Accident Detail Receipt
Date And Time 13-Sep-2018 / 8:45 pm
Place of Accident Lauki to Shirpur road Karvand Village Amarishbhai Patel Village Doar on the way
CR NO/ TAR No/ SDE NO Shirpur City Cr No 227/2018 IPC 304 A,279,337,338 M V Act 184, 134/177
Name of the Injured/ Deceased 1) Indarbai Ajabsing Girase Age 42 2) Ushabai Sanjay Girase Age 25 Both Add. Karvand Village Tal Shirpur Dist Dhule
Name of The Hospital to which he/she was removed Cottage Hospital Shirpur
Number of vehicle and type of the vehicle MH 04 CU 8057
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. Sanjay Narayan Patil Add. Biladi Tal.Dist. Dhule RTO Add. Dhule
Name of the owner of the vehicle as it stand on the date of the accident Sanjay Narayan Patil Add. Biladi Tal.Dist. Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Shriram General Insurance Company LTD Add. E-8 EPIP, RIICO Industrial Area, Sitapura, Jaipur, Rajasthan
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Insurance Policy No. 10003/31/19/142409 Insurance Validty 18/06/2018 to 17/06/2019
Action Taken if any, and the result thereof. Investigation
FIR Download Document 1
PANCHANAMA Download Document 2
MEDICAL REPORT Download Document 3

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