Accident Detail Receipt
Date And Time 15-Dec-2017 / 3:30 pm
Place of Accident BTWEEN MALKATTER TO KODID ROAD
CR NO/ TAR No/ SDE NO 100/2017 IPC 304 A,279,427 R/W MV ACT 184 ,134/177
Name of the Injured/ Deceased MITHUN VIRSHING MEHATA AGE 21 ADD- NIHALAAMBA TAL- PANSEMAL DIST- BADWANI
Name of The Hospital to which he/she was removed CIVIL (COTEAGE) HOSPITAL SHIRPUR
Number of vehicle and type of the vehicle 1) MP 46 MK 5328 HERO HF DELUX MOTOR CYCLE ( DEATH ) 2) MH 18 M 4889 MALTRUCK (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) SUNIL VISHWANATH BHADANE ADD- SHIMPI LANE, TAL- SHIRPUR,DIST DHULE ( ACUSE)
Name of the owner of the vehicle as it stand on the date of the accident 1) VIRSHIN GILDAR MEHATA ADD- NIHALAAMBA TAL PANSMAL, DIST- BADWANI M,P, 2) RAVINDRA PANDIT GUJAR ADD- KUVE TAL SHIRPUR DIST DHULE ( ACUSE)
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. UNITED INDIA INSURANCE COMP. LIMITED
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 2313003117P106299215
Action Taken if any, and the result thereof. FILLUP CHARGESHEET TO COURT RESULT COURT PEANDING
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
PM NOTES COPY Download Document 3

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