Accident Detail Receipt
Date And Time 03-Jun-2017 / 10:00 am
Place of Accident dondaicha dhule road near chimthane gaon from 1 k.m
CR NO/ TAR No/ SDE NO 84/2017 ipc 279 337 427 mvAct 184
Name of the Injured/ Deceased kachru valmik gavali age-40
Name of The Hospital to which he/she was removed HIRE MEDICAL COLLEGE DHULE
Number of vehicle and type of the vehicle ACCUSED CONTENAR TRUCK NO. NL-04D-5779 & INJURED.MH-39D-0328 APE AUTO
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. MOHMMAD JUBER KHAN ATUR AGE-34 ADDRESS AKATA TAL.KAM DIST.BHARAPUR R.J.
Name of the owner of the vehicle as it stand on the date of the accident KACHRU VALMIK GAVALI DATE 03/06/2017
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. CASE IS PENDING

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