Accident Detail Receipt
Date And Time 24-May-2017 / 7:30 pm
CR NO/ TAR No/ SDE NO 85/2017
Name of the Injured/ Deceased GANESH DHANRAJ PANPATIL
Name of The Hospital to which he/she was removed COTTAGE HOSPITAL DONDAICHA
Number of vehicle and type of the vehicle BOLERO VEHICLE MH-48P3999 AND MOTOR CYCLE MH-18-5961
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. ON BOLERO VEHICLE DRIVER MH-48P3999 JIJABRAO NAMDEO SADARAO AT POST ZOTWADE TAL SHINDKHEDA DIST DHULE L.NO MH18 20140024326 AND MOTOR CYCLE RIDER NAME GANESH DHANRAJ PANPATIL L.NO MH1820100028219
Name of the owner of the vehicle as it stand on the date of the accident JIJABRAO NAMDEO SADARAO
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. ORIENTAL INSURANCE COMPANY, BHAVSAR COMPLEX LANE 05 OPP. SCHOOL NO 09 DHULE
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 182600/31/2017/4278 24/10/2016 TO 23/10/2017
Action Taken if any, and the result thereof. INVESTIGATION GOING ON
FIR Download Document 1
PANCHANAMA Download Document 2
INJURY CERTIFICATE Download Document 3

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