Accident Detail Receipt
Date And Time 28-Dec-2017 / 7:15 pm
Place of Accident Chalisgaon Road, Opp.Dhuliya Motar Garage, Dhule
CR NO/ TAR No/ SDE NO Cr No.01/2018 IPC-304 (A)279,338,427, M.V.Act 184,134/177 SDE No.17/15.00
Name of the Injured/ Deceased Jafar Babu Lohar, Add-Hazar kholi, Dhule.
Name of The Hospital to which he/she was removed Hire Medical Collage, Civil Hospital, Dhule.
Number of vehicle and type of the vehicle 1.Truck no.MH.15 AG 0595 2.Motar Cycle No.H.18 AS 6823
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. Shakir Husain Shabbir Husain Age-34, Add-PLOT NO.38, Garib Nawaz Nagar, Ashiyana Colony, Dhule.
Name of the owner of the vehicle as it stand on the date of the accident SK Nisar SK Lal, Moglai Sakri Road, Dhule.
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. HDFC ERCO
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 2317201944218300000 Validity-12/10/2018
Action Taken if any, and the result thereof. ASI/V.C.More

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