Accident Detail Receipt
Date And Time 05-Nov-2018 / 10:15 am
Place of Accident Dhavalivihir to chadvel road
CR NO/ TAR No/ SDE NO CR. No. 32/2018 ipc 304(a),279,337,338,427
Name of the Injured/ Deceased Gujar parashram ahire Address dahvlivihir tel sakri Dist Dhule
Name of The Hospital to which he/she was removed Civil hospital nandurbar
Number of vehicle and type of the vehicle 1)Motor cycle no. MH 46 BC-3266 avenger 2)Tata sumo no. MH 01-JA7883
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. Farukh jumma pinjari address Titane tel sakri Dist Dhule Licence no. MH 39 20090003777
Name of the owner of the vehicle as it stand on the date of the accident Farukh jumma pinjari address Titane tel sakri Dist Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. United India insurance company limited
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 30/11/2017 to 29/11/2018
Action Taken if any, and the result thereof. Police investigation
Pm notes Download Document 1
Fir cr no 32/2018 Download Document 2
Download Document 3

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