Accident Detail Receipt
Date And Time 10-Jun-2018 / 8:30 am
Place of Accident Tembhe to ubhand villege road way near ubhand villege
CR NO/ TAR No/ SDE NO 93/2017 279,337,338,304(a),m.v.act.184,177.
Name of the Injured/ Deceased Deceased - vasant ramdas mali Injured- Rawsaheb babulal patil age 35 at ubhand tal sakhari dist dhule
Name of The Hospital to which he/she was removed Nil
Number of vehicle and type of the vehicle MH 18 u-4965 ct 100- motar cykal MH 18 AA-2219 tata majiagc tempo
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. Nil
Name of the owner of the vehicle as it stand on the date of the accident Nil
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Nil
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate Nil
Action Taken if any, and the result thereof. Court pending

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