|Accident Detail Receipt
| Date And Time
||09-Jan-2018 / 7:30 am
|Place of Accident
||Mumbai Agra National higway no.03 Opp. Hotel Yash President, Dhule.
|CR NO/ TAR No/ SDE NO
||Cr.No.05/2018 IPC-279,337,427, M.V.Act 184
|Name of the Injured/ Deceased
||1.Pankajkumar Uttam Shivsagar Patel Age-35, Add-Plot No.06, New Azadnagar, Kanpur Thana-Chakeri, State-UP.
2.Shaikul Khan Jumme Khan Age-20, Add-Aadthukha, Tq-Padi, Dist-Bharatpur, State-Rajastan.
|Name of The Hospital to which he/she was removed
||Hire Medical Collage, Civil Hospital, Dhule.
|Number of vehicle and type of the vehicle
||Container No-HR 55 W 8504
|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.
||Shaikul Khan Jumme Khan Age-20, Add-Aadthukha, Tq-Padi, Dist-Bharatpur, State-Rajastan.
|Name of the owner of the vehicle as it stand on the date of the accident
||Krishna kumar Yadhav Age-48, Add-62, Milestone NH-8, V.P.O Sidravali, Gurgaon State-Hariyana
|Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company.
|Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate
||2315 2019 7601 6000 000
|Action Taken if any, and the result thereof.
||NPC/160 P. B. Nandale