Accident Detail Receipt
Date And Time 30-Sep-2017 / 12:00 am
Place of Accident tenbhalay fata near against 2 km
CR NO/ TAR No/ SDE NO 115/2017 ipc 279 337 338 427 mv Act-184 134/177
Name of the Injured/ Deceased ramesh chintaman borse & ointu tirsing thakre
Name of The Hospital to which he/she was removed dr.pankaj deore dhule
Number of vehicle and type of the vehicle ape auto no.mh-18n-6093 & cruser no mh-39j-1858
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. did not identify
Name of the owner of the vehicle as it stand on the date of the accident did not identify
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. rigestred FIR

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