Accident Detail Receipt
Date And Time 09-Jul-2018 / 9:30 am
Place of Accident songir to shindkheda road near darane fata
CR NO/ TAR No/ SDE NO 105/2017 ipc 304(a)279 338 mv act 184/
Name of the Injured/ Deceased 01 ramjit hirchand bhil age-36
Name of The Hospital to which he/she was removed ghati hospital aurangabad
Number of vehicle and type of the vehicle motor bike mh-18 am-9382
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. giatam baban bhil
Name of the owner of the vehicle as it stand on the date of the accident gutam baban bhil
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. no
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate no
Action Taken if any, and the result thereof. rigestered FIR

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