Accident Detail Receipt
Date And Time 12-Aug-2017 / 7:20 am
Place of Accident songir shivar ,someshvar mandira javl daondaicha road
CR NO/ TAR No/ SDE NO 136/2017
Name of the Injured/ Deceased 1) Psi- C.D.Shinde 2)PC/656 R.K.More 3)HC/720 B.O.Chohan 4)HC/871 S.H.Potgir 5)PC/914 R.R.Badgujar 6)PC/364 K.S.Nikam 7)PC/1372 S.R.Patil 8) PC/368 S.D.Eshi BDDS Scot Police Headquater dhule
Name of The Hospital to which he/she was removed songir Gov.Hospital songir
Number of vehicle and type of the vehicle SML- MH18G 0256
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. Truck
Name of the owner of the vehicle as it stand on the date of the accident SML-MH18 G0256
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. GOV
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate GOV
Action Taken if any, and the result thereof. songir ps Cr 139/2017 IPC 279,337,427,mv act134/177.
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