Accident Detail Receipt
Date And Time 10-Mar-2018 / 2:00 pm
Place of Accident NATIONAL HIGH NO 6 CHHADVEL (P) VILLAGE BEHINDE
CR NO/ TAR No/ SDE NO CR NO 24/2018
Name of the Injured/ Deceased RAHUL MURLALA BAGUL AGE 32 AT POST DAHIVEL TAL SAKRI DIST DHULE
Name of The Hospital to which he/she was removed RURAL HOSPITAL SAKRI
Number of vehicle and type of the vehicle APPE AUTO MH-18-W-4632 CONTTERNAR EP-29-TB-2991
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. NARENDRA ARUN CHAVAN AT POST DAHIVEL TAL SAKRI DIST DHLE KHAJA WARIS KHAN AT POST IBRAHIMPUATM RANGA REDDY RANGA REDDY TELANGANA
Name of the owner of the vehicle as it stand on the date of the accident NARENDRA ARUN CHAVAN AT POST DAHIVEL TAL-SAKRI DIST DHULE KHAJA WARIS KHAN AT POST IBRAHIMPURTAM RANGA REDDY RANGA REDDY TELANGANA
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. IFFCO TOKO GENERAL INSURANCE CO LTD AT POST C1 DISTT CENTRE SAKET NEW DELHI
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 1-JH1C3E9
Action Taken if any, and the result thereof. THE CASE WAS PENDING MEDICAL CERTIFICATE

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