Accident Detail Receipt
Date And Time 19-Jul-2017 / 11:00 am
Place of Accident Nimzari to borade road,near stone crasher,boradi
CR NO/ TAR No/ SDE NO 60/2017 U/s 304(a),279,427 with me act 184,134/177
Name of the Injured/ Deceased Kisan magan pawra R/o dembhepda tal.shirpur
Name of The Hospital to which he/she was removed Civil hospital dhule
Number of vehicle and type of the vehicle Scooty motorcycle no mh18 aq 1913
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. Mahendra pundlik dhonde (mali) R/o.raulwadi chitodroad Dhule
Name of the owner of the vehicle as it stand on the date of the accident Pandurang gulab patil Kay shankar colony Mahadik Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Icici Lombard Office-andheri mumbai
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 6706802 Valid till 9/7/18
Action Taken if any, and the result thereof. fillup to chargrsheet result court peanding
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
PM NOTES COPY Download Document 3

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