Accident Detail Receipt
Date And Time 08-Dec-2018 / 1:10 am
Place of Accident NH-3 Parola Road Fly Over Bridge Dhule.
CR NO/ TAR No/ SDE NO CR No.94/2018
Name of the Injured/ Deceased 1)Ganesh Avinash Waman Add. Pimparkheda Tal.Asthi Dist.Beed 2) Mohammad Irfan khan Add. Pimparkheda Tal.Asthi Dist.Beed
Name of The Hospital to which he/she was removed Civil Hospital, Dhule.
Number of vehicle and type of the vehicle Tanker No.MH 04 HY 4726 Truck No.MH 18 BG 4377
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. Ganesh Avinash Waman Add. Pimparkheda Tal.Asthi Dist. Beed.
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.94/2018 On Investigation

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