Accident Detail Receipt
Date And Time 07-Jun-2018 / 7:00 am
Place of Accident RAM HOTEL SAKRI
CR NO/ TAR No/ SDE NO CR NO 70/18 IPC 279,337,338,427,
Name of the Injured/ Deceased 1) RAMCHANRA UTTAMA PATIL 2) DEVAKABAI BHAGAVAN RAMI 3) PRAMILABAI PRALHAD SHIPI 4) SANAJAY KASHINATH MAHALE 5) SHIVA BHILA MARAMARA 6) DHONGAR PUNJARAM GAVIT 7) KISAN RAJARAM AHIRE 8) DAGA ANANDA BHAMARE 9) KUSUMBAI DAGAJI BHAMARE 10) NIRAMLABAI DATTRAY CHAUDHARI 11) JAGAN SURITRARAM AHIRE
Name of The Hospital to which he/she was removed RURAL HOSPITAL SAKRI
Number of vehicle and type of the vehicle MH-20-D-8256 MH-46-BB-7829
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. SHIVA BHILA MARANAR
Name of the owner of the vehicle as it stand on the date of the accident S T MAHAMANDAL
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. GOVERNMENT OF MAHARASHTRA MOTER VEHICLE DEPARTMENT
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate MH18032331633608
Action Taken if any, and the result thereof. THE CASE WAS PENDING

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