Accident Detail Receipt
Date And Time 08-Jun-2018 / 10:00 am
Place of Accident Chalisgaon Road Chowfully, Dhule.
CR NO/ TAR No/ SDE NO Cr.No.69/2018 IPC-279,337,338,427, M.V.Act 184 SDE NO.12/20.01
Name of the Injured/ Deceased Abdul Raheman Makku Pinjari Age-70 Add-Ramabai Ambedkar Nagar, Galli NNo.09, Near. Mothe Pull, Deopur, Dhule.
Name of The Hospital to which he/she was removed Hire Medical Civil Hospital Dhule.
Number of vehicle and type of the vehicle 1.Gas Tanker No.MP.04 HE 4472 2.Motar Cycle No MH.18 AH 4645
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. Rakesh Lalchand Rathod Age-25, Add-Rajapur, Tq-Sonkach, Dist-Devas State -MP.
Name of the owner of the vehicle as it stand on the date of the accident Maheswari Road Lines, Add-305 Wellcome Appartment, Ayodya Bypass, Bhopal. State -MP
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. The Oriental Insurance Co.LTD.
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 152801/31/2018/54/23 Valid-13/03/2019
Action Taken if any, and the result thereof. ASI/V.C.More

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