Accident Detail Receipt
Date And Time 30-Jun-2018 / 2:30 pm
Place of Accident Shirpur to shahada highway near by karmaveer petrol pump
CR NO/ TAR No/ SDE NO shirpur city cr.no.163/2018 IPC 279,337,338,427 M V ACT 184,119/177,134/177
Name of the Injured/ Deceased 1] Imranbhai H. Kasmani age 35 add.Krushnabhavan bhairavnath chowk gariyadhar dist.Bhavnagar state Gujrat. 2] Naushadbhai Sikandarbhai Pathan age 8 add. Indian petrol, palitana road Gariyadhar dist.Bhavnagar state Gujrat
Name of The Hospital to which he/she was removed 1] B.B.Desai General Hospital Dist. Bhavnagar State Gujrat 2] Ashutosh Hospital Dist. Surat state Gujrat
Number of vehicle and type of the vehicle 1] GJ 04 X6033
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. Naushadbhai S. Pathan Add. Indian petrol, palitana road Gariyadhar dist. Bhavnagar state Gujrat RTO Add. Gujarat State
Name of the owner of the vehicle as it stand on the date of the accident Naushadbhai S. Pathan Add. Indian petrol, palitana road Gariyadhar Dist. Bhavnagar State Gujarat
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Realiance General Insurance Co. LTD Add. 3rd Floor NR Kathiyawad Gymkhana DR Radhakrishnan Road Rajkot Gujarat
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Insurance Policy Number 601621723340004991 Insurance Validity 28/10/2017 to 27/10/2018
Action Taken if any, and the result thereof. Investigation Completed
FIR Download Document 1
PANCHANAMA Download Document 2
MEDICAL REPORT Download Document 3

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