Accident Detail Receipt
Date And Time 10-Jun-2017 / 8:00 pm
Place of Accident NEAR HADAKHED GOAN ,ON MUMBAI TO AGRA HAIGWAY ROAD , IN RTO CHECK POST
CR NO/ TAR No/ SDE NO 55/2017 IPC 304 a 279,337,338,427 R/W MV ACT 184 134/177
Name of the Injured/ Deceased RAMDAS HARDAS KOLI AGE 30 ADD- SANGVI TAL-SHIRPUR
Name of The Hospital to which he/she was removed SHIDHESHWAR HOSPITAL DEOPUR DHULE
Number of vehicle and type of the vehicle 1) MH 18 BB 5053 HERO HF DELUX
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. KRUSHNAPAL SITARAM SONAWANE AGE 45 ADD- SANGVI TAL- SHIRPUR DIST DHULE LICENCE NO- MH18200090001553 TIL- 14/03/2022
Name of the owner of the vehicle as it stand on the date of the accident MOHAN KASHINATH PUKALE ADD- NARAYN MASTAR CHAL CHITAL ROAD MAHADEV NAGAR DHULE
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. ICICI LOMBART MOTOR INSURANCE COMPANY lTD
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 3005/35469269/10926/000
Action Taken if any, and the result thereof. FILLUP TO COURT CHSRGESHEET
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
PM NOTES COPY Download Document 3

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