital to which he/she was removed Zende hospital dhule
Number of vehicle and type of the vehicle Motar vahan numbar nahi
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. ------------
Name of the owner of the vehicle as it stand on the date of the accident -----------------
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. ------------------
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate ------------------------
Action Taken if any, and the result thereof. HC 758 V U Jadhav

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