Accident Detail Receipt
Date And Time 09-Sep-2017 / 5:30 am
Place of Accident Lamkani near rudne chofuli sab station javl
CR NO/ TAR No/ SDE NO 92/2017
Name of the Injured/ Deceased Vicky Ravindar Borse address- Lamkani ,songir dhule
Name of The Hospital to which he/she was removed civil hospital dhule
Number of vehicle and type of the vehicle Motarcycle
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. lamkani songir,Dhule
Name of the owner of the vehicle as it stand on the date of the accident gopal ganpat koli
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Honda splendar
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Honda splendar
Action Taken if any, and the result thereof. They are go to civil hospital dhule
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