Accident Detail Receipt
Date And Time 09-May-2018 / 10:30 am
Place of Accident Near palasner goan mumbai Agra road parmar Dhaba Opposit
CR NO/ TAR No/ SDE NO 41/2018 Ipc 279,337,338,427 MV Act-184,134/177
Name of the Injured/ Deceased 1) Manisha Prakash BaBagul a/P- Niral ShivShakti.Compex AmbarNath 2) Savita Narandra Chaudhari A/p- Ganesh Darshan Navpada Thane
Name of The Hospital to which he/she was removed Astha Insentive Care Center Dhule
Number of vehicle and type of the vehicle 3 vehicle 1) mal truck- Up 78 Dl 0245 2) MH 39 J 7595 3) MH 04 GJ 4871
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. Manoj Panchamlal Kumar a/p- 69 Ward No-4 Laxmibai Nagar Bithoor Kanpur
Name of the owner of the vehicle as it stand on the date of the accident W/O MR. Anoop Bajpai 4 New Lig W-Block Keshav Nagar Juhi Colony Kanpur
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. The New India Assurance Co.LTD
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 42220031170100010974
Action Taken if any, and the result thereof. chargesheet submited Court

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