Accident Detail Receipt
Date And Time 13-Jul-2017 / 6:00 pm
Place of Accident dhule to shahada on road near darane fata hotel sai shradha near
CR NO/ TAR No/ SDE NO 107/2017 ipc 279 337 338 427 & mv ACT-184
Name of the Injured/ Deceased self-prossucuter & her son-sana counser
Name of The Hospital to which he/she was removed sahara hospoital dhule
Number of vehicle and type of the vehicle motor bike no-mh-39g-7486 & dumper no mh-39c-2199
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. akkalkuva teh- &dist-nandurbar
Name of the owner of the vehicle as it stand on the date of the accident sayyad jakir ali motebar age-42
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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