Accident Detail Receipt
Date And Time 10-Nov-2018 / 3:30 pm
Place of Accident Pimpalner gavatil busstand sakri kade janara pulavar roadvar
CR NO/ TAR No/ SDE NO Cr no 117/2018 IPCC 279,427
Name of the Injured/ Deceased __
Name of The Hospital to which he/she was removed __
Number of vehicle and type of the vehicle Doshi vahan at bus no MH 20 BL 4251
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. __
Name of the owner of the vehicle as it stand on the date of the accident __
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. __
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. Pimpalner ps cr no 117/2018 IPC 279,427

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