Accident Detail Receipt
Date And Time 01-Jan-1970 / 4:00 pm
Place of Accident On Dondaicha To Shahada Road Near Takarkheda Village
CR NO/ TAR No/ SDE NO Cr No. 160/2017 IPC 304(A), 279,337,338,427 Mv Act 184
Name of the Injured/ Deceased Deceased - Kiran Ramesh Koli A/P Londhare Post - varud Tal Shirpur Dist Dhule Injured - Bramhan Punaji Gavali, Ganesh Bramhan Gavali A/P Panhalipada Tal- Sakri Dist Dhule
Name of The Hospital to which he/she was removed Civil Hospital Dondaicha
Number of vehicle and type of the vehicle MH 18 BF 7805 Bajaj Platina MH 15 CC 4777 Bajaj XCD ( Accused )
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. Accused - Govind Ashok Koli A/P Londhare Post Varul Tal Shirpur Dist Dhule License No. MH 18 20160004442
Name of the owner of the vehicle as it stand on the date of the accident Bramhan Punaji Gawali
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 Shri Dinesh Complex, Agra Road, Devpur Dhule
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 2313223117P113837704 29 Dec 2017 To 28 Dec 2018
Action Taken if any, and the result thereof. Notice Of CRPC 41 (1)(A) Issued To Accused

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