Accident Detail Receipt
Date And Time 15-Jul-2018 / 8:30 am
Place of Accident dondiacha to songor road near darane phata
CR NO/ TAR No/ SDE NO 110/2017 ipc 304(a) 279 337 338 427
Name of the Injured/ Deceased died- raju patil & injured-rekha raju patil age-39
Name of The Hospital to which he/she was removed rural hospital shindkheda
Number of vehicle and type of the vehicle bajaj city-100 motor bike mh-19cn-5614
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. raju patil
Name of the owner of the vehicle as it stand on the date of the accident 15/7/2017 06/00 a.m
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. FIR rigestered

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