Accident Detail Receipt
Date And Time 01-Jan-1970 / 5:30 am
Place of Accident Brahmanwel to nijampur road, bhortipada near
CR NO/ TAR No/ SDE NO Cr no. 46/18 Ipc 304(a), 279, 337, 338, mv act 184, 134/177
Name of the Injured/ Deceased Deceeased- Rajendra ukha hire or raju patil, age. 50, at. Navdne, tal. Sakri, dist. Dhule
Name of The Hospital to which he/she was removed Jaitane civil hospital, dist. Dhule
Number of vehicle and type of the vehicle Nill
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. Nill
Name of the owner of the vehicle as it stand on the date of the accident Nill
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Nill
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Nill
Action Taken if any, and the result thereof. Police ibvestigation
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