Accident Detail Receipt
Date And Time 02-Apr-2017 / 3:00 pm
CR NO/ TAR No/ SDE NO CR NO 36/2017
Name of the Injured/ Deceased SWAPANIL SATISH JOSHI
Name of The Hospital to which he/she was removed SAIDANE ACCIDENT HOSPITAL DHULE
Number of vehicle and type of the vehicle 1 MALTRUCK NO MH-40-AK-0952
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. RAM RAMESH BARHATE 30 YEAR OLD AT POST TAKARKHEDA TAL-CHIKHALI DIST-BULDHANA
Name of the owner of the vehicle as it stand on the date of the accident MR.SANTOSH SINGH LUDDHAD AT POST KAPSI DIST NAGPUR
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 AT POST 3 MIDDLETION STREET POST BOX NO 9229 KOLKATA
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 02/01/2017 TO MIDNIGHT 01/01/2018
Action Taken if any, and the result thereof. THE ACCUSED ARRESTED 03/04/2017 TO PRODUCED DAR FORM
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