Accident Detail Receipt
Date And Time 04-Jun-2018 / 3:30 pm
Place of Accident near palasner goan mumbai Agra Haive road parmar Hotel opposite
CR NO/ TAR No/ SDE NO 54/2018 ipc 279,337,338 Mv Act- 184
Name of the Injured/ Deceased 1) Shaha Alam Hilmat Anil Choudha age 27 2)Mohd Anias And Mahurum Choudha Ag 16
Name of The Hospital to which he/she was removed Sadguru Hospital Shirpur
Number of vehicle and type of the vehicle 1) mal truck no Uk 06 CA 8277 2) trelorno Rj 05 GA 5661
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. nareshrai shivchandra rai r/a- simodar rai yinayatpur prabodhi Anayetpur parbadho vaishali bihar
Name of the owner of the vehicle as it stand on the date of the accident trelorno Rj 05 GA 5661 - aasam bombay Carriers
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. United IndiaInsurance Company Limited
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 141300317p118085727 date-16/03/2019
Action Taken if any, and the result thereof. submited to chargesheet in court

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