Accident Detail Receipt
Date And Time 28-May-2018 / 7:30 pm
Place of Accident malkattar to baradi road Mitgoan Near by baba omashya pawara agri land
CR NO/ TAR No/ SDE NO 51/2018 ipc-304(a) 279,337,427 Mv Act 184
Name of the Injured/ Deceased Binajya rangla pawara r/a- malkattar tal shirpur dist dhule
Name of The Hospital to which he/she was removed Cottege Hospital Shirpur
Number of vehicle and type of the vehicle Motor sycle MP.46 MG 4327
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. No licence
Name of the owner of the vehicle as it stand on the date of the accident Khemsha sursingh barde (pawara) r/a- Umarda tal- barwani
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. no Insurance
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate no Insurance
Action Taken if any, and the result thereof. chargesheet submited in Cout

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