Accident Detail Receipt
Date And Time 20-May-2018 / 1:30 am
Place of Accident near palasner goan mumbai Agra higway Road , hotel Annapurna north breakervr
CR NO/ TAR No/ SDE NO 46/2018 ipc279,337,427 Mv Act 184
Name of the Injured/ Deceased 1) devshingh bhimshingh rajput age 37 r/a- Aadhe 2) kailas dhiyaji Thakur age 50 r/a- jagdishpur tal Sonkach dist devas Other 25 Injure
Name of The Hospital to which he/she was removed Cotteage Hospital shirpur, Dhule
Number of vehicle and type of the vehicle Bus no- MH14 BT 4016
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. Bhatu vankat patil age 35 r/a- S.t.Colony plot no 5 deopur dhule
Name of the owner of the vehicle as it stand on the date of the accident Bus mahamandal aurangabad depo
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. The New Assunrance com.ltd.
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 45170031180100000186
Action Taken if any, and the result thereof. charghsheet Submited in Court

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