Accident Detail Receipt
Date And Time 23-Dec-2017 / 3:00 pm
CR NO/ TAR No/ SDE NO 101/2017 IPC 304 A,279,427 R/W MV ACT 184,134/177
Name of the Injured/ Deceased TANGVE SHANKAR NAP
Name of The Hospital to which he/she was removed CIVIL ( COTEAGE ) HOSPITAL SHIRPUR
Number of vehicle and type of the vehicle 1) TN 52 L 2651 MALTRUK 2) MH 18 BA 5009 MALTRUK (ACUSE)
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. 1) SUNDRWEL V. VELLAIAPPAN ADD- 10-A PERIA UPPUPALAYAM MALLASAMUDRAM POST TIRUCHENGODE TK NAMAKKAL ( TN 52 L 2651 - DIRVER) 2) JITENDRA KAUSHAL MANGOLAL ADD- DHARMPURI DIST- DHAR M.P.( MH 18 BA 5009 - DRIVER) ACUSE
Name of the owner of the vehicle as it stand on the date of the accident 1) ASLAMKHAN MAULAVI ADD- PLOAT NO 258 JAAMAKA MALLA SULTANMIYA NAGAR DHUALE ( ACUSE)
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. NEW INDIA INSURANCE CO. LIMITED
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 45170031160100005045
Action Taken if any, and the result thereof. CHARGESHEET SUBMITED TO COURT RESULT COURT PEANDING
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2

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