|Accident Detail Receipt
| Date And Time
||09-May-2018 / 6:30 pm
|Place of Accident
||Near Palasner Mumbai Agra road
|CR NO/ TAR No/ SDE NO
||42/2018 Ipc 279,337,427, MV Act 184,134/177
|Name of the Injured/ Deceased
||1) arihant mukesh jain r/w indor
2)Drchit mukesh jain r/w indor
|Name of The Hospital to which he/she was removed
||cottege hospital shirpur , dhule
|Number of vehicle and type of the vehicle
1) BRV compney car no- M.P. 09 CX 3525
2) Maltruck no M.P. 09 HH 9227
|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.
||Mahendrasingh Devshingh Goad Age 34 r/W- Kharadi tal maheshwar dist-Khargoan
|Name of the owner of the vehicle as it stand on the date of the accident
||goapaldas Khandenlwal Ramnath Ji r/w- 174 Thansport Nagar Indor
|Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company.
||The Oriantal Insurance Co. Limited
|Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate
|Action Taken if any, and the result thereof.
||chargesheet submited in court