Accident Detail Receipt
Date And Time 24-May-2018 / 8:30 pm
Place of Accident NATIONAL HIGHWAY NO 6 VILLAGE ASTANE TAL SAKRI DIST DHULE
CR NO/ TAR No/ SDE NO CR NO 67/2018 IPC 304(A)
Name of the Injured/ Deceased YOGESH DILP DESLE AT POST KASERE TAL SAKRI DIST DHULE
Name of The Hospital to which he/she was removed SIR J J HOSPITAL MUMBAI
Number of vehicle and type of the vehicle MOTER CYCLE MH-18-BF-6947
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. ANIL LOTAN DESALE AT POST KASARE TAL SAKRI DIST DHULE
Name of the owner of the vehicle as it stand on the date of the accident ANIL LOTAN DESALE ATPOST KASRE TAL SAKRI DIST DHULE
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LDT
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate OG-18-2021-1802-00000140
Action Taken if any, and the result thereof. THE CASE WAS PENDING FOR PM NOTES

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