Accident Detail Receipt
Date And Time 08-Oct-2018 / 7:30 pm
Place of Accident Bramhanvel to daiwel way near babhulde villege bus stand
CR NO/ TAR No/ SDE NO 64/2018 304(A),279,338,M v,act,184
Name of the Injured/ Deceased Deceased - dipak devidas bahiram age 26 at jambhora tal sakari dist dhule
Name of The Hospital to which he/she was removed Rurul hospital jaitani nijampur tal sakari dist dhule
Number of vehicle and type of the vehicle Truck no Rj 22/Gb 0095
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. Rj 2220040017084 at mandala tal sojat dist pali rajesthan
Name of the owner of the vehicle as it stand on the date of the accident Usab kanwar bhanwar sing
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. United india insurance company ltd, bus stand sojat city pali rajesthan
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate policy no- 2903843117p113857018 Expiry date 19/1/2018
Action Taken if any, and the result thereof. Police investigaton
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