Accident Detail Receipt
Date And Time 20-Jun-2017 / 1:45 pm
Place of Accident Zanzale data Dahivel to PIMPALNER road turning point
CR NO/ TAR No/ SDE NO Craig no 57/2017 pic 279,337,338,427 and m v act 184
Name of the Injured/ Deceased Injured NAME RAVIRAJ RANKS AT JADEJA AGE 22 YEARS AND RAMDHAL NAGAR BLOCK NO 18/60 HOUSING QUARTER TAL DIST JAMNAGAR
Name of The Hospital to which he/she was removed PHC PIMPALNER
Number of vehicle and type of the vehicle Vehicle no TRUCK NO G J 10T V 7504
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. RAVIRAJ RANJEET JADEJA ADD RANDHAL NAGAR BLOCK NO 18/60HOUSING BOARD QUARTERTAL DIST JAMNAGR LICENSE NO Gj10/2013/001B494 ROT JAMNAGAR VALID DATE01/8/2013 TO 317/2033
Name of the owner of the vehicle as it stand on the date of the accident No
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. NATIONAL INSURANCE COMPANY LIMITED MEDDALE STREET POST BOX NO 9229 KOLKATA
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate INSURANCE POLICY NO302000/31/16/6300004528 VALID DATE
Action Taken if any, and the result thereof. THE CRIMINAL AREST In 21/06/2017 and the act ipc 279,337,338,427 MV ACT 184

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