Accident Detail Receipt
Date And Time 01-Jan-1970 / 4:30 pm
Place of Accident Hati (b) to aiyane road way near hati (b) villege tal sakari dist dhule
CR NO/ TAR No/ SDE NO CR.NO 10/2018 304(a),279,M,V.Act 184
Name of the Injured/ Deceased Deceased - Arunabai bapu wage age 40 at ganegon tal sakari dist dhule l
Name of The Hospital to which he/she was removed Shideshor hospital dhule
Number of vehicle and type of the vehicle Unon motar cykal
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. A - fainal outword no 13/2018 date 6/6/2018

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