Accident Detail Receipt
Date And Time 05-Dec-2017 / 3:15 am
Place of Accident Mumbai Agra National Highway, No.03 Near New Nalanda Hotel, Dhule.
CR NO/ TAR No/ SDE NO Cr.No.83/2017 IPC-304(A),279,427, M.V.Act 184,134/177 SDE No.05/07.15
Name of the Injured/ Deceased Ravindra Sahebrao Aaher Age-28, Umrana Tq-Malegaon, Dist-Nashik.
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.Pickup Van No.MH.15 DK 1014 2.Eiser Truck No.MH.18 BA 8474
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. Narendra Sukhaji Padmar Add-Hatkar Wadi, Chitod Road, Dhule.
Name of the owner of the vehicle as it stand on the date of the accident Kishore M Padmar Add-Hatkar Wadi, Chitod Road, Dhule.
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Oriental Insurance Co. LTD
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 182600/31/2017/5604 Valid-26/12/2017
Action Taken if any, and the result thereof. PSI/S.B.Aher

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