Accident Detail Receipt
Date And Time 25-Oct-2017 / 9:00 am
Place of Accident on dondiacha to sogir road
CR NO/ TAR No/ SDE NO 131/2017 ipc 304(a) 279 337 338 427 mv Act-184 134/177
Name of the Injured/ Deceased deceased-sumanbai sahebrao patil injured- pradip sahebrao patil & sahebrao namdev patil
Name of The Hospital to which he/she was removed sidheshwar hospital dhule
Number of vehicle and type of the vehicle truck no. mh-20de-5194 & motor bike mh-18 AU-6310
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. unknown
Name of the owner of the vehicle as it stand on the date of the accident sahebrao namdev patil
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. unknown
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate unknown
Action Taken if any, and the result thereof. rigestred FIR

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