Accident Detail Receipt
Date And Time 01-Jan-1970 / 12:20 am
Place of Accident Nijampur To Sevali road way near MSCB office Shivajinager fata
CR NO/ TAR No/ SDE NO 52/2018 279,337,338,m.v,act,184,134/177
Name of the Injured/ Deceased Injured- 1)Mukund sambhaji patil 2) Gahnsyam chitaman more 3) M.v.sheak 4).P.s.pawar at.devpur pachim police stion dhule tal.dist dhule.
Name of The Hospital to which he/she was removed Civil hospital sakhari
Number of vehicle and type of the vehicle MH 18 BG 1726 Icyer truck MH 18 F-0133 (jeep)
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. Motilal fula pawar age 29 at jaitane tal sakari dist dhule maharashtra RTO w.no MH 3920080008340 expiry date 24/7/2024
Name of the owner of the vehicle as it stand on the date of the accident Motilal fula pawar age 29 at vindane tal dist Nandurbar
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Jeneral insurance company ltd branch- jalgon dist jalgon (HDFC)
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 2315202127884000000 Vaild date 4/3/2018
Action Taken if any, and the result thereof. Court pending

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