Accident Detail Receipt
Date And Time 15-Jan-2017 / 9:00 am
Place of Accident HOTEL RAM SAKRI
CR NO/ TAR No/ SDE NO CR NO 07/2017 IPC 279
Name of the Injured/ Deceased GHANSHAM SUBHASH BHAMARE AT POST SHEVALI TAL SAKRI DIT DHULE
Name of The Hospital to which he/she was removed RURAL HOSPITAL SAKRI
Number of vehicle and type of the vehicle GJ-15-BT-1752
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. JUSAB SUMAAR KUMBAR AT POST BRACHAV TAL BACHHAV DIST BHUJ GUJARATH
Name of the owner of the vehicle as it stand on the date of the accident TIRUPATI PROTEINS PVT LID
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. GONEKA GROUP
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate TIN 240773302028
Action Taken if any, and the result thereof. THE CASE WAS FIELD IN THE COURT

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