Accident Detail Receipt
Date And Time 26-Mar-2018 / 3:20 am
Place of Accident NH-3 Near Varkhedi Bridge, Dhule.
CR NO/ TAR No/ SDE NO CR No.41/2018
Name of the Injured/ Deceased 1) Bhausaheb Barku Mahale Age-30 2) Lala Sitaram More Age-32 Both Add. Dusane Tal. Sakri Dist. Dhule
Name of The Hospital to which he/she was removed Patil Accident Hospital Parola Road Dhule.
Number of vehicle and type of the vehicle Contener No.MP 09 HG 9628 Tractor No MH 18 BC 0434
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. Basantkumar Krishnkumar Sahu Age-23 Add. Nodia, Gopadbanas Dist. Sindhi (M.P)
Name of the owner of the vehicle as it stand on the date of the accident --
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. --
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate --
Action Taken if any, and the result thereof. CR No 41/2018 STC No.1164/2018 Court Pending

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