Accident Detail Receipt
Date And Time 10-Jan-2018 / 2:00 pm
Place of Accident shindkheda himthane road near ghusre fata
CR NO/ TAR No/ SDE NO 5/2018 ipc 304(a) 279 337 mv act-184
Name of the Injured/ Deceased deceased - prabhavati barku jadhav
Name of The Hospital to which he/she was removed hire medical dhule
Number of vehicle and type of the vehicle new motor bike
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. ubhand teh- dist.dhule
Name of the owner of the vehicle as it stand on the date of the accident self deceased
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

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