Accident Detail Receipt
Date And Time 11-Jun-2018 / 6:30 pm
Place of Accident babhle fata near on road
CR NO/ TAR No/ SDE NO 69/2018 ipc 279 337 427 mv act-184 134/177
Name of the Injured/ Deceased injured - self complented
Name of The Hospital to which he/she was removed seva hospital dhule
Number of vehicle and type of the vehicle motor bike mh-43m-4499
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. dhanraj sugan khairnar
Name of the owner of the vehicle as it stand on the date of the accident self completed
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. rigestered

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